E/M Weekly Tip: Cloning - Chief Complaint (CC), History of Present Illness (HPI), Review of Systems (ROS) and Examination

Published 08/03/2020

Always document the chief complaint (CC) and history of present illness (HPI) based on the patient's description on that day. Never copy it from a previous visit. Only use the review of systems (ROS) and examination that is relevant to that day's visit.

Resource: Evaluation and Management Services.

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