Want this question answered?
Absolutely yes.
It's preferable, but not totally necessary.
Yes, corrections should be date and time-stamped to provide transparency and allow for tracking and verification of changes made. It helps in establishing an accurate timeline and accountability for the corrections made.
Proper procedure indicates that yes -- it usually should be. Corrections in insignificant things such as spelling are of course less critical, but anything emergent to timely needs to show when the noted changed was detected. Likewise, I suggest that the change is initialed. Note also that corrections never ever eradicate what was erroneously there before. The old entry is single-line struck out and the correction added. The exception to this is corrections asked for by the patient and made by the doctor, under the HIPAA guidelines.
as a medical biller what steps should you take if you believe a patients privacy has been compromised
Catheters should be removed from patients in whom these devices are still present.
cloths
The way it was when I worked in the health care industry, any changes to a medical file (hard copy) could not be covered over, as in whited out or inked out, but could only have a single line going through the part that was being corrected, like this. Then, the one who made the correction above the incorrect part had to initial the correction, and date it.
No deletions should be made, as the medical record is also a legal document. But an amending notation should be made and added to the medical record.
You should contact your doctor for proper medical advice.
A medical assistant should always adapt to a patient's individual needs. This is because the patient is the one that needs help and cannot adapt to the medical assistant.
Medical ethics refer to the high moral and practical standards that medical professionals should be held to. The main goal of medical ethics is to insure that patients receive excellent care.