Kristen Bensel
Networker
Good Afternoon!
I am wondering if anyone out there can help me. I work in a clinic that has a unique range of providers, we have A&D Counselors, Mental Health LCSW's, MD's, PA's, ARNP's, Dental and Pharmacy. Because we have such a range of providers, we have many different styles of notes that we have to wade through when coding the encounters.
I understand that there are lists of do not use acronyms due to potential for medication dosage issues, but is there documentation anywhere that states the types of acronyms that are acceptable? Or if it is frowned upon to use acronyms that are for non medically related things (ex. S.O.) or different types of therapies that might be used to help treat the patient... Isn't there a rule that things like that should be written out so that there is no chance of confusion of what is happening if a provider of a different specialty doesn't have to use Google to decipher the chart note?
Any help or advice is greatly appreciated and Thanks in advance!
I am wondering if anyone out there can help me. I work in a clinic that has a unique range of providers, we have A&D Counselors, Mental Health LCSW's, MD's, PA's, ARNP's, Dental and Pharmacy. Because we have such a range of providers, we have many different styles of notes that we have to wade through when coding the encounters.
I understand that there are lists of do not use acronyms due to potential for medication dosage issues, but is there documentation anywhere that states the types of acronyms that are acceptable? Or if it is frowned upon to use acronyms that are for non medically related things (ex. S.O.) or different types of therapies that might be used to help treat the patient... Isn't there a rule that things like that should be written out so that there is no chance of confusion of what is happening if a provider of a different specialty doesn't have to use Google to decipher the chart note?
Any help or advice is greatly appreciated and Thanks in advance!