template

  1. R

    Wiki Template for asking Dr to amend note

    Hello, I work for a large cardiology clinic. How do you send requests to doctors asking them to amend notes? We usually email the nurse that works with that doctor but feel like we are typing out the same thing a hundred times. Does anyone use a template or cover page to attach to documentation...
  2. KStaten

    Wiki Injection Template Documentation Guidelines

    It has been to my understanding that the provider is responsible for documenting the procedure, exam, and plan (unless he/she is assisted by a scribe). IF a provider decides to start using a template (such as for routine joint injections), which has drop-down menus to enter the correct...
    • KStaten
    • Thread
    • documentation guidelines injection template
    • Replies: 3
    • Forum: Orthopaedics
  3. K

    Wiki Premade Template Guidelines

    I've got a provider that has built templates for specific insurances. While templates aren't a bad thing, the way these are built are greatly concerning. The template looks like a complete document with prebuilt HPI, ROS, Exam, Assessments, and Procedures. Essentially, the visit looks complete...
  4. N

    Wiki Dilema: EMR templates documents things that were not done

    I am facing a ethical dilema here at work. The family physicians use a template for their office visits. The templates are pre-loaded with ROS and exam documentation, and it is up to the physician to edit such. The problem? The physicians do NOT edit. The office visit documentation for an...
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