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Medical Record - Authentication Time Frame - Joint …

    https://www.jointcommission.org/standards/standard-faqs/home-care/record-of-care-treatment-and-services-rc/000001691/
    The Joint Commission standards do not specify the time frame for authentication of documentation. The organization is free to determine the time frame for completion of authentication. The timeframe must comply with any applicable laws or …

Medical Record - Security - The Joint Commission

    https://www.jointcommission.org/standards/standard-faqs/hospital-and-hospital-clinics/information-management-im/000001462/
    The Joint Commission standards require organizations to comply with applicable law and regulation to ensure the privacy and integrity of protected …

History and Physical - Authentication Timeframe - Joint …

    https://www.jointcommission.org/standards/standard-faqs/critical-access-hospital/provision-of-care-treatment-and-services-pc/000002191/
    There are no specific Joint Commission standards that require an H & P, that has been dictated and placed into the record, to be authenticated prior to a …

Standards for Joint Commission Accreditation and …

    https://www.jointcommission.org/standards/
    Joint Commission standards help you develop strategies to address the most complex issues and identify key vulnerabilities in the patient care experience. The standards …

Medical Record - Authentication Time Frame - Joint …

    https://www.jointcommission.org/standards/standard-faqs/assisted-living-community/record-of-care-treatment-and-services-rc/000001691/
    The organization is free to determine the time frame for completion of authentication. The timeframe must comply with any applicable laws or regulations. If …

Authentication - Licensed Practitioner Authority - Joint …

    https://www.jointcommission.org/standards/standard-faqs/ambulatory/record-of-care-treatment-and-services-rc/000001697/
    Organizations would need to develop policies and procedures, consistent with law and regulation, which define the circumstance and mechanisms under which one LP …

Records and Documentation - Format/Availability - Joint …

    https://www.jointcommission.org/standards/standard-faqs/critical-access-hospital/leadership-ld/000001198/
    The Joint Commission surveyors will accept evidence of standards compliance in either a paper format or an electronic format. In either case, the …

Documentation Assistance Provided By Scribes - Joint …

    https://www.jointcommission.org/standards/standard-faqs/hospital-and-hospital-clinics/record-of-care-treatment-and-services-rc/000002210/
    At the same time, financial constraints have increased the pressure on physicians and other licensed practitioners (LPs) to see more patients in less time. Yet …

Verbal/Telephone Order Authentication and Time …

    https://library.ahima.org/doc?oid=105743
    Most practice settings have laws and standards that require clinical records to be complete, accurate, and timely. Your facility policies should address these issues and …

CMS Manual System - Centers for Medicare

    https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R47SOMA.pdf
    Authentication of medical record entries may include written signatures, initials, computer key, or other code. For authentication, in written or electronic form, a …



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