I have a provider(family medicine) that a patient was transferred from inpatient psych to his service for a fever, etc. For my provider it would be an initial inpatient visit. My provider states reviewed inpatient psych note for H & P(this H & P was 3 weeks prior) and reviewed transferred note, but did not document a comprehensive History(only 3 HPI elements, 2 ROS, and no PFSH).
I'm trying to find information that he has to document his own History elements, but not finding this situation.
Any help would be greatly appreciated.
Thanks
I'm trying to find information that he has to document his own History elements, but not finding this situation.
Any help would be greatly appreciated.
Thanks