Resource Links

   
Documentation Guidelines for
Evaluation and Management Services
from the
Centers for Medicare and Medicaid Service
 
1995 Version 1997 Version  
 

Clinical documentation supporting claims to CMS must be
compliant with either of the Guidelines versions available at the
links above. Many other third-party payers require similar compliance.
Take the time to read and understand these documents. Having done so,
you will more fully understand how TurboNote simplifies your generation of
CMS-compliant documentation.
 

Web Resources: History - Physical Examination - Assessment
General:
Robert Wood Johnson Medical School - Camden
 

Red Book pdf

  H&P Template pdf
University of Virginia
University of Florida: Basic Clinical Skills Richard Rathe, M.D.
Loyola University
UC San Diego
Physical Diagnosis - Martindale's Health Science Guide
General - Martindale's Health Science Guide
Diagnosis - Karalinska Institute
Differential Diagnosis - Snow Tiger Medical Systems, Inc.

System-Specific:
Head and Neck Exam
 

General - UNC (Real video)
Eye - UNC (Real video)
Eye - UC Davis
Thyroid - University of Washington
Thyroid - Loyola

   
Cardiovascular Exam
  CARDIAX - Universtiy of Michigan, Richard Judge, M.D.
Synapse Publishing Inc.
Virtual Stethoscope - McGill University
Heart Sounds - University of Washington
Neck Veins - University of Washington
   
Pulmonary Exam
  General - Loyola
General
- University of Washington
Lung Sounds - UC Davis
Virtual Stethoscope - McGill Univesity
   
Abdominal Exam
  General - University of Florida
Ascites - University of Washington
Acute pain - Physician and Sports Medicine
   
Dermatology Exam
  Dermatology Online Atlas - Dermatology Information System (DermIS)
Pediatric Dermatology Online Atlas - DermIS
Dermatology ImageBase - University of Iowa
   
Neurology Exam
  General - UC Davis
General - University of Florida
General - neuroexam.com
Problem driven - Wheeless' Textbook of Orthopaedics
   
Books

The Michigan Manual of Clinical Diagnosis: the Basis of Cost- Effective Medical Practice
Richard D., Md. Judge (Editor), George D. Zuidema, James O. Woolliscroft

Bates' Guide to Physical Examination & History Taking
Lynn S. Bickley, Robert A. Hoekelman, Barbara Bates

Bates' Pocket Guide to Physical Examination and History Taking
Lynn S. Bickley (Editor), Robert A. Hoekelman

Evidence-Based Physical Diagnosis
Steven R. McGee

Atlas of Pediatric Physical Diagnosis
Basil J. Zitelli (Editor), Holly W. Davis (Editor)

The Medical Interview: Mastering Skills for Clinical Practice
John L., Md. Coulehan, Marian R., MD Block

Mosby's Guide to Physical Examination (With CD-ROM)
Henry M. Seidel (Editor)

Bedside Diagnosis An Annotated Bibliography of Literature on Physical Examination and Interviewing Third Edition
Henry Schneiderman, MD, FACP, and Aldo J. Peixoto, MD