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Briefings on Coding Compliance Strategies (Single Article)
Documentation improvement: a
large, gray elephant
November 2002
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Product Description:
by Robert S. Gold, MDEvery
blind man has a different way to describe an elephant. I’d like to give
you my take on the goals of developing and implementing a physician
documentation improvement program—how this particular elephant looks to
me. Once upon a time, physicians went to medical school and learned how
to take a history from a patient, how to evaluate past medical events and
issues, how to examine a patient and formulate a differential diagnosis, and
then to use ancillary testing to make a diagnosis. And they learned how to write
down every step of this process.Once
