How is the review of systems collected?
a. Like the history of present illness, the review of systems may only be collected by the physician who is performing the evaluation and management visit, through a verbal interview with the patient and may only be collected during the visit
b. Unlike the history of present illness, the review of systems may only be collected over the phone or via electronic communication with the patient
c. Like the history of present illness, the review of systems may be collected by the nonclinical members of the staff through a series of questions posed to the patient
d. Unlike the history of present illness, the review of systems may be collected by any member of the clinical staff through a series of questions posed to the patient, or in written form through the patient's completion of review of systems questions a pre-printed form
Question 2
What review of systems level is reflected in the following documentation:
Patient reports no fever or chills. All other review of systems is negative in detail.
a. None (N/A)
b. Pertinent
c. Extended
d. Complete
Skin signs are objective evidence of an illness or disorder. They can be seen, measured, or felt.
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