Frequently asked questions
Short answers to common documentation questions.
Timeframes depend on note type. See the timeliness standard for current expectations. This is template text.
Yes, with care. Review and update every copied section for the current encounter and remove anything that no longer applies.
Do not edit a signed note. Enter an addendum that identifies the correction and the date and time it was made.
Contact the clinical documentation improvement (CDI) team using the contact page.
Send a request with the clinical use case and a draft layout using the contact page.
See the training page for modules, webinars, and job aids.
Do not see your question? Contact the documentation team.