Category Archives: Documentation

  1. Does my patient have Capacity?

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    August 14, 2018 by Agnes Usoro

    One of the most difficult tasks in medicine is determining patient capacity. The concept usually comes up when a patient …
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  2. Spotlight on: Handoffs

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    September 8, 2015 by dailybolusoflr

    Spotlight on: Handoffs Contributors: Kamna Balhara MD, Jeremiah Hinson MD PhD, Binoy Mistry MD, Sarah Stewart de Ramirez MD MPH, …
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  3. Daily Bolus of LR: Forbidden Abbreviations

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    May 17, 2011 by dailybolusoflr

    As of 2004, JCAHO came out with a Do Not Use list of abbreviations.   In the world of electronic …
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  4. Daily Bolus of LR: Documentation of the History (PFSH)

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    May 12, 2011 by dailybolusoflr

      Documentation of the History   The History is the cornerstone of your chart.   It is comprised of FOUR …
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  5. Daily Bolus of LR: Documentation of the History (ROS)

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    May 10, 2011 by dailybolusoflr

    Documentation of the History The History is the cornerstone of your chart. It is comprised of FOUR main factors: 1. …
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  6. Daily Bolus of LR: Documentation of the History (CC and HPI)

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    May 9, 2011 by dailybolusoflr

    Documentation of the History   The History is the cornerstone of your chart.   It is comprised of FOUR main …
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  7. Daily Bolus of LR: Billing and Coding Overview

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    May 6, 2011 by dailybolusoflr

    Billing and Coding Overview   ·         The E/M codes or Evaluation/Management Codes are 5 digit codes which are assigned to …
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