The two types, new and established, can sometimes make determining the level of documented past, family, and social history complicated. In your own words, explain why these two types, "new" and "established", matter to when determining the level of documented past, family, social history? Use specific examples

What will be an ideal response?


Complication has to do with the clinician's familiarity with the patient and the requirements for the specific E/M service visit. For instance, a patient's very first E/M service visit in a physician's clinic office is considered a new patient visit. During this new patient visit, the physician must learn the patient's past, family, and social histories in order to gain an in-depth understanding of the PFSH factors in the patient's life. When that same patient returns to the physician's clinic one year later, that subsequent visit is known as an established patient visit. During this established patient visit, the patient's past and medical histories would not have changed much, and the physician will not need to require as much information for a complete documentation of the patient's PFSH.

Health Professions

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