• Learning objectives in each chapter to help you recognize important concepts at the beginning of the chapter, and reinforce what is summarized at the end of each chapter
Buy Now From Amazon

Product Review


  • Learning objectives in each chapter to help you recognize important concepts at the beginning of the chapter, and reinforce what is summarized at the end of each chapter

  • Coverage of -problem-oriented medical records, patients with multiple complaints or multiple conditions

  • Hands-on, problem-based exercises

  • Worksheets at the end of each chapter

  • Examples of "good" and "bad" documentation for evaluation

  • Real-life case studies that illustrate the potential consequences of poor or inaccurate documentation.

  • Explanations of use and terminology of ICD-10-CM codes in billing

  • Boxes highlighting medicolegal considerations.



  • Understand the when, why, and how! Here's your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward 'how-to' approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You'll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand.

Similar Products

Seidel's Guide to Physical Examination: An Interprofessional Approach (Mosby's Guide to Physical Examination)The Patient History: Evidence-Based Approach (Tierney, The Patient History)Seidel's Physical Examination Handbook: An Interprofessional Approach (Mosbys Physical Examination Handbook)Bates' Guide to Physical Examination and History TakingTextbook of Physical Diagnosis: History and Examination With STUDENT CONSULT Online Access (Textbook of Physical Diagnosis (Swartz))Advanced Health Assessment & Clinical Diagnosis in Primary CarePediatric Physical Examination: An Illustrated HandbookLearning Radiology: Recognizing the BasicsBates' Pocket Guide to Physical Examination and History TakingAdvanced Health Assessment & Clinical Diagnosis in Primary Care