Certified Risk Adjustment Coder (CRC)

Which of the following statements is FALSE regarding problem lists in EHRs?

1. Problem lists can include resolved issues.

2. Chronic conditions must always be listed.

3. Problem lists must be constantly refreshed and updated.

4. Problem lists can carry over from previous visits.

The correct answer is: Problem lists must be constantly refreshed and updated.

The assertion that problem lists must be constantly refreshed and updated is inaccurate because, while it is important for problem lists to be current and reflect the patient's ongoing health issues, they do not necessarily have to be updated at every visit. The primary purpose of a problem list is to provide a comprehensive overview of the patient’s health status, including active and chronic conditions. In practice, it is common for some problems to remain on the list until there is a significant change in the patient's condition that warrants an update. If a chronic condition is stable and does not require frequent reassessment, it may not need constant updating. Therefore, the focus is more on the relevance of the information rather than a strict mandate to refresh the list at every encounter. Including resolved issues (as stated in the first option) can provide important historical context for a patient's health, which can aid in future medical decision-making. Chronic conditions are typically a significant part of a patient's ongoing care, so including them is fundamental for continuity of care. Carrying over existing problems from previous visits ensures that healthcare providers have a complete understanding of the patient's health history, allowing for more informed treatment decisions.