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EM Audit Tool Mihospice Form

EM Audit Tool Mihospice Form

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no this is Melanie with your auditing class and we're gonna audit two notes together so let's look at the first note make sure you have your note and your audit tool your audit tool you should be using for each one of your case studies so let's start out the patient is a 66 established patient who comes in for three days of abdominal pain so over here I am going to check duration for three days location for abdominal pain then it says that the dominant pain is severe so I am going to check severity then it goes on to say that the abdominal pain comes after eating pizza and beer so that would be context what evolves around the problem would be eating pizza and beer goes on to say he tried anti-acids and it didn't touch it so now we have modifying factor something the patient did to help the problem so when you count those up we have four you go over to the last box and circle it because that is four for HPI or 3 status of chronic conditions so let's go on now and see what else the note

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