fltbaroque
Guru
Does this meet medical necessity?
A patient fills out paperwork and there are sections labeled "family history", "past medical history", "social history" and "review of systems".
The doctor states in his note, "I went over patient's history and review of systems and it is in the chart".
How can you level a visit with this? There's really no way to tell what the doctor went over with the patient.
A patient fills out paperwork and there are sections labeled "family history", "past medical history", "social history" and "review of systems".
The doctor states in his note, "I went over patient's history and review of systems and it is in the chart".
How can you level a visit with this? There's really no way to tell what the doctor went over with the patient.