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Primary Care Clinic Followup Template
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Publisher :
Robert Robinson
Date added : 18-Apr-2007
Rating :
File size :
Unknown
Language :
English
License :
Shareware - Time Limit
Price : $ 50.00
OS :
Windows 98/NT/2000/ME/XP/VISTA
UpdateDate : 08-Jun-2007
Requirements :
No special requirements
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 Primary Care Clinic Followup Template Information |
MedicalTemplates has developed a primary care clinic follow up medical note template. This medical note template is suitable for internal medicine physicians, family practice physicians, and other health care providers.
Fillable Adobe PDF form
E&M Documentation Template
Reminders for 8 Medicare 2007 PQRI Quality Measures
The clinic follow up template contains prompters and space for the following required elements for a E&M encounter -
Chief complaint
History of present illness
Past medical and surgical history
Social history
Family history
Review of systems
Review of data
Physical exam (General Multisystem Exam)
Assessment and plan
Medicare 2007 PQRI Quality Measure reminders included for
#1 Hemoglobin A1C Poor Control in Diabetics
#2 Low Density Lipid Control in Diabetics
#4 Screening for Future Fall Risk
#5 Heart Failure: ACE or ARB for LVSD
#7 Beta blocker therapy for CAD
#8 Beta blocker therapy for LVSD
#9 Antidepressant medication during new episode major depression
#46 Medication Reconciliation
#47 Advanced Care Plan
Download the Medicare 2007 PQRI Quality Measures from here.
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