Documentation Guidelines:
Those That Don't Study The Elements OF History Are Doomed To Repeat Them Under Audit
Published on Wed Feb 26, 2014
Brush up on the HPI and ROS components of history documentation to stay out of trouble. One of the areas of documentation guidelines that can be most confusing to new coders is the overlap between the history of the present illness (HPI) and the review of systems (ROS). Brushing up on your rules about who can document what and from [...]