JulesofColorado
Expert
Ok, let's say patient comes into ER for an earache. The physician doesn't document a PFSH at all. This is for Physician coding. My question is, does this make it a Problem Focused visit or Expanded Problem Focused?
The 1997 Guidelines state that "At least one specific item from any of the three history areas must be documented for a pertinent PFSH."
My Supervisor says I can mark it as an EPF History. I disagree. I think it should be a PF History, automatic Level 1.
Thanks in advance
The 1997 Guidelines state that "At least one specific item from any of the three history areas must be documented for a pertinent PFSH."
My Supervisor says I can mark it as an EPF History. I disagree. I think it should be a PF History, automatic Level 1.
Thanks in advance