Learn and understand basic medical record charting fundamentals and the impacts of HIPAA on medical chart access.
This webinar is designed to provide healthcare professionals with essential knowledge and skills in medical record documentation. This comprehensive session will cover the legal and regulatory frameworks governing medical record charting, and best practices for accurate and compliant documentation. By attending this webinar, participants will gain a deeper understanding of the components of medical record charting and learn how to navigate regulatory guidelines. The insights and practical guidance offered will enhance participants’ ability to enhance medical record charting, ensure compliance, and improve overall performance in their healthcare practices.
Learning Objectives
- You will be able to review the basics of medical record charting.
- You will be able to explain components of medical record charting.
- You will be able to discuss best practices for accurate record-keeping.
- You will be able to recognize common pitfalls to avoid.
Agenda
Understanding Medical Record Charting Basics
- Basics of Medical Record Charting
- Components of Medical Record Charting
Legal and Regulatory Requirements
- HIPAA and Medical Record Charting
- Billing and Documentation Requirements
- Necessary Documentation for Billing
- Common Pitfalls and How to Avoid Them
- Best Practices for Accurate Record-Keeping
Enhance Documentation Accuracy
- Necessary Documentation for Accurate Coding and Billing
- Common Pitfalls to Avoid
- Best Practices for Maintaining Compliant Medical Records
Speakers
Pam D'Apuzzo, CPC, ACS-EM, ACS-MS, CPMA,
VMG Health- Managing Director of Coding, Compliance and Operational Excellence (CCOE) at VMG Health
- Over 30 years of healthcare consulting experience spanning academic medical centers, community hospitals, faculty practice plans and large private practices
- Consulting experience includes all areas of practice and she is a recognized industry expert in the area of coding and compliance
- Successful record of practice management services including operational and billing review, practice assessment, practice start-up assistance, and EMR implementation
- Frequent speaker at conferences sponsored by the American Academy of Professional Coders (AAPC), American Academy of Physician Assistants (AAPA), Health Financial Management Association (HFMA), New England Healthcare Internal Auditors, Inc. (NEHIA), New York State Society of Physician Assistants (NYSSPA), Suffolk County Medical Society (SCMS) and the AAGL – Advancing Minimally Invasive Gynecology Worldwide National Summit
- Education and Certifications include: American Academy of Professional Coders (AAPC) ~ CPC, CPMA; American College of Medical Coding Specialists (ACMCS) ~ PCS ; Board of Medical Specialty Coding (BMSC) ~ ACS-EM, ACS-MS; ICD-10-CM Trainer
