ITEMS IN FPM ON TOPIC:
Leaving out key information in patient documentation can compromise quality and cost you money.
Recognizing warning signs and documenting with care are two keys.
This one-page form can help improve care, keep visits patient-centered, and even save you some time.
Two key characteristics will help you to ensure that your notes communicate not only what you did, but also what you were thinking.
A $1.5 million study is underway to determine whether this practice is a good idea. Spoiler alert: It is.
The third article in our series on Medicare's documentation guidelines will help you determine whether what's on your mind is what's on the patient's record.
Yes, it's complicated, but don't make it harder than it has to be.
The difference between one level and the next may be no more than a word or two.
Successful reporting begins with preparation.
A clear goal, staff buy-in and simple tools – such as an asthma flow sheet – can help your practice follow asthma guidelines more consistently.