Forum - Questions & Answers

Nov 22nd, 2016 - sylviamccaw

Diagnoses coding

Must the diagnosis be put in a chart each time a patient comes in?

Mar 5th, 2018 - ChrisW   256  1 

re: Diagnoses coding

Yes, a diagnosis must be documented at every visit along with the reason for the encounter or Cheif Complaint along with any findings. This is the reason for the progress note, you need to document the purpose of the visit, the illness. development and treatment.



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