When the presenting problem for the encounter is for tobacco use the diagnosis should be completely documented with a treatment plan e.g., a cessation program.img1Documentation considerationsDetermine current and past consumptionCigarettesChewing tobaccoPipeNicotine gumE-cigarettesPassive tobacco exposureHistorical tobacco use (how many packs

Medical and Dental Visits Furnished on the Same Day If an RHC or FQHC patient has a medically-necessary face-to-face visit with an RHC or FQHC practitioner, and is then seen by another RHC or FQHC practitioner, including a specialist, for further evaluation of the same condition on the same day, or is then seen by another RHC or FQHC practitioner, including a specialist, for evaluation of a different condition on the same day, the multiple encounters would constitute a single RHC or FQHC visit and be payable as one visit regardless of the length or complexity of the visit, whether the second visit is a scheduled or unscheduled appointment, or whether the first visit is related or unrelated to the subsequent visit
This subtlety makes it harder to spot, giving teens an edge when trying to hide their habit
To clarify the requirements and intent of the program regarding the services provided by RHCs and FQHCs, we are proposing changes to the Provision of services CfCs