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Webclinical documentation (healthcare): Clinical documentation (CD) is the creation of a digital or analog record detailing a medical treatment, medical trial or clinical test. WebThe Certified Clinical Documentation Specialist (CCDS) examination is designed to test an applicant's ability to recall documentation and coding guidelines and industry regulations pertaining to clinical documentation improvement and apply that knowledge to real-life scenarios clinical documentation specialists face every day. sprouts pinole
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WebMar 3, 2024 · Clinical documentation plays a critical role in providing, coordinating and paying for care. Efforts to reduce physician documentation burden create more time for … WebDocument with others - Make sure to document your conversation with relatives of the patients or other medical professionals involved in your patient care. Summarize! - Make sure to jot down all the main points … WebThe Clinical Documentation Medical Professional is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDMP will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDMP will facilitate accurate DRG assignment … sprouts pickerington ohio