• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki New Patient E&M question

Create Wiki
L

lindaconway

Networker
Messages
47
Location
Willow, AK
Best answers
0
Our PA had a new patient walk out. Here's what she said:
During the middle of the evaluation he walked out secondary to being confused as to why he was referred to us since we were not a pain clinic and that he was not interested in anymore surgeries. I had gone thru the NP packet with him, gotten his vitals and went thru the HPI and PMH/PSH stuff with him and was about to examine him when he became upset and left.

I just went back and re-read this and I'm getting clarification on what she means by "HPI, PMH/PSH stuff." I still welcome any input!

My initial instinct is that there is no criteria met, so no NP visit. He's Medicare/Medicaid, by the way.

I appreciate your input.
 
Last edited:
Additional info:

This is what I put in his chart:
HPI= history of present illness
PMH= past medical history
Allergies
Medication list
FH=family history
SH= social history
PSH= past surgical history
I only got to the vitals in the PE (physical exam) so I did not examine him. He has a TBI (traumatic brain injury) and has difficulty remembering things and was confused to why he was here. He may be back so I wanted to chart the history and that the patient left because he was a consult by a NP here.
 
You must log in or register to reply here.
Top