Assigning Diagnoses and Developing a Plan of Care
Upon completion of this session, attendees will be able to:
The MD documentation, the diagnoses listed, the OASIS assessment and the plan of care have all got to agree. They are all parts of a cohesive units, or all chapters of the same book. As you go from one part of a patient’s documentation to another part of the patient’s documentation you should be able to obviously see that they are all describing the same patient. For example: If a patient has some type of wound you should see that wound addressed in the the MD documentation, the diagnoses coding, the OASIS assessment and in the plan of care.
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