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FAQ

  1. Which form do I use for the different types of office visits?
  2. Why are there so many pages in each Well Child Packet?
  3. Which sheets should the front office staff keep in the chart? Which sheets should the front office staff hand to the patient and their family to complete?
  4. As a healthcare provider, how do I properly document my physical examination with these progress notes?
  5. As an attending physician, how do I best use these forms to document my patient visit?
  6. As an attending physician, where can I find more information about E&M coding patient visits?
  7. Can I see examples of completed progress notes?
  8. As a resident physician, how do I best use these forms to document my patient visit?
  9. As a student physician, how do I best use these forms to document my progress notes?
  10. How do I rotate some of the files in Acrobat Reader so that it is right side up?
  11. Why do some of the files print out smaller than I would expect?
  12. How quickly should the well-child packets print from a laser printer?
  13. Who should I contact to make suggestions regarding m2p2?
  1. Which form do I use for the different types of office visits?

    2. A: The forms should be used as follows:

    Type of office visit
    Proper form
    Sick visit Progress Note
    Followup visit Progress Note
    • New Well Child Check who is:
    • IEHPor Molina
    		 Language-appropriate, age-appropriate WCC Packet under HEBA/TB
    New Well Child Check who is:

    Commercial or Medi-Cal

    		 Language-appropriate, age-appropriate WCC Packet under None
    Return Well Child Check who is:

    • IEHP or Molina AND
    • NEEDS their yearly HEBA/TB
    		 Language-appropriate, age-appropriate WCC Packet under HEBA/TB
    Return Well Child Check who is:

    • IEHP/Molina AND
    • DOES NOT NEED their yearly HEBA/TB
    		 Language-appropriate, age-appropriate WCC Packet under None
    Return Well Child Check who is:

    • Commercial / Medi-Cal
    		 Language-appropriate, age-appropriate WCC Packet under None
    Nurse Visits Nurse Visit form

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  2. Why are the so many pages in each Well Child Packet?
    A:     The packets are designed to print out in an efficient order. For the Well Child Packets that are listed under HEBA/TB, the two pages of the HEBA questionaire and the TB questionaire are automatically included in the packet. For the Well Child Packets for children 3 years and older, an ancillary test sheet is automatically printed with each packet since those visits should normally include hearing, vision, urine dipstick and a hemoglobin.
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    3.  

  3. Which sheets should the front office staff keep in the chart? Which sheets should the front office staff hand to the patient and their family to complete?
    A:     For the HEBA/TB packets below the age of 3 years, the FIRST PAGE that is printed is kept in the chart and the remaining 8 pages are handed to the patient and their family to complete and read.

    For the HEBA/TB packets at 3 years and above, the FIRST TWO PAGES that are printed are kept in the chart and the remaining 8 pages are handed to the patient and their family to complete and read.

    For the "None" packets below the age of 3 years, the FIRST PAGE that is printed is kept in the chart and the remaining 5 pages are handed to the patient and their family to complete and read.

    For the "None" packets at 3 years and above, the FIRST TWO PAGES that are printed are kept in the chart and the remaining 5 pages are handed to the patient and their family to complete and read.
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    4.  

  4. As a healthcare provider, how do I properly document my physical examination with these progress notes?
    A:     It is important that your physical examination is properly documented. Follow these guidelines as you use the m2p2 templates.

    1. Circle all of the normal findings in the physical examination section that you performed. Other specific normal findings can be added in the physical examination section.
    2. Abnormal or unexpected findings of the examination of the unaffected or asymptomatic body area(s) or organ system(s) should be described.
    3. It is important to document relevant normal findings. A brief statement or notation indicating "negative" or "normal" is sufficient to document normal findings related to unaffected areas or asymptomatic organ systems.
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  5. As an attending physician, how do I best use these forms to document my patient visit?
    A:

    1. If you are seeing the patient BY YOURSELF:
      1. For Well Child Checks, it is important that you initial the line next to the statement "If an attending initials here, that means this patient was seen without a resident. All documentation in the resident and attending sections of this progress note represents the attending's personal documentation."
      2. For Progress Notes, it is important for you to check the box at the top next to "Attending Only" to signify who provided the documentation. It is also important for you to sign and print your name in the lower right corner of the Progress Note.
    2. If you are seeing the patient WITH A RESIDENT:
      1. For MEDI-CAL, IEHP, and Molina patients:

        It is important that you document a separate and distinct progress note. Remember to ONLY BILL for what you have PERSONALLY PERFORMED AND DOCUMENTED in your separate and distinct note. You CANNOT TIE YOUR NOTE to the Resident Physician note by initialing the tie-language. Your Attending note needs to stand ON ITS OWN. EXCEPTION: in the "Progress Note" you can "tie" your note to Diagnostic tests (such as labs and x-rays) that are documented in the resident's note.

