In an examination of orthopedic interns’ skills, investigators found significant shortcomings in completeness when interns performed a spine history and physical examination, as well as when they ...
Expert discusses common medical record documentation mistakes, including failing to update prepopulated or copied notes from a previous visit. I am a family nurse practitioner and, for the last few ...
The Office of Inspector General (OIG) for the CFPB and Fed has issued a report that found the CFPB can improve its practices related to examination workpaper documentation. This report follows another ...
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