Use this book 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 covers most medical and hospital areas of specialty, and also includes chapters on dentistry, chiropractic care, nursing homes, medications and home care. It also covers forensic issues in medical records, including examination of records and medical records obtained as part of forensic examination or autopsies.
 

Generation and preservation of medical records

Legal aspects of charting

Creation and maintenance of records in the nursing process

Charting systems

Computerized records

Billing and coding

HIPPA regulations

Standards Initiatives in medical records

Obtaining, organizing and analyzing records

Inpatient and outpatient specialty areas

Tampering with medical records

Forensic and autopsy records

Forensic examination of medical records

Attorney use of medical records