Colliemom
Expert
I have a physician that does not provide much info in his chief complaint. Typically he will only write things like "Barretts and polyps" or "hepatitis." I have explained that the chief complaint should be a statement, such as "I appreciate being asked to see Mr Smith in consultation for hepatitis."
Have any of you had to explain documentation guidelines for the chief complaint to one of your physicians? Did you reference any written guidelines? I am looking for some sources that contain a brief description of what should be included in the chief complaint. (Or if you are able to provide me with a simple, concise description in your own words, I would be very grateful.) I am hoping that by putting this description in other words, than my own, I will be able to convince my physician of the need for more information in the chief complaint.
Have any of you had to explain documentation guidelines for the chief complaint to one of your physicians? Did you reference any written guidelines? I am looking for some sources that contain a brief description of what should be included in the chief complaint. (Or if you are able to provide me with a simple, concise description in your own words, I would be very grateful.) I am hoping that by putting this description in other words, than my own, I will be able to convince my physician of the need for more information in the chief complaint.