Understand the legal obligations and duties arising from the use and retention of medical records.
Many new clinical staff are required to navigate and document in the medical record. However, many staff do not have basic knowledge of the medical record, who can access, and who can document in the medical record. They also do not understand what is in a medical record, what is required, and how to best document in the medical record. This presentation will help those responsible for navigating and documenting in the medical record to understand those basic requirements. The live webinar will explain the basics of medical records, sources of records, and who can access and document in the medical record. The webinar will also identify basic documentation tips and types of medical records with examples.
Learning Objectives
- You will be able to define what a medical record is.
- You will be able to describe sources of medical records.
- You will be able to discuss who can access and document in medical records.
- You will be able to identity documentation tips.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Agenda
| Medical Records Knowledge | |
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| Medical Records Overview | |
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| Medical Records Sources | |
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| Maintenance of Records | |
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| Documentation Tips | |
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| Types of Records | |
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Credits
Live Webinar Registration
- ACHE 1.5
- The American College of Healthcare Executives no longer pre-approves courses or organizations. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.
ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide educational programming in healthcare management. Programs may be sponsored by ACHE, chapters or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.).
- AHIMA 1.5 including Information Protection: Access, Disclosure, Privacy and Security 1.5
- This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- HFMA 1.5
- This course is approved by HFMA for certification maintenance of continuous educational points and will equal 1.5 points of classroom instruction.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
OnDemand Course
This course was last revised on March 31, 2021.
Call 1-866-352-9540 for further credit information.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
Who should attend?
This live webinar is designed for medical records directors, health information directors, coders, business managers, office managers, nurses, hospital administrators, billing managers, social workers, counselors, release of records professionals, and compliance managers.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Faculty
Matthew Allen, MS, RN, CNS, PNP-BC
Matthew Allen - Independent Legal Nurse Consultant
- Legal Nurse Consultant in Henrietta, NY
- Clinical Nurse Specialist/Board Certified Pediatric Nurse Practitioner at University of Rochester Golisano Children’s Hospital in Rochester, NY
- Adjunct Clinical Professor at St. John Fisher University in Pittsford, NY
- Primary focus is on Pediatrics, Regulatory, and Policy Management at the Children’s Hospital, where he also evaluates whether nurses meet the legal definition of standard of care
- Frequently speaks within the hospital, as well as locally and nationally, on topics including medical records, medical-legal documentation, standards of care, quality improvement, and various disease-specific topics
- Coordinates, facilitates, develops/creates, and mentors/coaches/consults on policy, procedures, guidelines, and protocols to help ensure compliance with relevant practices based on policies, rules, and regulations
- Member of the following professional organizations: National Association of Pediatric Nurse Practitioners (NAPNAP); Sigma Theta Tau International, Epsilon Xi Nursing Society (STTI); American Association of Legal Nurse Consultants (AALNC)
- M.S. degree in PNP, University of Rochester School of Nursing; B.S. degree in nursing, St. John Fisher University
- Can be contacted at [email protected]
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
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