Maintaining appropriate records of psychological services allows providers to monitor their work and promotes continuity of care. Good records protect both the patient and psychologist in the event of legal proceedings and are also essential for the psychologist to obtain appropriate reimbursement for services
Emergency Department (ED) documentation refers to the comprehensive records and notes created during a patient’s visit to the emergency room. These documents capture vital information about the patient’s medical history, symptoms, physical examination findings, diagnostic tests performed, treatments administered, medications prescribed, and any follow-up
Athletic trainers (ATs) are highly educated and skilled professionals specializing in the management, prevention, and recovery of injured athletes. They work with coaches, physicians, and physical therapists. Documentation and computerized record-keeping are a crucial for ATs to maintain accurate, up-to-date, and complete information about
Consistent, accurate, complete and up-to-date medical records are vital for proper health care delivery and continuity of care, as well as for insurance, legal, and other purposes. The healthcare provider’s responsibility includes managing the records of current patients as well as retaining old records
As a physician, you know that electronic medical records (EMRs) store a variety of reports, including history and physical exams, operative reports, discharge summaries, inpatient progress notes, consultations, and radiology reports. It’s crucial for your healthcare organization to focus on ensuring accurate, timely, and