Understand the issues and charting errors that may arise with and how to prevent inaccurate records.
More than ever before, patients are involved in and curious about their medical care. With electronic medical recordkeeping, patients can review their medical record, including test results and imaging, electronically and quickly. While this access allows patients to take a more active role in their healthcare, it also creates additional pressure on providers to document patient encounters and results accurately. This program will review the consequences of inaccurate records, best practices, and the use of technology in reviewing medical records. The presenting attorney will use real life examples from their practice to demonstrate the importance of strong documentation practices and the big consequences of small mistakes.
Learning Objectives
- You will be able to identify resources to help guide your practice or organization towards better compliance and best practices with maintaining records.
- You will be able to recognize potential documentation issues in your own practice and organization
- You will be able to discuss the future of medical documentation
- You will be able to review ways to prevent inaccurate records.
Agenda
Overview of Preventing Inaccurate Records
Consequences of Inaccurate Records
- Consequences of Inaccurate Records on Patient Health
- Privacy Consequences of Inaccurate Records
- Legal Consequences of Inaccurate Records, Including Adverse Actions by Professional Licensing Boards, Litigation, and Administrative Enforcement
- Professional Consequences of Inaccurate Records
- Where to Find the Laws and Resources That Can Impact You and Your Organization
Medical Record Best Practices
- How to Properly Document Patient Care, Including What to Include in the Record, What to Leave out of the Record, and How to Appropriately Document Corrections or Patient Requests for Amendment
- Best Practices When Using an Electronic Health Record System, Including Security Considerations, Common Pitfalls, and Audits
AI in Medical Records - the Future of Medical Records?
- Overview of Use of AI in Medical Records Review
- Benefits of AI Review
- Risks of AI Review
Speakers
Margaret K. Gray,
Messner Reeves- Associate at Messner Reeves
- Healthcare attorney with extensive experience assisting physicians, healthcare professionals, mental health providers, and healthcare entities
- Combines litigation, compliance, and corporate expertise in representing clients
- Handles matters related to professional licensing boards, state and federal investigations, and healthcare litigation
- Provides advice to healthcare providers on individual patient concerns and maintaining compliance with state and federal regulations
- Former senior consultant at IBM with a background in risk and knowledge management
- Passionate about educating medical and mental health professionals on the legal considerations of their practices and invited to speak on the subject to several student and professional groups
Who Should Attend
This live webinar is designed for medical records directors, health information directors, coders, business managers, office managers, nurses, physicians, hospital administrators, compliance managers, and attorneys.
