Forum - Questions & Answers
Hpi
I have a question regarding the HPI field. Is it the physician or medical assistant who is to fill out this section? Please advise, thanks.
re: HPI
The billing provider is responsible for HPI
re: HPI
This is from the 95 DG's
DG: The ROS and/or PFSH may be recorded by ancillary staff or on a form completed by the patient. To document that the physician reviewed the information, there must be a notation supplementing or confirming the information recorded by others.
& this is from E/M university( Great resource)
E/M University Coding Tip: The physician MUST personally complete and record the HPI. The HPI is the ONLY part of the history which CANNOT be recorded by ancillary staff.
hope this helps, Lynda
re: HPI
One of our oldest articles, by Todd Thomas
http://codapedia.com/article_118_Who-can-document-the-HPI.cfm
This article has been read 15,464 times since Codapedia became active. Thanks Todd!