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Guidelines for Medical Record Documentation

    https://www.ncqa.org/wp-content/uploads/2018/07/20180110_Guidelines_Medical_Record_Documentation.pdf
    Commonly Accepted Standards for Medical Record Documentation 1. Each page in the record contains the patient’s name or ID number. ... There is no evidence that the patient …

The Key to Maintaining Medical Records | Smartsheet

    https://www.smartsheet.com/medical-records-management
    An EMR is an electronic medical record and an EHR is an electronic health record. Both can be a part of medical records management. An EMR is usually a record within a single provider’s …

Medical Records Management: Everything You Need to …

    https://www.accesscorp.com/blog/medical-records-management-overview/
    What is Medical Records Management? Medical records management refers to a system of procedures and protocols …

5 Essential Records Management Procedures - VRC

    https://vitalrecordscontrol.com/resources/records-management/records-management-procedures/
    Set-up a Records Retention Schedule. Today’s increasingly digital environment is fast …

Electronic Health Records | CMS

    https://www.cms.gov/Medicare/E-Health/EHealthRecords
    Electronic Health Records. An Electronic Health Record (EHR) is an electronic version of a patients medical history, that is maintained by the provider over …

Home - Centers for Medicare & Medicaid Services | CMS

    https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CERTMedRecDoc-FactSheet-ICN909160.pdf
    Home - Centers for Medicare & Medicaid Services | CMS

VHA Directive 1907.01, VHA Health Information …

    https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235
    d. Moving HIM program procedures includin VHA Handbook 1907.01ed , Health Information Management and Health Records, dated March 19, 2015, to VHA HIM program guide …

The Medical Record | Manual - Risk Management

    https://www.ihs.gov/riskmanagement/manual/manualsection05/
    Remember, the patient's record is both a medical and legal document; make it work for the benefit of the patient and the medical staff. 1 The Joint Commission's National Patient …

Records Management Regulations, Policy, and Guidance

    https://www.archives.gov/records-mgmt/policy
    The Records Management Policy and Outreach Program, under the Office of the Chief Records Officer for the U.S. Government, is responsible for developing …



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