- October 18, 2017
1:00 pm - 2:00 pm
Medical records form an important part of the management of a patient care. Proper documentation is now more important than ever to prove that the treatment was carried out properly, for scientific evaluation and review of patient management, care planning as well as billing and reimbursement issues.
Medical record keeping has evolved into a science of itself and can include a variety of documentation of patient’s history, clinical findings, diagnostic test results, preoperative care, operation notes, post-operative care, and daily notes of a patient’s progress and medications.
Participate in this one-hour webinar to verify your agency is following proper record maintenance. Review the common areas where Medical Record Incompleteness affects denials.
Medical Directors, Clinical Directors, Admissions staff, NPP, Clinicians and QAPI team
- Understand the Legalities of the Medical Record including:
– Accuracy, Completeness
– Who can sign consents/witness
- Physician Signatures: pen & ink signature vs. scanned into computer vs. e-version
- Review what to submit for an ADR (Additional Development Requests)
Joan Usher, BS, RHIA, ACE, President, JLU Health Record Systems is a nationally recognized AHIMA Approved ICD-10-CM trainer. Joan has a degree in Health Information Management and has been a home health consultant for over 28 years. She has educated more than 15,000 people in nationwide on coding. Joan is past president of the Massachusetts Health Information Management Association (MaHIMA) and has served three years as a delegate for American Health Information Management Assn (AHIMA). Usher is a Board of Director of Hospice & Palliative Care Federation of MA. Joan’s webinars consistently earn outstanding reviews from participants.
Member rate is $169.00 – Non-members $269.00
October 18, 2017 from 1:00 p.m. – 2:00 p.m.