Medical Record Discrepancies

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Coding and Quality Reporting: Resolving the …

https://library.ahima.org/doc?oid=71854

Recently, medical coding has taken on increased importance as it relates to issues of quality of care and publicly reported data. There are many challenges associated with this increased importance, including new collection and reporting responsibilities and …

Medication Reconciliation - Patient Safety and Quality

https://www.ncbi.nlm.nih.gov/books/NBK2648/

The steps in medication reconciliation are seemingly straightforward. 7 For a newly hospitalized patient, the steps include obtaining and verifying the patient’s medication …

Identifying discrepancies in electronic medical records …

https://pubmed.ncbi.nlm.nih.gov/22257617/

The presence of one or more medication discrepancies was associated with the use of three or more medications. Patient factors such as gender, age, and race were not …

Identifying discrepancies in electronic …

https://www.japha.org/article/S1544-3191(15)30429-5/fulltext

The most common type of discrepancy was an incorrect medication documented on the chart. The most …

Sources and types of discrepancies between electronic …

https://pubmed.ncbi.nlm.nih.gov/18774872/

The most common type of discrepancy was a medication recorded in the EMR but no longer being used by the patient (n=164, 70.4%), followed by omission from the EMR of a …

How to Correct Errors in Your Medical …

https://www.verywellhealth.com/how-to-correct-medical-record-errors-2615506

Another important part of this law allows you to request amendments to your medical record if you find errors. 1. This process for making this type of …

EMR Documentation Discrepancies Spell …

https://blog.thesullivangroup.com/emr-documentation-discrepancies-spell-danger

One of the most difficult hurdles to overcome during the defense of a malpractice suit is a significant discrepancy in the medical record. The discrepancies may involve the …

Avoid Billing, Coding Discrepancies When …

https://www.the-hospitalist.org/hospitalist/article/122732/avoid-billing-coding-discrepancies-when-documenting-patient-history

When documenting patient history, physicians must be aware of the common discrepancies that occur. Although the physician becomes familiar with the patient …

What Is a Medical Records Technician? (With FAQ)

https://www.indeed.com/career-advice/career-development/what-is-medical-records-technician

Here are the common duties of a medical records technician: Maintaining electronic health records databases Compiling patient medical information and …

Communication of Radiograph Discrepancies between …

http://patientsafety.pa.gov/ADVISORIES/Pages/201003_18.aspx

When discrepant interpretations occur between the preliminary reading by an ED physician and the final reading by a radiologist, communicating the radiologist’s findings to the ED …

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