famave
New
A provider asked me what he should document in order to obtain credit for a family or social history.
If he documents only the parents' state of health, is this enough for a conservative auditor to count as family history? Should the provider also document that the patient stated there was nothing else to add to family history?
If the provider documents tobacco and alcohol use, is this enough to count as social history?
Any input would be greatly appreciated!
If he documents only the parents' state of health, is this enough for a conservative auditor to count as family history? Should the provider also document that the patient stated there was nothing else to add to family history?
If the provider documents tobacco and alcohol use, is this enough to count as social history?
Any input would be greatly appreciated!