templates

  1. K

    Question When is a pre-built Template taking it too far?

    I have a provider that has a pre-formatted template that looks like the entire note is complete with already generated diagnoses and labs/procedures. Absolutely nothing prompts entry by the provider and it's a complete note with HPI, ROS, Exam and A/P. This is a data integrity issue but I'm not...
  2. A

    Tobacco Use and J Codes

    I have one provider whom when I ask if it is tobacco use or tobacco dependence he tells me that this should be the CMAs responsibility-he never gives me an answer. When I asked his CMA, she told me that they know he is a tobacco user but have only seen him for quick visits. What templates are...
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