Round-Robin Group Check-Ins: During recurring SMA sessions, the physician conducts brief medical check-ins, reviews progress, addresses questions, reinforces care plans, and provides medical oversight while creating an E&M charting note per patient. The physician has two primary responsibilities: Initial Intake Appointment (Individual Visit): Prior to enrollment in an SMA group, each patient completes an individual intake appointment with the physician to review medical history, assess symptoms, determine clinical appropriateness, establish a care plan, and document eligibility.