Transcription of E/M Audit Form - AAPC
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Example: air traffic controller
E/M Audit Form - AAPC
Chart #: _____ E/M Audit form Patient Name: _____ Date of service: __ / /__ Provider: _____ MR #: _____ Place of Service: _____ Service Type: _____ Insurance Carrier: _____ Code (s) selected: _____Code(s) audited: _____ Over Under Correct Miscoded History History of Present Illness Review of Systems Past, Family & Social History Location Constitutional symptoms PAST MEDICAL Quality Eyes Current medication Severity Ears, nose, mouth, throat Prior illnesses and injuries Duration Cardiovascular Operations and hospitalizations Timing Respiratory Age-appropriate immunizations Context Gastrointestinal Allergies Dietary status Modifying factors Genitourinary Associated signs and symptoms Integumentary FAMILY No.
cold, insect bite, tinea corporis venipuncture •Laboratory tests requiring ... • Acute illness with systemic symptoms, eg, pyelonephritis, pneumonitis, colitis Acute complicated injury, eg, head injury with brief loss of consciousness • Physiologic tests under stress, eg,
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