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Practical Tips to Avoid Legal Liabilities Associated with Medical Records

How to use tools to improve clinical documentation to avoid any legal liabilities associated with medical privacy.

Many providers are generally aware of the benefits associated with good clinical documentation, but they are worried about employing tools to encourage physicians to exercise better recording habits and to promote accuracy. Using "Clinical Documentation Specialists" or "Scribes" is more common than it was 5 years ago, but compliance concerns remain and must be understood. Healthcare organizations struggle to define and compile record sets, especially now that the type of media on which information is recorded and the use of EHRs are expanding. Multiple privacy laws applicable to medical records complicate the production of medical records. This topic will provide information to providers, executives, and HIM professionals to help them navigate the compliance issues associated with using tools that promote better documentation and to prepare for challenges. Participants will also hear about how to tailor record sets appropriately and to their best advantage, and how to deal with concerns under various regulatory schemes. Understanding these issues is critical to enhancing effectiveness, passing audits with flying colors, and ultimately, increasing revenues.

89 minutes
Course Exam
Certificate of Completion
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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Clinical Documentation

  • Getting Physicians to Cooperate
  • Using Clinical Documentation Specialists or Scribes
  • Giving Coders What They Need

What Must or Should Be Included ...

  • In the Legal Record
  • In the Designated Record Set
  • In the Records You Provide Your Attorneys When You Are Seeking Reimbursement

How to Deal With Privacy Concerns

  • Under HIPAA
  • Under the Privacy Act of 1974
  • Under the Confidentiality of Alcohol and Drug Abuse Patient Records
  • Under Occupational Safety and Health Administration Requirements
  • Under State Laws and Other Regulations
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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Course

This course was last revised on May 19, 2016.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Marcia L. Augsburger

Marcia L. Augsburger

King & Spalding LLP

  • Partner in the health care practice at King & Spalding LLP, one of the top 12 firms on GCs’ Short Lists according to Law360
  • Certified in health care privacy compliance and extensive experience as privacy compliance officer and counsel to numerous providers and other health care organizations
  • More than 27 years of experience advising clients and handling compliance investigations, complex business disputes, class actions, and administrative hearings involving health care regulatory and business issues
  • Represents various health care-related entities, including hospital systems, mobile app developers, cloud and EHR vendors, and other health care providers
  • An arbitrator for the American Health Lawyers Association Alternative Dispute Resolution Service
  • Guest lecturer at the UC Davis School of Law and has spoken and published extensively on complex litigation and civil discovery, health care fraud and abuse, health care reform, HIPAA and HITECH, consumer-directed health care and wellness programs, women in the law, and other legal and business subjects
  • Named a California Super Lawyer every year since 2009
  • Can be contacted at 916-505-7091 or [email protected]
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Why Lorman?

Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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All of your training, right here at Lorman.

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Product ID: 395829
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