Chart prep checklist 2025

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The objective of pre-visit planning is to help the patient and physician conduct the face-to-face visit more effectively by gathering and organizing information ahead of time so they can devote more attention during the visit to interpreting, discussing, and responding to that information.
WHETHER charts are paper. documents or computerized medical records, the day before a patient visit, a medical assistant should review the patients chart. Consider the reason for the office visit to be certain that all documentation, lab reports, images, and reports are included.
The biggest challenge when establishing a pre-visit review process is having staff members with the correct skill set to perform the reviews. Time is another challenge, as are lack of technology to assist in streamlining the process and lack of buy-in from within the organization.
Analyze and create organization of medical records by tabulation and indexing of records. Individual focus on organizing the medical records, summarize findings and prepare reports.
Preparations include reviewing medical history and notes from previous appointments, identifying gaps in medical history that can be addressed during the appointment (for example, new vaccines or newly available medications), and providing test results for the patient.
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This review helps identify gaps in care, such as needed immunizations, annual lab tests, preventive health screenings, or referrals to a diabetes educator or other health care professional. This is time well spent because a half hour one day can save two hours the next day.

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