Accurate clinical documentation helps practices to ensure that patients get the care they need.
Maintaining accurate medical records is also essential to prevent medical malpractice and ensure that the hospital can bill effectively.
Entrust your team with some of the documentation
Know E/M documentation requirements
Establish professional notetaking policies
Utilize fundamental EHR features effectively
Complete the bulk of paperwork during the consultation
Don’t strive for perfection
Develop peer-to-peer support networks
Keep a tab on the time you spend on documentation
Investing
in medical transcription services can help create consistent and accurate documentation from recorded information.
