worry less about perfect documentation. dont spend too much time making charts perfect. use shortcuts like smartphrases. a lot. develop smartphrases for everything. definitely for asking for auth for procedures to reduce risk of denial. you should be able to click a smartphrase and only have to input 3-4 details to complete the smartphrase (ie epidural - add level of injection, the particular nerve distribution, whether they had prior successful injection, and how many in the past 12 months)
documentation is key but keep it brief, to the point, and written in a way that you know what your next step will most likely be in 1 sentence when you look back.
dont spend too much time "debating" with patients. they will always be right even when they arent. not worth your effort to try to change their minds particularly if they are not interested in what you have to offer or are fixated on one treatment that you dont.
it is okay to say "im sorry, i dont have anything to offer you."
some people like to predocument. if that saves time, go for it.
however, the cardinal rule still applies. the one that says "the longer you are here, the longer you are here."
oh and avoid local anethetics in epidurals...
