Description: The template driven electronic health record was designed for the ease of medical staff. What problems does this create for coders? In this seminar, you will explore pertinent medical and legal factors associated with the electronic health record.
Prerequisites:
Topics Covered: *Release of Information *Audit Trails *How to Erase and Make Corrections *Use of the Copy and Paste Function *Appropriate Documentation for the following audits: Recovery Audit Contractors (RAC); Medicare Administrative Contractors (MAC); and Medicaid Integrity Group (MIG)
Learning Outcomes: Participants will be able to identify important medical and legal aspects of the electronic health record and state appropriate documentation for RAC, MAC and MIG.
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