The Impairment Physical Exam

15 November 2011 / Impairment Physical Exam / Comments Off on The Impairment Physical Exam

The goal for the impairment physical Exam:

A Complete, logical, systematic collection of physical measurement data.

Do the exam the same way every time to avoid missing important measurements or key elements of the exam. A full and complete exam is necessary to demonstrate a thorough exam and support billing codes. A properly performed examination will add credibility to your opinions and conclusions.

Remember, the AMA Guides 5th Edition is based on findings that can be seen, measured, and touched. A simple rule of thumb, if you can walk out of the exam room, and another doctor can walk in and reproduce your findings, you have an objective physical exam.

This is easier said than done, but with practice and being aware of your physical exam language, this talent can be quickly learned. Review anatomical landmarks to reference exam areas.

 

 

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