HPI Documentation Help

ajballard

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Location
Yakima, Washington
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Hello,

I would like some clarification on the HPI documentation and your help is greatly appreciated. One of my providers in our Orthopedic office will see a patient for shoulder pain (documented in the HPI) but then will do a physical exam on the foot. Is this something they can include during the office visit?

Our thoughts are that they shouldn't be examining the foot when they are in for shoulder pain. Please guide me to the documentation that I can present to the provider to let him know if it is being done correctly or incorrectly.

Thank you so much!!!

-Amanda
asainsbury@ortho-nw.com
 
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