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http://www.dralisonchen.com/2012/02/assessing-chief-complaints/
One of the first things Naturopathic Students learn when seeing a patient for any concern is to ask what their Chief Complaints are (or better known as “CC”). How do we ensure we get all the important facts and rule out red flags?
https://www.aapc.com/blog/42585-chief-complaint-required/
Preventive medicine services (CPT® 99381-99387) do not require a chief complaint. Because a preventive medicine service is not problem-oriented, you should not diagnose it, as such. Instead, match preventive medicine codes with an appropriate ICD-9-CM code to support the services provided (e.g.,...Author: John Verhovshek
https://www.sharecare.com/health/managing-your-health-care/what-is-chief-complaint
A Chief complaint is the medical term used to describe the primary problem of the patient that led the patient to seek medical attention and of which they are most concerned. The chief complaint is obtained by the Physician in the initial part of the visit when the medical history is …
http://www.roseandassociates.com/wp-content/uploads/2014/03/17f8ef4eda8a20b29968070d5953b2a0.pdf
entry of the chart as the “chief complaint,” and indicate “no changes” or “new complaint” if appropriate. If this is an off-cycle visit, you must treat the patient as if it were a new encounter. In other words, there must be an acute complaint to satisfy the medical necessity for the service.
https://www.aapc.com/discuss/threads/chief-complaint-question.74741/
May 30, 2012 · The chief complaint explains the reason for the provider to see the patient. It is the medical necessity for the visit. A lot of providers believe that the hospital is a running comentary on the visit-maybe clinically but not for coding and billing. Their note has to stand on its own.
https://cfsecure.nova.edu/PEPrx/documents/evaluation_IPPE_COMMEE_II_MedicationProfile.pdf
Generally move from head to toe when asking questions If the patient has any of the symptoms, ask questions that are similar to the questions asked in HPI; do not repeat things already answered as part of the HPI (also do not document twice in the SOAPE) Can start by saying “We are going to ask a lot of questions about common health problems.
https://www.aao.org/young-ophthalmologists/yo-info/article/em-documentation-requirements-part-3-chief-complai
Jul 22, 2014 · This month, we’ll look at the third and final piece of the puzzle, the chief complaint and elements of the history of the present illness. These two components provide the reason for the encounter and indicate what elements of the exam are medically necessary to perform. Chief Complaint. The chief complaint is the focus of the exam.
https://5.insynchcs.com/Help/Source/HTML/how_to_record_chief_complaints.htm
In the charting elements ribbon, click Chief Complaint/HPI link. 2. Enter the exact complaint as presented by the patient in the Chief Complaint text box. Maximum of …
https://namas13.wildapricot.org/resources/Pictures/NAMAS%20Weekly%20Tip%20081916%20Chief%20Complaint.pdf
We have also hear it said that 'follow up' is not a valid chief complaint, but note in the above referenced guidance on the chief complaint that a physician recommended return is noted as a valid chief complaint option. The point that should be clarified is that while 'follow-up' is a valid chief complaint, it does not identify to the fullest ...
https://www.ophthalmictechnician.org/index.php/courses-2/ophthalmic-assistant-basic-training-course/138-history-taking
Chief Complaint (CC) The chief complaint, simply put, is the reason why the patient has come to see the doctor. As far as payment is concerned, “a check-up” is not an acceptable reason for Medicare or for most insurance companies (although there are companies that do cover yearly exams).
https://meded.ucsd.edu/clinicalmed/history.htm
In the previous patient with chest pain, you will learn that this patient's story is very consistent with significant, symptomatic coronary artery disease. As such, you would ask follow-up questions that help to define a cardiac basis for this complaint (e.g. history of past myocardial infarctions, risk factors for coronary disease, etc.).
https://www.urmc.rochester.edu/medialibraries/urmcmedia/compliance-office/education-tools/compliance/documents/emdocumentationtips4-08.pdf
Evaluation and Management Documentation Tips URMC – Compliance Office – 4/08 1 . Chief Complaint (CC) DO DON’T . Specify reason for the visit • “Patient presents for follow-up evaluation of ankle sprain.” Fail to specify reason for visit • “Patient presents for follow-up.” Specify who requested a consult and why • “
https://www.supercoder.com/my-ask-an-expert/topic/chief-complaintV
Jan 22, 2020 · The rest of the dictation is sufficient to infer the correct chief complaint; since, the Evaluation and Management was provided by the provider, not by the nurse. HPI was documented by the performing provider, therefore, the nurse’s notes do not count.
https://www.theophthalmictechnician.com/history-taking-in-ophthalmology/
May 11, 2019 · Ask the patient about their glasses, contact lenses, and past surgeries. Ask about relevant family histories. Ask about glaucoma, diabetes, and thyroid problems.
https://quizlet.com/229320741/chief-complaint-cc-history-of-present-illness-hpi-flash-cards/
Start studying chief complaint (CC) & history of present illness (HPI). Learn vocabulary, terms, and more with flashcards, games, and other study tools.
https://en.wikipedia.org/wiki/Presenting_problem
The chief complaint, formally known as CC in the medical field, or termed presenting complaint (PC) in Europe and Canada, forms the second step of medical history taking. It is sometimes also referred to as reason for encounter ( RFE ), presenting problem , problem on admission or reason for presenting .
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