Review the History and Physical Exam in the patient’s medical record and Standard C.4.i of the Conditions of Participation. Does the documentation in the History and Physical Exam meet the standard as described in Standard C.4.i of Medicare’s CoP Medical Records Services standard? a. Yes. There is evidence of a physical examination, including health history, that meets the guidelines. b. No. There is no evidence of a health history that meets the guidelines. c. No. The report does not meet the timeliness standard. d. No. The provisions for follow-up are not documented.
[Verified Answer]: Review the History and Physical Exam in…
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