Modifying factor audit question

kricketts

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When performing a chart audit, if the physician documents "Any Medications given- none" in the HPI would this still count as a point for the Modifying factor?
 

Cheezum51

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I believe that would be considered a modifying factor note. I often write something similar to that for my patients who have eye irritations or infections and haven't tried any "home" treatment prior to seeing me when I note the HPI.

Tom Cheezum, O.D., CPC
 
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