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Documentation 101

Posted By: Susan E. George Practice & Advocacy,

One of the easily forgotten elements of professionalism is documentation! Attention to the mundane task of recording the elements of your treatment approach with clarity and consistency both protects your revenue source and can assist in reducing your litigious risk. We answer the following questions:

  • How do I ensure that I am documenting skilled care?
  • How do I document medical necessity?
  • What is the best way to demonstrate best practice in a note?
  • How do I document meaning and functional progress?
Stay tuned for an updated version of this article.