An important part of determining the level of evaluation and managementservices provided to a patient can be based on the key components and contributing factors.
Explain each part of the key components and the contributing factors and give an example of a way to measure each. For example, historyis one part of the key components and can be determined by assessing the patientâ??s chief complaint.
Explain each part of the key components.
Explain each part of the contributing factors.
Provide examples of ways to measure each part.
Create a fictional write-up for a client that contains the key components and contributing
This posting offers general principles that ensure that medical record documentation for all E/M service is appropriate.