Documentation Tips – 561

Dr. Melissa Long covers Documentation Tips in her presentation at Trinity University.

Melissa Long, Dr. Long; Documentation Tips; Dpcumentation Dos; Documentation Don't; Trinity,
Trinity University.

What are some of the Documentation Tips:

OLDCARTS –

  • Onset
  • Location
  • Duration
  • Character
  • Aggravating
  • Relieving
  • Temporal
  • Severity

Use a voice recorder

Use a transcription service after recording all your notes

Nobody really likes documentation…

But for reimbursement and more importantly your job security in a lawsuit be thorough and accurate

Check out Melissa's live video from Trinity University Sports Medicine Clinic

What are tips?

Have experienced a job change that caused you to lose important documents?

Have you switched companies for your records management and not been able to sync the notes?

Let me know what you are doing to make you life easier but still meeting our documentation needs.

Contact us:

Jeremy Jackson

Melissa Long – Full Bio HERE
Melissa was also on our Listener Spotlight series

Dr. Melissa Long's slide show

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