HIPAA for the General Practitioner
CHARTING MEDICAL RECORDS:
Do's & Dont's to Avoid Liability
This publication teaches healthcare personnel how to accurately record patient information in order to provide the highest standard of patient care and to reduce the risk of unnecessary negligence lawsuits. The publication further discusses the following areas using real life case examples: 1) vagueness, 2) space gaps/time gaps & omissions; 3) incorrect data entry; 4) telephone information; 5) necessity of review; 6) corrections & late entries; 7) cover ups & handling medical documents; 8) signatures; 9) confidentiality; and 10) faxes & computers. Experts agree that juries in medical malpractice suits give more weight and credibility to the written records than witness testimony. The publication illustrates how a minor human error can prove fatal to a healthcare professional’s defense in a negligence lawsuit.Type your paragraph here.
When HIPAA became law in 1996, the move already had begun from a paper-based patient data system to an electronic one. This migration poses complex security and privacy issues. Over the next six and a half years, the HIPAA implementation took place with the following goals in mind: -Improve access to health insurance -Minimize healthcare billing fraud, waste and abuse -Increase efficiency and effectiveness of the health care system
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