Medical records are essential documents that provide details about the patient’s history, clinical findings, results of laboratory tests, pre- and postoperative care and more. Like any other specialty, dental practices should also maintain accurate patient records that reflect the quality of service provided and how
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Accurate documentation of clinical notes is crucial for any healthcare facility’s successful running. Providers can consider relying on professional medical transcription services to create consistent and accurate documentation of recorded material. The Journal of AHIMA has stated that the main goal of documentation in healthcare
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Medical records are a fundamental element in the provision of patient care. Good clinical records aid – coordination and continuity of care, and informed decision making for patient management. It can also improve availability of data for malpractice litigation. Patient records should be updated at
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Even though EHRs have made charting more complete and reliable, it is also time-consuming for providers. To ensure proper documentation along with provision of quality care, and to prevent stress and burnout, practices can consider optimizing systems and processes. Medical records contain diverse details such
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To generate accurate radiology reports, most practices are now considering radiology transcription services from reliable companies. Radiology reports mostly include chronic incidental findings, the diagnosis or differential diagnosis, the clinical implications of radiologic findings, and any chronic findings that need additional workup or surgical intervention,
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