Sunday, January 8, 2017

Medicaid Evaluation and Management Template

GENERAL MULTI-SYSTEM

PT TYPE: OFC/NEW_____ OFC/EST _______
Hosp Obs____ Hosp Obs w/ Adm & DC ______ ER ________ CONSULT OFC/OP _________Consult Initial IP______
Consult FU IP______ Consult Confirm_______
Nursing facility Initial Comprehensive Assessment_____
Nursing facility Subsequent______
CC_____________

HISTORY

HISTORY of Present Illness:

Location diffuse/localized, unilateral/bilateral, fixed/migratory

Duration How long? 20 min, onset 3 yrs ago, since last Friday, for approx 2 months, since yesterday

Quality sharp, dull, burning, gnawing, fullness, aching, throbbing, stabbing, radiating, color of sputum, non-productive, asymptomatic etc. Laceration jagged/straight. Sore throat scratchy

Context What was going on at time symptoms occurred, exercise, big meals, dairy products, spicy foods, etc. What were they doing when it occurred, MVA, running down steps, sitting in chair, playing sports.

Severity Rank of pain on pain scale 0-10, severe, slightly, worst I’ve ever had, mild, moderate, 0 pain, increase, decrease, progressive, well, major, poor, significant, complicated (must be ranked; can’t just say “pain in my leg”

Modifying Factors What makes better or worse, any meds helping, rest or eating, affected by spicy foods, ice pack or quiet room for MHA, coughing irritates the pain, OTC or prescribed eds have been attempted, etc What were the results?

Timing Onset, night, day, continuous, occasional, episodic, AM, PM, constant, recurrent, seldom, frequently, off and on, morning, evening, intermittent, transient.

Signs/Symps Associated with…, Negative Responses will count

Document of at least 3 chronic/inactive conditions.

REVIEW OF SYSTEMS:

Negative, Normal, WNL can count in any/all systems

Constitutional – Activity, appearance, appetite, exercise, fatigue, fevers, mood, sweats, weakness, wt change, chills

Eyes - Blurred vision, drainage, dryness, flashing, pain, photophobia, redness, tearing, vision change

ENT & Mouth - Airway, balance, bleeding, discharge, hearing, pain, ringing, smell, swallowing, taste, voice

CV - Chest pain, diaphoresis, dizziness, exertional pain, irregular beats, leg cramps, orthopnea, palpitations, peripheral edema, radiation, SOB

Respiratory - Allergies, cough, dyspnea, hemoptysis, pain, SOB, sputum, wheezing

GI - Appetite, Change in bowel habits, constipation, diarrhea, heartburn, hemetemesis, indigestion, nausea, pain, rectal bleed, swallowing, thirst, vomiting

GU – Burning, discharge, dribbling, frequency, hematuria, incontinence, menopause, nocturia, odor, pain, pregnancies, starting, stopping, urgency, dyuria

All/Imm – Allergies to meds, chemo, hay fever, HIV/AIDS, hives, immune suppression, immunizations, sweating

MS - Limitation of activity, pain, redness, stiffness, swelling, weakness

Skin – bleeding, color change, cyanosis, dryness, growths, jaundice, rash

Neuro – blackout, HA, memory loss, numbness, seizure, syncope, tingling, tremors

Psych – Anxiety, delusion, depression, hallucination, insomnia, nervous, panic, personality, phobia, suicidal

Endocr – Change hair pattern, heat/cold intolerance, polydiipsia, polyphagia, polyuria, sweating

Hem/Lym – bleeding, bruising, gland swelling, menses, nodes

Documentation of adequate ROS & all others negative

PFSH

Past Medical History

Surgeries

Any item labeled as PMH may only be used for that. This is true for even chronic problems. Don’t try to count them for HPI or ROS elements

Diagnostic tests, even when they appear in the HPI area, can only be used as PMH. Don’t try to count them as something else

Family History
Social History
Smoking, Alcohol, Marital status
Unable to do comprehensive history due to patient condition

PHYSICAL EXAM

CONSTITUTIONAL (2) 
BP, Pulse, Respiration, Temp, Ht, Wt Measurement of any 3 of
the above VS. (May be measured/recorded by staff person)

GENERAL APPEARANCE – Development, Nutrition,
Body habitus, Deformities, Grooming

EYES (3)

Conjunctivae, Lids

Pupils and Irises PERRLA
SCOPE EXAM, Optic discs, C/D ratio (Cup to Disk Ratio), Size, Appearance Posterior segments,Vessel changes, Exudates,
hemorrhages

EARS, NOSE, MOUTH, THROAT (6)

