Legal Aspects of Medical Records

Legal Aspects of Medical Records
Author: Emanuel Hayt
Publisher:
Total Pages: 408
Release: 1964
Genre: Confidential communications
ISBN:

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For the medical record librarian,and also hospital trustees and physicians.

Medical Legal Aspects of Medical Records: Foundations of Medical Records

Medical Legal Aspects of Medical Records: Foundations of Medical Records
Author: Patricia W. Iyer
Publisher: Lawyers & Judges Publishing Company
Total Pages: 393
Release: 2010
Genre: Law
ISBN: 9781933264790

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Medical Legal Aspects of Medical Records, Second Edition is the reference of choice for cases involving medical records and their use. The book has been divided into two volumes for ease of finding the information you need. Both volumes have been updated to give you the latest information, as recent changes in legislation and technology have changed the medical records process. The authors have designed this work to give extensive information on the HIPPA policies, standards initiatives, legal use of records, billing and coding, and computerization of records and record keeping systems and how they apply in forensic situations.Use Volume I to get a comprehensive overview of the medical records process. In any health care situation, records are made, and each situation presents its own unique aspects and challenges. This book explores the many aspects of medical records that apply across all specialties. It is specially designed to complement Volume II.Use Volume II for in-depth information on many clinical specialties. This book informs you of the specific nature of clinical specialty records and hospital areas of specialty are covered, including chapters on dental, chiropractic, nursing home, pediatrics, medication, and home care. It is specially designed to complement Volume I. Used jointly, these two Volumes are a powerful tool for your practice and are exceptionally valuable to all those in the legal profession or in law enforcement who deal with medical records on a regular basis.

The Medical-Legal Aspects of Acute Care Medicine

The Medical-Legal Aspects of Acute Care Medicine
Author: James E. Szalados
Publisher: Springer Nature
Total Pages: 694
Release: 2021-04-02
Genre: Medical
ISBN: 3030685705

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The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a comprehensive resource intended to provide a state-of-the-art overview of complex ethical, regulatory, and legal issues of importance to clinical healthcare professionals in the area of acute care medicine; including, for example, physicians, advanced practice providers, nurses, pharmacists, social workers, and care managers. In addition, this book also covers key legal and regulatory issues relevant to non-clinicians, such as hospital and practice administrators; department heads, educators, and risk managers. This text reviews traditional and emerging areas of ethical and legal controversies in healthcare such as resuscitation; mass-casualty event response and triage; patient autonomy and shared decision-making; medical research and teaching; ethical and legal issues in the care of the mental health patient; and, medical record documentation and confidentiality. Furthermore, this volume includes chapters dedicated to critically important topics, such as team leadership, the team model of clinical care, drug and device regulation, professional negligence, clinical education, the law of corporations, tele-medicine and e-health, medical errors and the culture of safety, regulatory compliance, the regulation of clinical laboratories, the law of insurance, and a practical overview of claims management and billing. Authored by experts in the field, The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a valuable resource for all clinical and non-clinical healthcare professionals.

Legal Aspects of Documenting Patient Care

Legal Aspects of Documenting Patient Care
Author: Ronald W. Scott
Publisher: Jones & Bartlett Learning
Total Pages: 248
Release: 2000
Genre: Business & Economics
ISBN: 9780834216303

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This Second Edition Of Our Easy-To-Use Reference Takes A Risk Management Approach To Patient Care Documentation. It Shows Clinicians From A Wide Variety Of Disciplines How To Be Objective, Precise, Unambiguous, And Timely When Documenting Treatment-Related Matters. The Content Is Written In Straightforward Lay Language And Includes Sample Documentation Forms. The New Edition Includes Information On Computerized Documentation; Coverage Of Telehealth Issues; Updates On JCAHO, CARF, And NCQA Accreditation; And Documentation Problems Specific To Non-Hospital And Managed Care Settings.

Effective Documentation for Physical Therapy Professionals

Effective Documentation for Physical Therapy Professionals
Author: Eric Shamus
Publisher: McGraw-Hill Medical
Total Pages: 276
Release: 2004
Genre: Medical
ISBN:

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This is a comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current APTA terminology and covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. (Midwest).

The Computer-Based Patient Record

The Computer-Based Patient Record
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 257
Release: 1997-10-14
Genre: Medical
ISBN: 0309175348

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Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.

Legal Aspects of Health Information Management

Legal Aspects of Health Information Management
Author: Dana C. McWay
Publisher: Cengage Learning
Total Pages: 328
Release: 1997
Genre: Law
ISBN:

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This textbook introduces the legal principles pertinent to the health care field. Written by a lawyer, the book addresses the principles of liability, patient records requirements, confidentiality and informed consent, medical records as evidence, HIV information, and the security of computerized patient records. The second edition adds a chapter on health care fraud and abuse. Annotation c. Book News, Inc., Portland, OR.

Legal Aspects of Documenting Patient Care for Rehabilitation Professionals

Legal Aspects of Documenting Patient Care for Rehabilitation Professionals
Author: Ronald W. Scott
Publisher: Jones & Bartlett Learning
Total Pages: 214
Release: 2006
Genre: Medical care
ISBN: 9780763730468

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Because communication among health care professionals can mean the difference between patient life and death, clear and effective patient care documentation is as important as the delivery of care itself. The rehabilitation professional faces formidable documentation responsibilities. Patient care documentation created by the rehabilitation professional must be accurate, comprehensive, concise, objective, and timely. In an interdisciplinary health care environment, documentation must also be expeditiously communicated to other professionals on the health care team.

Medical Records and the Law

Medical Records and the Law
Author: William H. Roach
Publisher: Jones & Bartlett Learning
Total Pages: 613
Release: 2006
Genre: Business & Economics
ISBN: 0763734454

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Published in conjunction with the American Health Information Management Association (AHIMA), the Fourth Edition of Medical Records and the Law is once again the ideal text for programs in HIM as well as a valuable reference resource for health professionals and those in the legal profession. Providing a useful resource to those in the legal profession, it addresses the substantial changes brought about by HIPAA and the growth of electronic health record systems and electronic data networks, retaining and updating the discussion of state laws affecting the use and disclosure of health informat