Explore the benefits of standardizing medical documentation

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Explore the benefits of standardizing medical documentation in the Problem-Oriented Record.

Include the following aspects in the discussion:

Explain the importance of a clear SOAP (subjective, objective, assessment, plan) note to the medical coder.

Discuss how you will recognize information that is subjective versus information that is objective (especially if the note is not in a SOAP format.)

Indicate in which area the coder will find the current diagnosis for today's service.

Reference no: EM133124978

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