        • For Well Child Checks, review and annotate the Interval/Diet/ROS section. Complete the HPI, Physical Examination, and Impression / Plan / Orders sections.
        • For Progress Notes, there will be two separate pages (one for your documentation and one for the resident physician's documentation). On your Progress Note, check the box at the top by "Attending Only," complete the HPI, ROS, Physical Examination, and Impression / Plan / Orders sections. Note: the nursing staff should document their assessment on your note. On the Resident Physician's Progress Note, check the box by "Resident Only," initial next to "I saw and evaluated the patient," and initial next to "Discussed with resident and agree with their impression / plan as documented in their note except as noted below," and write "See my note."
      2. For Commercial and Medicare patients, you will need to tie your note to the Resident Physician's progress note. Remember to ONLY BILL for the LESSER of the PROGRESS NOTE DOCUMENTATION (Resident or Attending physician) OR YOUR patient evaluation. Tie-language is completed by initialing the following:
        • The line in the Impression / Plan / Orders section that states "I saw and evaluated the patient." If you DID NOT see and evaluate the patient, then DO NOT INITIAL this line.
        • The line in the Impression / Plan / Orders section that states "Discussed with resident and agree with their impression / plan as documented in their note except as noted below." If you DID NOT discuss this patient with the resident physician, then DO NOT INITIAL this line.
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  6. As an attending physician, where can I find more information about E&M coding patient visits?
    A:     The following links are in the P.U.R.P.L.E. section of the LLUMC/One Portal page

    1. Compliance Requirements 
    2. FOR ANSWERS TO YOUR OTHER DOCUMENTATION QUESTIONS, CONTACT YOUR PHYSICIAN COMPLIANCE OFFICER.
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  7. Can I see examples of completed progress notes?
    A:     Sorry, but these are not available at this time.
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  8. As a resident physician, how do I best use these forms to document my patient visit?
    A:     On each of the Well Child Check packets, there is dedicated space labeled "Resident Note." This can be found in the first column about two-thirds of the way down on page 1. This column continues on page 2.

    On the Progress Notes, you may use the entire note to document your patient encounter.

    1. If you are seeing a Medi-Cal / IEHP / Molina patient, there should be TWO progress notes: one for the attending physician (this should have the nurse assessment) and one for the resident physician. Be sure to CHECK THE BOX at the top next to "Resident Only" to signify who provided the documentation.
    2. If you are seeing a commercial / Medicare patient, both your and your attending physician's documentation can be placed on ONE progress note. In this case CHECK THE BOX at the top next to "Attending and Resident" to signify that both provided the documentation.
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  9. As a student physician, how do I best use these forms to document my progress notes?
    A:     The only progress note that you are allowed to document your patient visit on is the Student Note found on the Home Page. All of the other progress notes are to be used only by Resident and Attending physicians.
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    10.  

  10. How do I rotate some of the files in Acrobat Reader so that it is right side up?
    A:     On the right side of the Viewing Toolbar is a button which will rotate the pages that you are viewing clockwise or counter-clockwise.
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    11.  

  11. Why do some of the files print out smaller than I would expect?
    A:     When you select to print a file within Adobe Acrobat Reader, in order to print the full size of a form, you need to make sure that the box next to "Shrink oversized pages to paper size" is NOT CHECKED. The box next to "Expand small pages to paper size" SHOULD BE CHECKED.
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    12.  

  12. How quickly should the well-child packets print from a laser printer?
    A:     A 10-page Well Child Packet should take no longer than one minute with an HP 4100 series Laserjet printer.
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    13.  

  13. Who should I contact to make suggestions regarding m2p2?
    A:     For questions or suggestions regarding the m2p2 website, please contact Francis Chan, ext.
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