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Thread: Hpi

  1. #1

    Question Hpi

    AAPC: Back to School
    Does anyone know where you can find information in writting on who is allowed to complete the HPI part in the EMR? Physician, MA or either?

  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    Look in the 1995 or 1997 documentation guidelines. They are very specific. Trailblazer has some wonderful information as well on E/M documentation guidelines.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Join Date
    Apr 2007
    Northeast Kansas (NEKAAPC)


    It is stated very clearly on WPS (don't know what state you are in) and I also believe on CMS that the physician must obtain the HPI. Only the ROS and PFSH can be recorded by an ancillary staff member.
    Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC, CRC
    AAPC ICD-10-CM/PCS Training Expert

    Kindness is contagious-PASS IT ON!

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