_________ documentation that reflects the physician's familiarity ...

[jlmhmf]

_________ documentation that reflects the physician's familiarity or unfamiliarity with the patient's presenting problem as well as any existing or initiated method of treatment, care, or management of the presenting problem
 
  Fill in the blank with correct word.

Question 2

_________ documentation of the patient's verbal or written responses to questions posed by the clinician or representative of the clinic regarding the patient's own status of health, the presence, or absence of any signs and/or symptoms prior to the clinical visit
 
  Fill in the blank with correct word.

[hanadaa]

Answer to Question 1

number of diagnosis(es) and/or management option(s)

Answer to Question 2

review of systems

[jlmhmf]

Thanks for the timely response, appreciate it

[ttt030911]

Wow, this really help