Documentation Standards for Medical Records

Documentation Standards for Medical Records

Documentation Standards for Medical Records

Documentation Standards for Medical Records

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DOT
This course covers the clinical team best practices for patient medical record documentation including the primary purposes and basic standards of proper medical record documentation.

COURSE INFORMATION

45 minValid for 12 monthsCreated 2019-10-30Updated 2019-10-30

Course Objectives

  • Understand the four purposes of medical documentation.
  • Identify the basic standards for documentation.
  • Implement the FACT criteria for documenting.
  • Recognize the importance of accurate documentation for legal and regulatory purposes.

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