Author Question: Within the documentation of the E/M visit, where is the physical examination is MOST commonly ... (Read 37 times)

P68T · **on:** Jun 27, 2018

Within the documentation of the E/M visit, where is the physical examination is MOST commonly located?

A. In the beginning of the documentation, before the history
B. In the middle of the documentation, after the history
C. At the end of the documentation, to detail everything that has taken place in the E/M visit
D. The physical examination is documented on a completely different form, separate from the history

Question 2

When used in documenting the physical examination, what does the term abnormal suggest?

A. That a specific part of the patient's body is not functioning as it should, or that something is wrong
B. That a specific part of the patient's body is functioning normally, or that nothing is wrong
C. That a specific part of the patient's body is functioning better than normal, thereby suggesting the patient is very health, which should be recorded
D. That a specific part of the patient's body is asymptomatic