Please identify the patient type, the documented PFSH elements and the supporting findings. How does the patient type and documented PFSH provide greater information about the CC, HPI, ROS and the professional relationship between patient and physician performing the E/M service?
What will be an ideal response?
PFSH—Pertinent:
PMH: CABG 2002
FMH: None documented
SH: None documented
Generally, the PFSH provides information about the patient's life in addition to the story of the patient's health: while past history informs the reader about the patient's past medical history, the social and family histories inform the reader about the rest of the patient's life from the perspective of the CC. The patient type provides information about how familiar the physician is with the patient's story of health.
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What are some examples of unprofessionalism that are apparent in this scenario?
What will be an ideal response?
Answer the following statements true (T) or false (F)
1) Claims may require three provider identification numbers 2) The patient information form is standardized and used by all physicians' offices. 3) A referral or prior authorization number may still be required even if that insurance carrier provides secondary coverage for the patient. 4) The source document used by a medical office specialist to enter patient encounter data into a computerized accounting system is the superbill. 5) Electronic claims are entered into a computer system and then printed out to be filed in the patient's medical record.