HPI
The acronym HPI stands for
What is History of Present Illness?
The timeframe of patient's follow up after review of sinus CT and recommend moving forward with balloon sinuplasty
What is 1 month?
Infection of the middle ear, the area behind the ear drum (tympanic membrane)
What is otitis media?
Besides the shorter duration of antibiotics, this is an extra step or something different that needs to be done for Medicaid and Cigna patients
What is add their name to call list?
If you pick up a phone to contact a patient, whether you speak to them or not, this needs to be completed
What is a contact note?
Statement we should avoid using in HPI
What is Patient denies any other ENT concerns?
Insurance companies that need 2 separate short courses of antibiotics
What is Medicaid and Cigna?
Fungal infection of outer ear/ear canal
What is otomycosis?
Minimum number of sinus symptoms in HPI
What is two?
The next steps if patient is referred to another specialty or facility (specify for each office)
Cary: What is print out superbill and put in Lindsey's folder?
Clayton: What is print out superbill and put in file at front desk to go to Cary?
Information from prior visit that should be used to guide today's questions in HPI
What is prior HPI and dictation?
Diagnosis code for Dr. Mann's nasal procedure
What is J34.89 Other specified disorders of nose and nasal sinuses?
Difficulty swallowing
What is dysphagia?
If patient is recommended to obtain sinus CT and is prescribed antibiotics per insurance protocol, this should automatically be handed to them and discussed before walking to check out
What is balloon sinuplasty packet?
This should never be open on the computer screen if a patient is in the room or can walk by and see it
What is schedule?
Minimum number of sentences needed in HPI
What is four?
Two things that need to occur before patient leaves if seen in the Cary office and wants to move forward with balloon sinuplasty
What is mobile anesthesia sheet and meet with Elizabeth?
Small, pockets or folds that occur naturally in tonsils
What is tonsil crypts?
BMI cannot be greater than _____ for MAC/mobile anesthesia
What is 45?
Indications to get audiometric testing
What is tinnitus, dizziness, vertigo, decreased hearing, sudden hearing loss, otalgia?
Acronym that can help you formulate HPI and what each letter stands for
What is OLD CARTS?
O-onset
L-location
D-duration
C-character
A-aggravating factors
R-relieving factors
T-timing
S-severity
Three statements that MUST be in non-CPT when ordering sinus CT for possible surgical candidate
What is:
1. Recommend sinus CT
2. Prescribed [INSERT ANTIBIOTIC NAME HERE] X [INSERT # DAYS HERE]
3. Recommend continue Flonase and saline irrigation x 6 weeks?
Altered taste
What is dysgeusia?
Examples of sinus symptoms
What is post nasal drip, nasal congestion, sinus pressure, headaches, mucopurulent discharge, anosmia?
Patients who have had sinus surgery and/or eustachian tube dilation with our office need to complete this at post-op, 3 months, 1 year and 3 years after surgery
What is SNOT-22 form?