Make sure that what you document in the S part of the SOAP note is ________ to the rest of the note
A) Transferable B) Supportive C) Relevant D) Complementary
C
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Which of the following BEST completes the sentence: "The individual levels of each of these three components – history, physical examination, medical decision making -support:
A. the overall level of the E/M service. B. whether the patient was accompanied by an adult family member or chaperone. C. the amount of time the physician spent in counseling. D. the nature of the patient's attitude.
Which of the following is required to document face-to-face intraservice time?
A. Documentation of any counseling provided for the patient during the E/M service visit and/or patient's family during the E/M service visit B. Documentation of the collection of history, performance of the physical examination and making the medical decisions for the plan of care C. Documentation of the physician's coordination of the patient's care or the physician's independent review of diagnostic results or images, all of which must occur in the patient's presence during the course of the E/M service visit D. Any or all of the above