Discharging Your Patient from Active Treatment
Given treatment success, the medical necessity of treatment for your patient will come to an end. As a provider, you must proficiently define and document the conclusion of medical necessity with efficient documentation of a discharge report ending the episode of active care.
Documenting a Patient’s Discharge from Active Treatment
Your discharge summary report is often straightforward offering one of four scenarios:
- The patient responded well and met all treatment goals
- The patient improved but maintains residual symptomology
- The patient did not respond positively and is referred to another healthcare professional OR
The patient dismissed themselves from care prior to completion of the recommended care.
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