Admission - PowerPoint PPT Presentation


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10/10/2011. 2. DOCUMENTATION ISSUES . Documentation must be legible and should substantiate the level care that is being provided to the patient. If the patient is in DSU or observation status and is changed to observation or admission status, the documentation should support the need for the higher level of care. If a planned surgery/ procedure is cancelled without being performed, the physician\'s documentation in the chart should explain the reason for the cancellation..

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