BC Advantage - 2016 Issue 8

History of Present Illness

Per Medicare's 1995 and 1997 documentation guidelines, "HPI is a chronological description of the development of the patient's present illness from the first sign and/or symptom or from the previous encounter to the present." The History of Present Illness (HPI) is the story that explains the progress of the condition that is leading to the patient being evaluated today. The provider of service is expected to obtain the HPI, but it can be in the patient's own words. HPI is broken out into eight elements: 1. Location is where on the patient the problem is occurring. For example:...

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