I'm taking the CPMA exam in May and in the course it states that sometimes credit given in both the HPI location and to the review of a system. For example: "The patient states that she has a sore throat". (this alone is only HPI). But if it reads "The patient states that she has a sore throat. She denies any postnasal drip or fullness in her ears when she swallows". They are saying it goes in the HPI AND the review of the ENT system. This is what throws me at times. Is there alot of this on the exam? How do you get better at recognizing this type of documentation and when to apply it in both?