Who may document the HPI?
a. The front desk receptionist or appointment scheduler
b. The medical assistant or registered nurse
c. The performing physician
d. The HPI is inherent to the E/M visit and doesn't need to be documented
c) The performing physician
Health Professions
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You suspect that a patient involved in a motor vehicle collision is in shock. What sign or symptom of shock would you expect to see last?
A) Tachycardia B) Increased respirations C) Decreased blood pressure D) Pale and diaphoretic skin
Health Professions
When reviewing medical documentation of an evaluation and management service, what is the "CC"?
A. Carbon copy B. Colon classification C. Chief complaint D. Contradictory complaints
Health Professions