Update on Physician SOAP Notes

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An Encore Presentation

By Dr. David Edward Marcinko MBA

[Editor-in-Chief]

www.BusinessofMedicalPractice.com

DEM 2013I wrote on this topic previously. Both as primary paper driven SOAP notes, and as next-gen electronic SOAPier notes, to much acclaim and derision.

  • Why? Because, now more than ever, inadequately documented medical charts can mean civil and criminal liability to the sloppy and/or unwary practitioner. And, medical records were previously used to aid in the quality of medical care.

Today, they are also the basis for payment for services, not as a record or reflection of the care that was actually provided, but as a separate justification for billing.

What is a SOAP Note?

SOAP notes

Assessment

SOAP[IER] eMRs [Beware the Alphabet Soup Switcher-Roo]

Conclusion

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2 Responses

  1. Why I hate the SOAP note

    An essay by Suzanne Koven MD.

    http://www.kevinmd.com/blog/2012/11/hate-soap-note.html

    Ann Miller RN MHA

  2. More on SOAP Notes and eHRs

    We must demand a return to meaningful notes.

    http://www.kevinmd.com/blog/2013/08/demand-return-meaningful-notes.html

    An essay by Robert Centor MD.

    Ann Miller RN MHA

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