Guide to Clinical Documentation / Debra D. Sullivan PhD RN PA-C



  • Learning objectives in each chapter to help you recognize important concepts at the beginning of the chapter, and reinforce what is summarized at the end of each chapter

  • Coverage of -problem-oriented medical records, patients with multiple complaints or multiple conditions

  • Hands-on, problem-based exercises

  • Worksheets at the end of each chapter

  • Examples of "good" and "bad" documentation for evaluation

  • Real-life case studies that illustrate the potential consequences of poor or inaccurate documentation.

  • Explanations of use and terminology of ICD-10-CM codes in billing

  • Boxes highlighting medicolegal considerations.


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