Category Archives: Documentation

Every physician should own up to a patient’s history of present illness. Ancillary staff such as registered nurses and licensed practical nurses can be handy in documenting the history for an evaluation management encounter; however not past the ROS; PFSH and important signs. From this point on, it is the doctor’s job to review and verify the authenticity of the information dispensed. To add to it, only the physician who carries out the evaluation/management service should ......