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Thread: Who can obtain HPI and PFSH?

  1. #1

    Default Who can obtain HPI and PFSH?

    AAPC: Back to School
    Can a nurse get this info or does it have to be done by dr? I need documentation of this. Can you please tell me where to find it for sure?

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    The provider must document the HPI. Do you get Part B News? In the 6/11/07 issue they address this. Also, there is something on the Noridian website that is official CMS policy. I don't have access to any links for you at this time, but you could do a search on these. Also check CMS.

  3. #3
    Join Date
    Apr 2007


    Here is the link to Medicare's website & the '95 guidelines. Goto page 5, you may print it for your providers.

    HPI must be documented by the physician. Ancillary staff may document the ROS and the PFSHx, however, the physician should document that they reviewed it, and that it was recorded by others.

    Good Luck.
    Evangelina Frohna, CPC, CEMC

  4. #4
    Join Date
    Apr 2007
    Albany, NY

    Default Hpi

    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.


    Who can perform and document the HPI?

    The physician or NPP must personally perform and document the HPI.


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