Physicians, nurse practitioners, nurses, and other members of the healthcare team may make entries in the medical record. The medical record is a multipurpose instrument. In addition to providing a health history of the patient's services, the documentation of services is used for the purpose of re...
Physicians, nurse practitioners, nurses, and other members of the healthcare team may make entries in
the medical record. The medical record is a multipurpose instrument. In addition to providing a health
history of the patient's services, the documentation of services is used for the purpose of
reimbursement, medical necessity support, quality of care, clinical research, and outcome management.
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