External auditory canals, TM’s
EARS & NOSE – Appearance, Scars, Lesions, Masses
Hearing, Whispered voice, Finger rub, Tuning Fork
NOSE - Mucosa, Septum, Turbinates
MOUTH – Lips, Teeth, Gums
THROAT/OROPHARYNX – Oral mucosa, Salivary glands,
Hard and soft palates, Tongue, Tonsils, Posterior pharynx
NECK (2)
NECK – Masses, Appearance, Symmetry, Tracheal
position, Crepitus
THYROID – Enlargement, Tenderness, Mass

RESPIRATORY (4) 
Effort, Retractions, Muscles, Movement
Percussion, Dullness, Flatness, Hyperresonance
Palpation, Fremitus,
Auscultation, Breath sounds, Rubs

CARDIOVASCULAR (7) 

Palpation, Location, Size, Thrills
Auscultation, Abnormal sounds, Murmurs

ARTERIES 

Carotid, Pulse, Bruits
Abdominal Aorta,Size, Bruits
Femoral, Pulse, Bruits
Pedal Pulse
Extremities, Edema, Varicosities

CHEST/BREASTS (2)

Breasts, Symmetry, Nipple discharge
Breasts and axillae, Mass, Lump, Tenderness

GI/ABDOMEN (5) 

Abdomen, Mass, Tenderness
Liver, Spleen
Hernia
Anus, Perineum, Rectum, Sphincter tone, Hemorrhoids,
Rectal mass
Occult blood

GU, FEMALE (6)

External genitalia, Appearance, Hair distribution, Lesions,
Vagina, Appearance, Estrogen effect, Discharge,
Lesions, Pelvic support, Cystocele, Rectocele
Urethra, Mass, Tenderness, Scarring
Bladder, Fullness, Mass, Tenderness
Cervix, Appearance, Lesions, Discharge
Uterus, Contour, Position, Mobility, Tenderness,
Consistency, Descent or Support
Adnexa/Parametria, Mass, Tenderness, Organomegaly,
Nodules

GU, MALE (3)

Scrotum, Hydrocele, Spermatocele, Tenderness of cord,
Testicular mass
Penis, phallus
DRE of prostate for Size, Symmetry, Nodules, Tenderness
LYMPHATIC (4) 
Nodes, Neck, Axillae Groin, Other

MS (26) 

Gait, Station, Romberg, Ambulatory?? 
Nails/Digits, Clubbing, Cyanosis, Inflammation,
Petechiae, Ischemia, Infection, Nodes

HEAD AND NECK

Misalignment, Asymmetry, Crepitation, Defects,
Tenderness, Mass, Effusion, EOMI
ROM, Pain, Crepitation, Contracture
Stability, Dislocation, Subluxation, Laxity
Muscle strength, Tone, Atrophy, Abnormal movements

SPINE, RIBS, AND PELVIS

Misalignment, Asymmetry, Crepitation, Defects,
Tenderness, Mass, Effusion
ROM, Pain, Crepitation, Contracture
Stability, Dislocation, Subluxation, Laxity
Muscle strength, Tone, Atrophy, Abnormal movements

EXTREMITIES,

RUE

Misalignment, Asymmetry, Crepitation, Defects,
Tenderness, Mass, Effusion
ROM, Pain, Crepitation, Contracture
Stability, Dislocation, Subluxation, Laxity
Muscle strength, Tone, Atrophy, Abnormal movements

LUE

Misalignment, Asymmetry, Crepitation, Defects,
Tenderness, Mass, Effusion
ROM, Pain, Crepitation, Contracture
Stability, Dislocation, Subluxation, Laxity
Muscle strength, Tone, Atrophy, Abnormal movements

RLE
Misalignment, Asymmetry, Crepitation, Defects,
Tenderness, Mass, Effusion
ROM, Pain, Crepitation, Contracture
Stability, Dislocation, Subluxation, Laxity
Muscle strength, Tone, Atrophy, Abnormal movements

LLE

Misalignment, Asymmetry, Crepitation, Defects,
Tenderness, Mass, Effusion
ROM, Pain, Crepitation, Contracture
Stability, Dislocation, Subluxation, Laxity
Muscle strength, Tone, Atrophy, Abnormal movements

SKIN (2) 

Inspection, Rash, Lesion, Ulcer
Palpation, Induration, Nodule, Tightening

NEURO (3) 

Cranial deficits
DTR, Babinski
Sensation, Touch, Pin, Vibration, Proprioception

PSYCH (4) 

Judgement, Insight
AO x 3
Memory, recent and remote
Mood and affect, Depression, Anxiety, Agitation

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