ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding Day One | April 2022-01_Fundamentals_GI_Consultation Note

01_Fundamentals_GI_Consultation Note - Olmstead

Pdf Summary

This document discusses the fundamentals of a gastroenterology consultation note. It covers the three components of a consultation, evaluation and management coding guidelines, and key concepts of correct coding. It explains the different levels of service for new consultations and established patients, as well as the components of history, physical examination, and medical decision making. The document also provides a case study of a GI consultation and breaks down the history of presenting illness, physical examination, and medical decision making for the case. It includes coding guidelines and ICD-10 codes for the visit. Lastly, the document emphasizes the importance of effective patient communication and best practices for documenting and communicating findings.

Keywords

gastroenterology consultation note

consultation components

evaluation and management coding

levels of service

history components

physical examination components

medical decision making components

GI consultation case study

coding guidelines

effective patient communication