Pfsh

crhunt78

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Olathe, KS
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When documenting the PFSH, in order to count towards the E/M visit, does the doctor need to sign off that he has reviewed this or is the nurse's documentation of it enough. In our office, the nurse fills out the form and initials it at the bottom. I need to know if my docs should be initialing it as well.
 

RebeccaWoodward*

True Blue
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North Carolina
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My providers will normally make some type of statement such as..."PFSH reviewed and information is accurate".

DG: The ROS and/or PFSH may be recorded by ancillary staff or on a form
completed by the patient. To document that the physician reviewed the
information, there must be a notation supplementing or confirming the
information recorded by others.
 
Messages
4,466
Location
Milwaukee WI
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MD must review to get credit

The "history" form we ask patients to complete actually has a place for "provider review date / signature"

We also instruct our physicians to add phrase in their dictation "For PFSH and ROS please see patient history form, completed dd/mm/yy and review by me this date." We ask them to note any pertinent positives or negatives, also.

F Tessa Bartels, CPC, CPC-E/M
 
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