The Importance of Chart Documentation: Through the Eyes of a Chart Reviewer

Author: Brett B. Snodgrass

Chart documentation is important in any practice, but even more so when working with chronic pain patients. The treatment of chronic pain management comes with increased potential for litigation. There are important steps that prescribers must take with their documentation to lessen that risk. As a case reviewer and expert witness, I will highlight important areas that should be documented, as well as what safe guards to use when using electronic medical records. What is being looked at? What is vital to every chronic pain chart? What must be included in your charts if they are ever called into question? (Recorded at PAINWeek 2016)

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