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Hcr/220

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Week 2 Checkpoint

Different standards of medical records documentation have different compliance plans that correspond to them. Staff members must follow all billing rules and medical facilities have to be certain that this is taking place. When filing medical records they have to be accurate: they have to contain the patient’s conditions and diagnoses, and they must trace the patient’s course of care, also they have to have the patient medical history, including family history. Medical records of patients are legal documents; physicians may use them in their defense if they are accused of improperly treating patients. Doctors have to provide documentation for the reasoning behind treatment decisions as a means of protection from lawsuits. This has to be done because it helps prevents lawsuits for malpractice. When the medical facility has rules and compliance plan in place, they have showed that they are committed to finding and preparing any types of weak spots in their management. Some of the areas that are helped when compliance plans are place are: making sure your employees are educated and trained for their position, by doing this is helps prevent future problems in the work place and avoid any type of legal action that can be taking against them. Not just the coding and billing are covered in the compliance plans; every area of government regulation of medical practices is coved as well. The medical billing process has ten different steps that re connected to the records, documentation standards, and compliance plans. These steps help make sure that the compliance plan is in place and th that they are reviewing it in every step. The steps of preregistration of patients, establishment of financial responsibility for medical care received, and the admission and discharging of patients are all connected to the area of medical records. The preparation and transmittal of claims, the monitoring of payer adjudication, the generating of patient statements, and the follow up on patient payments and claims handling are all connected to documentation standards.

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