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Because it is a legal requirement when you are working on someone's body and for insurance purposes.
It is important to keep record for tax purposes. Good record keeping is also useful for end of year profit calculation.
No, a superbill is not part of the patient medical record. It is a document used for billing purposes to detail the services provided to the patient.
When release of PHI is for treatment purposes "minimum necessary " does not apply
Businesses are required by law to do so, for tax purposes and economic transparency (is the company you do business with, a financially healthy company?). If you don't comply with the law, you are liable and you can get fined.
Quantitative analysis is a review of prescribed areas of the medical record for identifying specific deficiencies in recording to ensure that it is complete, accurate, and current. Qualitative analysis is a review of medical record entries for inconsistencies and omissions which may signify that the medical record is inaccurate or incomplete.
Version control is very important when doing a project. It is important because it allows record-keeping and performing analysis for legal purposes.
A physician may determine, based on his or her best judgment, if the patient with mental or emotional problems should view the medical record. Because the medical record is a written documentation of the contract established between the physician or healthcare provider and the patient, it must be retained for legal purposes.
Some parts of the medical record can be shared automatically with insurance companies for billing purposes. The patient's name, birth date, hospital record number, date of admission and discharge, diagnoses or diagnostic codes, comprise the basics of what is shared for insurance purposes. However, even a "next of kin" has limited access to a patient's medical records. Cases of child abuse or suspected criminal activity (attempted poisoning of a patient), criminal acts by a caregiver, or communicable diseases that could affect a community often mean that patient medical records or information is shared, in part or in whole, to authorities.
Some parts of the medical record can be shared automatically with insurance companies for billing purposes. The patient's name, birth date, hospital record number, date of admission and discharge, diagnoses or diagnostic codes, comprise the basics of what is shared for insurance purposes. However, even a "next of kin" has limited access to a patient's medical records. Cases of child abuse or suspected criminal activity (attempted poisoning of a patient), criminal acts by a caregiver, or communicable diseases that could affect a community often mean that patient medical records or information is shared, in part or in whole, to authorities.
What is the important role that healthcare workers play in documentation, confidentiality, main thence, and credibility of the medical recorded
The importance of medical record keeping is keeping a treatment record of a patient that allows medical professionals to know the patient's past