BC Advantage - 2015 Issue 7

Tip: Understanding Your Risk

"What happens when you don't play by the rules"The History of Present Illness (HPI), is by in large one of the most critical aspects of any progress note. Yes, we all know it is made up of either elements (location, duration, context, timing, severity, modifying factors, and associated signs and symptoms) or for complete HPIs, the status of chronic (three) conditions. However, the most important part of the HPI is not in what you document but who actually documents it! I spend approximately 48 weeks per year on the road working in practices from one physician up to integrated...

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