Get Em Audit Tool - Mihospice

The EM Audit Tool - Mihospice is an essential form for documenting patient encounters in an efficient and effective manner. This guide will provide a step-by-step approach to help users complete the form accurately and confidently online.

Follow the steps to successfully complete the EM Audit Tool - Mihospice.

1. Press the ‘Get Form’ button to access the EM Audit Tool - Mihospice form and open it in your designated editor.
2. Begin filling out the 'Patient' field with the patient's name, followed by the 'DOS' field, which represents the date of service. Ensure both fields are completed accurately.
3. Next, indicate the history level and exam level by selecting the appropriate options based on your evaluation of the patient.
4. In the 'CPT® Code(s) Billed' section, document the relevant code(s) utilized during the patient encounter, ensuring they reflect the services rendered.
5. Fill in the 'Place of Service' field with the location where the care was provided, followed by the 'Decision Making' section which requires the coding of diagnosis code(s) billed.
6. Detail the 'Chief Complaint' and follow through with a thorough 'History' section. Include information such as the history of present illness (HPI), past family and social history, and review of systems (ROS). Each subsection like 'Location,' 'Quality,' and others should be completed as necessary.
7. In the examination section, accurately select the body areas and organ systems assessed during the visit. Properly document the findings as required.
8. Proceed to the 'Decision Making' section, where you will evaluate and record the number of diagnosis/management options and the complexity of data reviewed.
9. Utilize the tables provided for calculating the level of risk related to complications, morbidity, and mortality. Make sure to refer to the specific presenting problems and management options selected.
10. Finally, review your entries for accuracy. Once satisfied, you can save changes, download, print, or share the completed form as necessary.

Complete your EM Audit Tool - Mihospice online today to ensure all patient documentation is accurate and efficient.