DESCRIPTION
According to federal and state guidelines, multiple insurers, and professional associations, providers are responsible for documenting each patient’s encounter completely, accurately, and on time. Accurate documentation supports compliance with federal and state laws and reduces fraud, waste, and abuse. Because providers rely on documentation to communicate important patient information, incomplete and inaccurate documentation can result in unintended and even dangerous patient outcomes. In this course we will discuss these aspects of documentation and present it as a communication tool that builds mutual trust, respect, and improved patient outcomes. Finally, it will show, through case studies, the role documentation plays in protecting th provider from state board and malpractice actions, both of which impact the doctors’ wellbeing.
