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.
Understand the when, why, and how Here's your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward 'how-to' approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You'll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand. See what practitioners and students are saying online... Definitely worth the purchase. "This is a guide which will stay with you during your whole nursing program...so do not rent you must buy it and think of it as a documentation bible "--Barbie Great resource for NP/PA school. "Purchased this for my NP program. The book made writing SOAP notes and H&Ps very simple Would recommend as a great resource"--Dr. Jon Love this "Right down to it charting instructions and guidance. Even discusses codes and other factors of charting I had not taken into such deep account before. ... this book helped me understand how much more charting, other than SOAP's, must be completed for compliance standards. I feel this book is for just about everyone who is learning to chart as a reimbursable provider. --D. Conley
Understand the when, why, and how Here's your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward 'how-to' approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You'll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand. See what practitioners and students are saying online... Definitely worth the purchase. "This is a guide which will stay with you during your whole nursing program...so do not