Question: Hello, Please I need help on my assignment, and the due date is tomorr

Question

Question:

Hello, Please I need help on my assignment, and the due date is tomorrow thanks.

As required by laws every health care facility must maintain a medical record,

It is your responsibility to come up with a new policy that deals with the maintenance and release of medical records. Your group will be developing a two-part policy for medical records. The first part will be developed individually and the second part will be developed as a group. The components of Parts I and II are laid out below.

Individual Portion

Medical Records Policy: Part I

Develop Part I of the Medical Records Policy that focuses on the maintenance of medical records. In this section, you should consider things such as the following:the contents of a medical record (i.e., what information goes in a record)

guidelines for properly making an entry in a medical record (i.e., how to do so, how to make a correction, etc.)

Group Portion

Medical Records Policy: Part II

As a group, develop Part II of the Medical Records Policy. In this section, you should consider issues such as the following:

ownership of the medical record

policies/procedures for the release of records

ways to maintain confidentiality (include any major laws that govern this)

Reference

Pozgar, G. (2004). Legal aspects of health care administration (9th ed.). Sudbury, MA: Jones and Bartlett.

Explanation / Answer

Medical Records Policy: Part I (Individual Portion)

The contents of a medical record include information about patient care like;

According to Federal reimbursement guidelines, all medical records must be completed within

30 days following the patients discharge from the hospital. For making corrections a line must be drawn through the error and the correction is written above along with the date and initials of the person making the correction.

Medical Records Policy: Part II (Group Portion)

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