Question

What would be the circumstances and value of clinical documentation improvement for this sort of program for radiology, ultrasound and nuclear medicine documentation.

Answer 1

Answer with Explanation

​​​​​​Clinical documentation is the written or stored data of a patient's personal and health records. This can be collected by a doctor, nurse or any assigned person.clinical documentation of the diagnostic procedures helps to get an actual picture of the patient's condition, diagnoses, care provided for the conditions, and the quality and accuracy of care which the patient actually received. That also helps to improve communication and collaboration among the staffs, can others to review the medical records, to support the proper treatment plan. It's a legal record so that accuracy is important to avoid poor documentation that should be involve proper date, time and signature. Everything should be recorded in the records of a patient for better care and to avoid conflict.