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3.2.1: MEDICAL RECORDS – Documentation, Electronic …

    https://www.ncmedboard.org/resources-information/professional-resources/laws-rules-position-statements/position-statements/medical-records-documentation-electronic-health-records-access-and-retentio
    Author identification may be a handwritten signature, initials, or a unique electronic identifier. All drug therapies are listed, including dosage instructions and, when appropriate, indication of refill limits. Prescription refills should be recorded. Encounter notes should include …

Records Management and Documentation Manual

    https://www.ncdhhs.gov/divisions/mental-health-developmental-disabilities-and-substance-abuse/policies-and-procedures/records-management-and-documentation-manual
    Some chapters have been merged or topics have been consolidated (e.g., Chapters 5 (Medical Necessity and Service Orders) & 6 (Service Authorizations). Please …

NCMB guide aims to assist with mandatory reporting …

    https://www.ncmedboard.org/resources-information/professional-resources/publications/forum-newsletter/article/ncmb-guide-aims-to-assist-with-mandatory-reporting-requirements
    To help licensees comply, the NC Medical Board has compiled a comprehensive guide to mandatory reporting requirements.Thanks to Medical Mutual …

NC DHHS: Reporting Requirements

    https://www.ncdhhs.gov/providers/provider-info/mental-health-development-disabilities-and-substance-abuse-services/reporting-requirements
    NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000. Customer Service Center: 1-800-662-7030 Visit RelayNC for …

RECORDS MANAGEMENT AND - NC

    https://files.nc.gov/ncdhhs/RMandDM%203rd%20Edition%209-1-16.pdf
    RECORDS MANAGEMENT AND DOCUMENTATION MANUAL For Providers of Publicly-Funded Mental Health, Intellectual or Developmental Disabilities, and Substance Use …

NC DPH: Communicable Disease Surveillance & Reporting

    https://epi.dph.ncdhhs.gov/cd/report.html
    For most reportable communicable diseases, cases are reported to the local health department through a number of mechanisms, including direct communication like …

§97-25.6. Reasonable access to medical information - NC

    http://www.ic.nc.gov/ncic/pages/statute/97-256.htm
    (a) Notwithstanding any provision of G.S. §8‑53 to the contrary, and because discovery is limited pursuant to G.S. §97‑80, it is the policy of this State to protect the employee's …

NC DHSR HPCR: Reporting Allegations to N.C. Health …

    https://info.ncdhhs.gov/dhsr/hcpr/flohcinv.html
    Reporting to the Health Care Personnel Registry (HCPR) Investigations Branch. Health care facilities must report allegations to the HCPR in writing. Reports may be faxed to …

Recording and Reporting | NC DOL - North …

    https://www.labor.nc.gov/recording-and-reporting
    OSH has adopted the following standards which are applicable to recording and reporting in North Carolina. ... to 5 p.m.), call 1-800-625-2267 or 919-779-8560. After …

North Carolina Medical Records Laws - FindLaw

    https://www.findlaw.com/state/north-carolina-law/north-carolina-medical-records-laws.html
    What Privileges Apply to Medical Records? Physician (§8-53), except in cases of alleged child abuse (§8-53.1) Physicians, lab directors and local health directors …



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