 |
 |
 |
|
This course is designed to familiarize physicians with how to document the history component of the evaluation and management (E/M) service, including:
- Defining the history elements
- Reviewing documentation guidelines
- Selecting the overall history level
The physician will learn the specific items to cover for the four history elements (chief complaint, history of present illness, review of systems, and past, family and/or social history), understand the levels available within each history element, and apply those elements to determine the overall history level.
The course is self-paced and takes approximately one hour to complete. The course includes a number of application exercises that will allow participants to be sure they have understood the key learning points.
Here are some of the questions that participants will be able to answer after taking this course:
- Who can document what? Make sure you know the rules before you hand the patient that questionnaire.
- What one key element must be in every patient record? Miss it, and you’re left reporting the lowest level every time.
- How to avoid the dangers of ROS double dipping ... Why your HPI doesn’t count and what to do about it.
|
|
|
|
|
|
|
|
|
