Common Medical Record Documentation Errors To Watch Out For [INFOGRAPHIC]
Incomplete and inaccurate patient records can compromise care. Documentation errors can result in wrong medical advice being provided, increased billing mistakes and loss of reimbursement. Medical transcription services play an important role in ensuring accurate and timely healthcare documentation. The key to ensuring accurate and
HIPAA Confidentiality Regulations That Apply To Medical Transcription
The Health Insurance Portability and Accountability Act (HIPAA) establishes the standard for protecting sensitive patient data or the confidential use of protected health information (PHI). “Covered entities” or “business associates” that handle PHI are required to be HIPAA-compliant. Covered entities refer to health plans,
How To Write Good Mental Health Progress Notes
Maintaining appropriate records of psychological services allows providers to monitor their work and promotes continuity of care. Good records protect both the patient and psychologist in the event of legal proceedings and are also essential for the psychologist to obtain appropriate reimbursement for services
What Are The Documentation Requirements For ED Reports?
Emergency Department (ED) documentation refers to the comprehensive records and notes created during a patient’s visit to the emergency room. These documents capture vital information about the patient’s medical history, symptoms, physical examination findings, diagnostic tests performed, treatments administered, medications prescribed, and any follow-up
What Is The Importance Of Keeping Proper Documentation Of Athletes’ Health Records?
Athletic trainers (ATs) are highly educated and skilled professionals specializing in the management, prevention, and recovery of injured athletes. They work with coaches, physicians, and physical therapists. Documentation and computerized record-keeping are a crucial for ATs to maintain accurate, up-to-date, and complete information about
