template

  1. 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...
  2. 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...
  3. 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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