ARCPC9491
True Blue
I have a practice who for every patient, no matter what their presenting problem is, is copying and pasting the entire comprehensive history "because it helps them get a higher level visit" (quoted by the office manager)
The history should be a direct reflection of the nature of presenting illness. Copying and pasting does allow for higher levels but if it isn't pertinent or necessary to do, I don't feel as if they should really be given credit.
If the patient comes in with a broken finger, it doesn't make sense to do a full review of systems.
Comments and suggestions??
The history should be a direct reflection of the nature of presenting illness. Copying and pasting does allow for higher levels but if it isn't pertinent or necessary to do, I don't feel as if they should really be given credit.
If the patient comes in with a broken finger, it doesn't make sense to do a full review of systems.
Comments and suggestions??