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.