Documentation standards in healthcare ensure accuracy, compliance, and quality care through precise record-keeping.
Documentation standards in healthcare aim to ensure complete and accurate records that reflect patient treatment, assist in reimbursement, comply with legal requirements, and facilitate communication and care coordination. Interprofessional teams rely on the Electronic Health Record (EHR) for accurate documentation, continuity of care, and patient safety. Compliance with core measures is crucial for providing high-quality care and improving patient outcomes.
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