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Library: Policy

317:30-5-235. Documentation

Issued 12-1-07

     All services must be documented in the member's medical record.  All prenatal and postpartum lactation sessions must, at a minimum, include the following:

  • (1) date of service;

  • (2) start and stop time for each session;

  • (3) documentation of services provided;

  • (4) practitioner's signature; and

  • (5) recommendation and plan of care.

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