We would like to review 1 de-identified intake note for a patient with either ADHD or bipolar. Please ensure your note includes the following:
Chief Complaint
HPI
Risk Assessment
Medical & Substance History
Mental Status Exam
Treatment/Diagnosis
Clinical quality is extremely important . One way we assess clinical quality is to review a sample of clinical notes to gain insight into your clinical thought process and billing/coding practices. You are free to create an initial note in your typical template rather than sharing redacted patient notes if preferred.