Are your medical records structured and
How do you survive auditing threats and offer the best possible
care, at all times to patients? The answer lies in streamlining
the medical documentation process.
How do you standardize the structure and content of
Medical documentation can broadly fall into two categories:
Physicians should make sure…
Medical records are clear, concise and accurately
reflect the clinical findings, medical decisions,
treatment plan and drug details provided
Create records within the same day of meeting
patients to avoid confusion
Each patient is assigned a unique patient identifier
EMR/EHR templates are customized to avoid
duplication or omission of data.
Medical transcripts are accurate before e-signing
Benefits of structured documentation workflow!
It will reduce the risks of flawed medical decision making or
omission of data.
Ease the communication of medical information and ensure
data is not lost along the way.
Medical practices that pay attention to documentation vastly
improve the quality of clinical coding.
New physicians and technical staff who join your practice
needn’t start from scratch as a well- organized system is
No more running helter-skelter to get things in order!
Disorganized documentation process lose significant revenue
and time .
Organized documentation processes can better adapt to changes
in the everyday workflow of medical practices.