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Confirmed: Billing Provider Must Document the HPI

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Question: Is it acceptable for ancillary personnel to obtain and record elements of the history of present illness (HPI) portion of the history component? Chapters 12 and 15 of the CMS web manuals do not reference the HPI—only the review of systems (ROS) and past/family/social history (PFSH). Answer: Per CMS rules and the 1995 and […]

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