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Wiki E&m pfsh

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Kavita Parab

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Does anyone have any thoughts or guidelines on the following situation:

A Provider will list a Past History in detail, a Social History in detail, but will state Family History is "None".

Is this acceptable to consider PFSH is complete ?




Thanks,

Kavita Parab
 
Good morning,

Per CMS:
"If the physician is unable to obtain a history from the patient or other source, the record should describe the patient’s condition or other circumstance which precludes obtaining a history."

If the patient is considered an Established Patient (only need 2 of the 3 PFSH histories), then this could still be a Complete PFSH. If the patient is considered a New Patient (need all 3), then this should be a Pertinent PFSH since based on the information you are sharing, the provider is not giving any Family History.

Hope that helps!
 
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