Is it ok to get the PMFSH from ANYWHERE within a chart? For example the discharge notes state the patient is to return back to the nursing home, however nothing was state previously w/i the chart about the patients social history or living in the nursing home. Somebody told me that this would be acceptable because nothing tells us that we can't, but I find it hard to believe.
The purpose of the doctor obtaining the patients past medical, social & family history is, I thought, to help aid in the care of the patient. I don't see how information given in the discharge section would help in the care of the patient and I find it hard to believe that medicare would find this acceptable as well.
I would really like some input on this if anybody can point me in a direction for this answer I would really appreciate it.:
The purpose of the doctor obtaining the patients past medical, social & family history is, I thought, to help aid in the care of the patient. I don't see how information given in the discharge section would help in the care of the patient and I find it hard to believe that medicare would find this acceptable as well.
I would really like some input on this if anybody can point me in a direction for this answer I would really appreciate it.: