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Dr. Melissa Long covers Documentation Tips in her presentation at 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:
Melissa Long – Full Bio HERE
Melissa was also on our Listener Spotlight series
Dr. Melissa Long's slide show
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Frio Hydration – Superior Hydration products.
MioTech – meeting all of your sports medicine supply needs
PhysicalTherapy.com – use promo code “1FREECOURSE” to start for free
Donate and get some swag (like Patreon but for the school)
DragonflyMax – one-stop EMR
HOIST – no matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.