Documentation for Medical Practices


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A comprehensive, one-of-a-kind learning tool, Documentation for Medical Practices incorporates traditional health information management (HIM) documentation practices with state-of-the-art considerations for the electronic health record (EHR) in medical practices. Discover solutions for the unique needs of medical practices with chapters on health record content, accreditation standards, risk management, liability, consumer-driven implications, as well as reimbursement considerations, regulations, and policy.

Included is the knowledge that healthcare professionals need to document accurately in the medical practice arena. This exhaustive resource provides exercises, a glossary, website listings, and extensive references to assist compliance in the medical practice, as well as a CD-ROM packed with electronic resources and sample forms.

Documentation for Medical Practices is ideal for classroom use in two- and four-year HIM programs. Additionally, because of the challenges they face daily in regulatory compliance and proper documentation, it is a must-have tool for all levels of healthcare professionals in medical practices.

Key Features

Includes coverage for:
  •     Physicians
  •     Advanced practice nurses
  •     Physician assistants
  •     Other clinical staff including nurses, LPNs, social workers, and occupational therapists
The CD-ROM contains numerous valuable resources and tools for use in medical practices, including more than 50 sample forms from a wide variety of practice settings.
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