We agree with commenters that practitioners are in the best position to determine how their patients interact with the practice and therefore are not requiring specific types of encounters, but rather encouraging practices to consider ways to ensure enhanced access to patient-initiated digital communications, including but not limited to virtual check-ins and digital online assessment and management and E/M visits (or e-visits)
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Diagnosing MS involves a combination of tests, including a physical exam, MRI imaging, and possibly a spinal tap to analyze cerebrospinal fluid

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Routine testing is not standard, but it may be done in specific medical situations