Question

How many of the 3 key components must be documented for an established patient visit?

A) 0
B) 1
C) 2
D) 3

Answer 1

For an established patient visit, two of the three key components (history, examination, and medical decision making) must be documented. The correct answer to the question is C) 2.

Step-by-step explanation:

For an established patient visit, at least two of the three key components must be documented. These components are history, examination, and medical decision making. The appropriate answer to the question is C) 2. It is important to note that the specific requirements for documentation can vary depending on the level of service provided and the guidelines established by the payer or regulatory body, such as those from the Centers for Medicare & Medicaid Services.