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Waiver? L Insurance: Subscriber name: Group #: Copay: Account #: Physician name:Date of service: Patient name: Address: Phone: DOB: Tankage: Sex:Office visit Minimal Problem focused Expanded problem
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How to fill out expanded problem focused

01
To fill out expanded problem focused, follow these steps:
02
Start by gathering all relevant information regarding the patient's medical condition.
03
Begin documenting the patient's chief complaint and history of present illness.
04
Perform a complete review of systems, documenting any positive findings.
05
Conduct a detailed examination of the affected body systems and document pertinent findings.
06
Order any necessary diagnostic tests and include the results in your documentation.
07
Formulate a diagnosis based on the collected information and findings.
08
Develop a treatment plan including medications, therapies, and follow-up instructions.
09
Document the patient's response to treatment and any changes in their condition.
10
Review and revise the documentation as necessary for accuracy and completeness.

Who needs expanded problem focused?

01
Expanded problem focused documentation is typically used by healthcare professionals such as physicians, physician assistants, nurse practitioners, and other licensed providers who are conducting a thorough assessment and treatment of a patient.
02
This level of documentation is necessary in cases where there are multiple medical issues or a complex medical condition that requires a detailed evaluation and management plan.
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Expanded Problem Focused is a level of service in healthcare that involves a limited examination of the affected body area or organ system.
Healthcare providers such as doctors, nurses, and medical assistants are required to document and file expanded problem focused assessments.
To fill out expanded problem focused, healthcare providers must conduct a focused examination related to the specific health issue or complaint, document the findings, and provide a diagnosis or treatment plan.
The purpose of expanded problem focused is to assess, diagnose, and treat specific health issues in a timely and efficient manner.
The information reported on expanded problem focused includes the patient's complaints, medical history, physical examination findings, and treatment plan.
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