cwilson3333
Expert
Would like to have this dictation reviewed and to know if all criteria [elements] for the entire visit are satisfied. This is just as dictated:
Reason for Visit: Wound Check
Chief Complaint: 2nd post op right shoulder
Referred Here: Dr. So and So
HPI: Patient is a 51 year old male
Patient Name
Date of Service
IH: He is feeling a little better. He is taking Vicodin, one every 8 hours.
PE: On exam, the incision looked good
P: We went over pendulum exercises. F/u at the 6-week mark to get an X-ray
and start P.T.
Drs initial/transcriber initials
Date of Surgery: 5-28-2013
Signatures
Electronically signed by Dr. Ortho on such and such a date.
[I know there is no charge, so 99024 on the visit. But is the doctor inputting enough
information in the record?]
Thanks
Reason for Visit: Wound Check
Chief Complaint: 2nd post op right shoulder
Referred Here: Dr. So and So
HPI: Patient is a 51 year old male
Patient Name
Date of Service
IH: He is feeling a little better. He is taking Vicodin, one every 8 hours.
PE: On exam, the incision looked good
P: We went over pendulum exercises. F/u at the 6-week mark to get an X-ray
and start P.T.
Drs initial/transcriber initials
Date of Surgery: 5-28-2013
Signatures
Electronically signed by Dr. Ortho on such and such a date.
[I know there is no charge, so 99024 on the visit. But is the doctor inputting enough
information in the record?]
Thanks