dsmith06351
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When the nurse puts the patient in to the exam room for the doctor she will ask questions relating to the illness or the injury and write in the chart. My question is if the doctor writes that he reviewed and agrees can he count this as HPI? I am auditing a doctors notes and the nurse wrote a detailed history and the doctor wrote that he agrees with what was written rather than rewriting everything.
Thanks for any help.
Denise Smith CPC-A, CEMC
Thanks for any help.
Denise Smith CPC-A, CEMC