Sample template: COVID-19 assessment tool

This sample COVID-19 assessment tool was provided by Erica E. Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. in Beachwood, Ohio. Remer is a member of the ACDIS Advisory Board. Please note that because of the changing nature of the COVID-19 pandemic, this resource will likely need to be updated and amended as things evolve. Those wishing to adapt this tool should adapt it to their own particular programmatic needs, system requirements, and organizational criteria, taking special care not to edit out elements necessary for professional or technical billing.

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