Risk Management Series 1- Documentation in Allied Healthcare
Tip #7: Documentation in Electronic Medical Records Many practices or facilities are using Electronic Medical Records (EMRs) at this point, and it will continue to grow as time continues. If you are documenting in an EMR, a few tips to keep in mind: following: It is...
Risk Management Series 1- Documentation in Allied Healthcare
Tip #6: Things to Possibly Avoid in Documentation There are times you may need to be cautious about what to document. Check to see if your state has rules about documenting information on third parties, including names, and if there are rules indicating a third party...
Risk Management Series 1- Documentation in Allied Healthcare
Tip #5: What Should or Should Not be Documented? Documentation is critical to reflect care provided. It is essential for current treatment, can be important years later for subsequent treatment, and can be used if a legal issue arises. What should or...
Risk Management Series 1- Documentation in Allied Healthcare
Tip #4: Is an Addendum or Correction OK? The short answer is, yes, an addendum or correction is ok, and actually is needed to clarify the care or to correct misinformation. It must be clear, however, that your addition to your previous note is an addendum or...