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Last Modified: 8/20/2017 Location: FL, PR, USVI Business: Part A, Part B

Evaluation and Management - previously dictated notes

Q. When referring to my own previously dictated notes for the Review of Systems (ROS) and Past, Family and Social History (PFSH), do I have to note the date AND location of the previous note, e.g., “Previous PFSH and complete ROS was reviewed with the patient and is unchanged. For details, please refer to my dictated note IN THIS CHART dated 5/6/09.”
A. Yes -- when referring to previous notes, specific information must be given regarding when and where.
Source: Program Integrity Department
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