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

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 (PDF, 3.09 MB).