Legally Defensible Medical Results

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Fundamentals of the Legal Health Record and …

https://library.ahima.org/doc?oid=104008

The legal health record is a formally defined legal business record for a healthcare organization. It includes documentation of healthcare services provided to an individual in any aspect of healthcare delivery by a healthcare organization. 7 , 8 The health record is …

Legal Process and Electronic Health Records - AHIMA

https://library.ahima.org/doc?oid=59559

Certifying Health Records when Requested for the Legal Process The certification process verifies that the copy provided is an exact duplicate of the original. Certification may be …

Complete Medical Records: Your Best Defense

https://www.medicalmutual.com/risk/practice-tips/tip/complete-medical-records-your-best-defense/74

Clinical examination findings; positive and significant negative results. Plan of care; rationale for diagnosis or deviation from standards of care. Patient response to health …

The Legal Defensibility of Assessments: What You …

http://cedma-europe.org/newsletter%20articles/misc/Legal%20defensibility%20of%20assessments%20-%20What%20you%20need%20to%20know%20(Oct%2007).pdf

According to legal experts and recorded legal cases, the four main areas that tests are typically legally challenged on are reliability, validity, fairness, and cut scores. Each of …

How to Create and Maintain a Legally Defensible Medical …

https://aaep.org/sites/default/files/issues/BusinessSedrish.pdf

Medical records are your ﬁrst line of defense. Ev-ery time you write in a medical record, you are writing a legal document that could be read in court and could potentially affect, …

Chapter 8 Legal Health Record Flashcards | Quizlet

https://quizlet.com/154219141/chapter-8-legal-health-record-flash-cards/

1) missing, incomplete or otherwise inappropriate documentation makes health record focal point of legal action 2) missing or incomplete documentation may lead a court to …

What makes a drug test le - National Drug Screening

https://www.nationaldrugscreening.com/faqs/other/what-makes-a-drug-test-legally-defensible/

The Positive lab results should always be review and verified by a Medical Review Officer (MRO) to rule out any legally prescribed medications which may have the …

The Legal Health Record – Its Significance & Some …

https://www.mosmedicalrecordreview.com/blog/legal-health-record-its-components-significance-some-considerations/

Now that EHRs are used for medical claims review purposes, healthcare providers must ensure that their EHR is a legal record and meets all statutory, regulatory, and professional requirements for …

Legally Defensible Medical Resuls | Day of Difference

https://dayofdifference.org.au/l-medical/legally-defensible-medical-resuls.html

What makes a drug test legally defensible? Any drug test performed with any specimen (urine, hair, etc) should be tested with an initial screening method and then followed up …