B. Physical Examination
elctronic health record how should an error be corrected on a patient
Quotation marks should be used when indicating a patient's exact words on a medical record.
On AMA the patient and physician should be advised about the existence of computerized data both before and information is stored.
A new patient file should have contact information off the patient and past medical history. It should also include insurance information and who to contact in an emergency.
doctor
A patient has to sign a confidentiality agreement indicating whom may have access to the medical information and that is the main point. No one can legally have access to the patient information computerized or otherwise without express written consent from the patient.
The contact number for patient information at the Bradywine Hospital is unclear. However, the number to reach an advocate at the hospital is 610-383-8438. The advocate should be able to direct you to patient information.
Cigarettes should be banned because they can damage your lungs.
a medical assistant should never code a patient as having what unless its is documented in medical record
Medical records are confidential. They should only be released after the patient has signed a release form.
Help the patient prepare for the exam by explaining to the patient what clothing should be removed, in what direction to put the gown on, and provide a drape to ensure patient privacy. Throughout the sequence of events, explain what is happening and consistently maintain the patient's privacy and confidentiality. Place the patient's medical record in the designated area for the physician, making sure that no identifiable patient information is visible, in accordance with regulations established by the Health Insurance Portability and Accountability Act (HIPAA).
Patients should be aware of what information will be released and to who - that is the whole reason we have the HIPPA (healthcare information privacy and portability act - I think) law. It's not perfect, and realistically there are a lot of people who can view the patient record. For most of them, though, it's just a matter of making sure things are recorded correctly or completely, and they have no direct interest in the patient as a person. That includes insurance reviewers, case managers, and anyone else who is involved in paying for health care.