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Clinical Documentation: What You Need and What You Don't, Ep. 02

Light Up The Couch

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Medical Necessity and Clinical Documentation Practices

Why is critically important to medical necessity, and it also is our clinical justification. The Joint Commission gives an example about so what questioning by a patient. It's not that clinicians fail to complete evaluations or to identify the so what questions. They merely do not write them proficiently. And sometimes they do not writing them at all. We really owe it to our clients to understand medical necessity and to integrate it into our clinical documentation.

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