PRECEPT
Paper details:

Give 10 scenarios like this EXAMPLE…….. 30 Y/O WM STATES COMPLAINING OF SINUS DRAINAGE CLEAR BUT THICK. PATIENT STATES EVERY YEAR WHEN THE POLLEN COUNT IS UP HIS SINUS ACT UP. PATIENT STATES TAKING OTC SINUS TYLENOL WITH NO RLIEF.
LEVEL OF CARE: 99212
MEDICAL DX: J01.00 SINUS
MEDS: ZITHROMAX 250MG 2 PO QDAY, THEN 1 TAB PO Q DAY X 4 DAYS
LABS: NONE
PLAN OF CARE: PATIENT TAKE MEDICATION AS PRESCRIBED
FOLLOW UP: 6 MONTHS OR SOONER IF SYMPTOMS PERSIST OR BECOME WORSE.