The amount of detail involved in the documentation of the patient history that has been taken during this encounter will identify the:

Question

Quizplus · Accepted Answer

The amount of detail involved in the documentation of the patient history taken during the encounter is directly linked to the level of patient history. The level of patient history is one of the three key components used to determine the appropriate level of evaluation and management (E/M) code for billing purposes.

The Amount of Detail Involved in the Documentation of the Patient