Actually, here is what the CMS rule says should be on the summary:
" the patient name, provider's office contact information, date and location of visit, an updated medication list, updated vitals, reason(s) for visit, procedures and other instructions based on clinical discussions that took place during the office visit, any updates to a problem list, immunizations or medications administered during visit, summary of topics covered/considered during visit, time and location of next appointment/testing if scheduled, or a recommended appointment time if not scheduled, list of other appointments and tests that the patient needs to schedule with contact information, recommended patient decision aids, laboratory and other diagnostic test orders, test/laboratory results (if received before 24 hours after visit), and symptoms.

The EP must include all of the above that can be populated into the clinical summary by certified EHR technology. If the EP's certified EHR technology cannot populate all of the above fields, then at a minimum the EP must provide in a clinical summary the data elements for which all EHR technology is certified for the purposes of this program (according to ?170.304(h)):

Problem List
Diagnostic Test Results
Medication List
Medication Allergy List"

A lot of verbiage, but it isn't a bad list of things to have a patient go home with. AC chooses to do this as a CCD, but actually there is apparently no such requirement, nor is there a need to list every medication they have ever been on or every diagnosis they have ever had.


Jon
GI
Baltimore

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