Perhaps you've heard the adage, "If it wasn't documented, it wasn't done." It's a sage piece of advice given by practice management gurus like Dr. Leslie Pasco and renowned dental practice management consultant, Barry Levin. But what exactly does documentation encompass? What should be documented? Is documentation primarily to protect yourself from lawsuits? The answers might surprise you. First of all, although great documentation and good notes can indeed serve as the first line of protection against litigation for doctors, nurses, hygienists, and dentists, they serve a much wider purpose than that, and if they're not done correctly, consistently, and professionally, poor notes and documentation can even prove detrimental to a practice.
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