Gain a better understanding of medical records and what types of information they contain.
This topic will help you be able to organize, read and understand the information contained in various parts of the medical record in an efficient manner. You will be able to identify the forms in which medical records are contained as well as the contents of medical records. The material will help you with organizing medical records as well as how to understand each part of the medical record. Finally the information will help you be able to systematically follow the admission process, diagnosis, treatment(s) and discharge of clients.
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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: Who, What, Why?
- Medical Records From Each Stakeholder's Perspective
- The Clinical Medical Record
- Everything But the Clinical
Clinical Records: Who, When, Where, and How
- Clinicians and Their Elves
- Components and Data Sources
- Four Methods for Clinical Documentation
Outcomes
- Clinical
- Financial
- Social and Other Determinants of Health
Business and Medical Records
- Reputation
- Referrals
- Payments
Sharing Medical Records
- Research
- Litigation
- Sharing
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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
OnDemand Course
This course was last revised on April 22, 2021.
Call 1-866-352-9540 for further credit information.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
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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
James Maisel, M.D.
ZyDoc Medical Transcription, Retina Group of NY
- CEO and founder of ZyDoc Medical Transcription, Retina Group of NY
- Medical records, transcription, practice management, speech recognition, cloud platforms, security, EHRs, interoperability, diabetes, retina, pharma
- Numerous industry presentations in medical informatics, speech recognition, NLP, and standards
- Sold a prototype EHR to DOD, 1994; licensed medical language models to Dragon NaturallySpeaking Medical, 2000; introduced NLP data extraction from unstructured text, 2010; published NIH-Columbia Sponsored Landmark EHR Usability Study with NLP data, 2016; and #2 industry ranking in medical transcription, 2020, with #6 cloud platform
- Former chair HOST prior to HIMSS merger, Congressional Recognition Award, co-chair World Diabetic Congress, JDRF Humanitarian Year, Gift of Sight and Anton Banko awards
- M.D. New York Medical College
- Vitreoretinal Surgical Fellowship at NY Presbyterian-Cornell Medical Center
- CEWIT incubator, Stony Brook, NY
- Can be contacted at 800-546-5633 or [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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