Part B Insider - 2013 Issue 4
Aspects of PMFSH
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Article Overview
This article is a documentation-focused overview for CPT users that breaks down past medical, family, and social history into its three subsections. It is relevant to coders, auditors, clinicians, and documentation specialists who need to understand how these history elements are organized and what general categories of information belong in each area.
Why This Topic Matters
PMFSH is a core part of clinical documentation review and coding assessment. Understanding its structure helps readers recognize the types of history information that may appear in patient records and supports more consistent documentation interpretation.
Article Sections
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Past medical history
Summarizes the kinds of prior health information and background items covered in the past medical history subsection, along with illustrative examples.
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Family history
Describes the types of family health information that may be documented in the family history subsection, including inherited or risk-related concerns.
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Social history
Outlines the broad categories of lifestyle and social information commonly addressed in the social history subsection, with sample contexts.
What You Will Learn
- How PMFSH is organized into three subsections
- What broad categories of information are typically included in past medical history
- What broad categories of information are typically included in family history
- What broad categories of information are typically included in social history
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Physicians and other clinicians
- Practice managers
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