Description
Understand the issues and charting errors that may arise with and how to prevent inaccurate records.More than ever before, patients are involved in and curious about their medical care. With electronic medical recordkeeping, patients can review their medical record, including test results and imaging, electronically and quickly. While this access allows patients to take a more active role in their healthcare, it also creates additional pressure on providers to document patient encounters and results accurately. This program will review the consequences of inaccurate records, best practices, and the use of technology in reviewing medical records. The presenting attorney will use real life examples from their practice to demonstrate the importance of strong documentation practices and the big consequences of small mistakes.
Date: 2024-06-17 Start Time: End Time:
Learning Objectives
Overview of Preventing Inaccurate Records
Consequences of Inaccurate Records
• Consequences of Inaccurate Records on Patient Health
• Privacy Consequences of Inaccurate Records
• Legal Consequences of Inaccurate Records, Including Adverse Actions by Professional Licensing Boards, Litigation, and Administrative Enforcement
• Professional Consequences of Inaccurate Records
• Where to Find the Laws and Resources That Can Impact You and Your Organization
Medical Record Best Practices
• How to Properly Document Patient Care, Including What to Include in the Record, What to Leave out of the Record, and How to Appropriately Document Corrections or Patient Requests for Amendment
• Best Practices When Using an Electronic Health Record System, Including Security Considerations, Common Pitfalls, and Audits
AI in Medical Records • the Future of Medical Records?
• Overview of Use of AI in Medical Records Review
• Benefits of AI Review
• Risks of AI Review
AHIMA ,Additional credit may be available upon request. Contact Lorman at 866-352-9540 for further information.
Margaret K. Gray-Messner Reeves