Comment: This is called "Risk Management."

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SteveMT's picture

This is called "Risk Management."

One of these risk managers went through his charts and read the riot act to him. His charts were wide open to litigation. This is also called: defensive medicine. "The last one [doctor] seen is the first one sued." This is the unfortunate reality of managed care, driven by lawsuits.

Whatever is NOT in a chart, did not get done. Example: If there is no documentation that a smoker was told to quit smoking, then it did not occur.

In your case, all that he needed to do was to document that you did not want any of those things.