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Documentation for Medical Assistants, Part 2: Legal and Administrative Considerations

Accurate and timely documentation is one of the key responsibilities of medical assistants. They are in contact with people of all ages, backgrounds, and health conditions while providing care. Whether electronically or in print, the recording of a patient's condition, treatment and response to treatment, provides the crucial information needed by each members of the patient s healthcare team, and is the legal record of the care provided.

Duration 14 min
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PRICE:  $0.00

Accurate and timely documentation is one of the key responsibilities of medical assistants. They are in contact with people of all ages, backgrounds, and health conditions while providing care. Whether electronically or in print, the recording of a patient's condition, treatment and response to treatment, provides the crucial information needed by each members of the patient’s healthcare team, and is the legal record of the care provided.

This two-part series provides medical assistants with an understanding of the importance of accurate and objective charting in order to assist the patient's continuing care and of the legal and administrative considerations related to healthcare documentation.

Overview

This program will examine some of these legal and administrative functions of documentation, including complying with the federal patient privacy requirements found in HIPAA.

After completing this course, the learner should be able to:
  • Describe strategies that can be used to prevent errors in documentation
  • Describe expectations regarding client information
  • List information that medical assistants are mandated to report
  • Explain HIPAA’s general rule rule about sharing client information
  • Describe strategies that can be used to ensure information is kept confidential
Products Specifications
Formats Available DVD
Duration 14 min
Supporting Materials
Language English
Languages Available English
Copyright 2013