Transcription of HOW TO COMPLETE A 360 COMPREHENSIVE EXAM
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HOW TO COMPLETE A 360 COMPREHENSIVE EXAM
Page 1360 Identifying Information to be completed in its entirety Patient s first and last name Date of birth Date of service Patient ID Rendering health care professional (provider that completes the 360) Patient s PCP name and NPI Location 360 was completed and source of collected informationPlease note: Each page of the 360 COMPREHENSIVE Exam must include the patient s name, date of birth and date of for exam must be documented Acceptable reasons include phrases such as: COMPREHENSIVE Exam 360 Past medical history (PMH) It is not necessary to document every condition the patient no longer has; please keep diagnoses pertinent to those that would best demonstrate the patient s health status, and/or those conditions that require medical follow-up or attention If there is no pertinent PMH please choose box Reviewed and no past medical history All Cigna products and services are provided exclusively by or throug
A page by page guide for 2018 Overview The 360 Comprehensive Exam must be completed during a single face-to-face encounter and completed by an acceptable health care professional (MD, DO, PA, NP). The only attachments allowed are the medication list and depression screening supplements (PHQ 9,
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