Part B Insider - 2013 Issue 4
Clip and Save: Get Patient Help Capturing PMFSH Details With a Template Form
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Article Overview
This piece explains a practical workflow aid for collecting patient history information before the clinical encounter. It is aimed at coders, billers, and clinical staff who support evaluation and management documentation, and it focuses on a template-based approach to gathering the history elements needed for office visits and similar encounters.
Why This Topic Matters
Accurate history documentation is an important part of E/M record support. A patient-friendly form can help offices capture information more efficiently while reminding providers to document review of the form in the medical record.
What You Will Learn
- How a patient-completed form can help gather history information before the visit
- Which broad categories of history are addressed in the template
- Why provider review of the completed form should be documented
- How intake forms can support E/M documentation workflows
Who Should Read This
- Medical coders
- Billers
- Clinical documentation staff
- Physicians and practice administrators
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