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PROPER DOCUMENTATION TO ACCURATELY REFLECT PATIENT PROGRESS AND ENHANCE PATIENT CARE

The proliferation of specialized practice settings in conjunction with proliferation of reimbursement requirements, the great expansion of best practices, guidelines for a multiplicity of required algorithms for governmental regulations, the expansion of ICD codes in the ICD-10, CMS requirements, to name just a few, have greatly impacted what we must document concerning patient condition, type of care, progress or lack thereof. Denial of services and payment due to failure to adequately document can be devastating to patient and practitioner alike. This topic will help you identify and understand the problem, resources and methods for documenting patient condition and progress to ensure the continuation of appropriate services for the patient and reimbursement for the providers of service.