Gemini18
Expert
Good Morning ALL -
I am auditing 10 records from a physician who repeatedly puts "as outlined above" for his Review of Systems. Now in the HPI some of the records don't have enough elements to constitute a comprehensive. There were only 2 charts that he did list all the pertinent ROS and exam elements.
Any comments?
I am auditing 10 records from a physician who repeatedly puts "as outlined above" for his Review of Systems. Now in the HPI some of the records don't have enough elements to constitute a comprehensive. There were only 2 charts that he did list all the pertinent ROS and exam elements.
Any comments?