Get University Of Virginia Health System 100866 2012-2025

The University Of Virginia Health System 100866 form is designed to document patient encounters in an ambulatory setting. Filling out this form online ensures that the process is efficient and records essential patient information accurately.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to acquire the form and open it in the online editor.
2. Begin by filling in the patient name and medical record number in the respective fields at the top of the form. Ensure that all names are spelled correctly to avoid discrepancies.
3. Enter the clinic (Epic Department) and date of service to provide context for the patient encounter.
4. Complete the remaining identification fields, including the division, account number, provider, hospital number, referring physician, authorization number, injury date, and injury time, as applicable.
5. Indicate the last menstrual period (LMP) and the record the type and division number related to the injury. This information is crucial for medical assessments.
6. Select the billing area number and provide the details of the onset of the medical issue in the designated section.
7. In the outpatient visits section, mark whether the visit is for a new or established patient, or a consultation. Enter appropriate codes for the history and exam or decision-making processes as required.
8. Document diagnoses by entering primary and additional diagnosis codes in the designated fields. It is important to accurately reflect the patient’s condition.
9. Provide instructions for return appointments or any additional instructions that may be necessary for follow-up care.
10. Sign the form in the designated spaces for the resident/fellow or licensed independent practitioner (LIP) and the attending/provider. Ensure that signatures are legible.
11. Finalize by reviewing all entries for accuracy and completeness. After confirming that the form is correctly filled, you can save changes, download, print, or share the form as necessary.

Complete the University Of Virginia Health System 100866 online to streamline your patient encounter documentation.