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Live Webinar

90-minute live streaming program
  • August 6
  • 1:00 - 2:30 pm EST

Best Practices for Reading and Understanding Different Parts of a Medical Record

August 6

Gain a better understanding of medical records and what types of information they contain.

This topic will help you be able to organize, read and understand the information contained in various parts of the medical record in an efficient manner. You will be able to identify the forms in which medical records are contained as well as the contents of medical records. The material will help you with organizing medical records as well as how to understand each part of the medical record. Finally the information will help you be able to systematically follow the admission process, diagnosis, treatment(s) and discharge of clients.

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Why Lorman?

Over 33 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

What Is Included in a Medical Record?
  • Defining Medical Record
  • Types of Medical Records
    • EHR
    • Paper
Parts of the Medical Record and Contents
  • Progress Note
  • Nurses Notes
  • Lab
  • Radiology
  • MDS
  • Orders
  • Medication Administration
  • Behavior Documentation Sheet
Best Practices
  • Organize Each Section by Date or Month
  • Review/Verify Any Changes of Medication/Treatment With the Medication Administration Sheet (Compliance/Billing Issues)
  • Check Lab Results With Normal Results
  • Look for Documentation in Progress, Nursing and Medication Administration Sheet for Effectiveness of Any Change and or Compliance With Medication, Therapy, Behavioral Approaches or Treatments
  • Review MDS/ADL Notations for Consistency in Overall Assessments
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Why Lorman?

Over 33 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

Live Webinar Registration

  • ACHE 1.5
     
  • The American College of Healthcare Executives no longer pre-approves courses or organizations. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification. ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide educational programming in healthcare management. Programs may be sponsored by ACHE, chapters or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.).
     
  • AHIMA 1.5 including Informatics, Analytics, and Data Use 1.5
     
  • This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
     
  • HFMA 1.5
     
  • This course is approved by HFMA for certification maintenance of continuous educational points and will equal 1.5 points of classroom instruction.
     

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

Who should attend?

This live webinar is designed for medical records directors, health information directors, coders, business managers, office managers, nurses, hospital administrators, billing managers, social workers, counselors, release of records professionals and compliance managers.

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Why Lorman?

Over 33 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

Theresa McCoy, RN, B.S.N., J.D.

Theresa McCoy, RN, B.S.N., J.D.

Health Law Compliance & Service

  • Attorney, legal nurse consultant, professional nurse and CEO of Health Law Compliance & Service
  • Practices personal injury, insurance and contract law, civil claims, litigation, administrative hearings and as a workers’ compensation attorney
  • Evaluates medical records, billing/treatment related to injuries, and pre-litigation case evaluation
  • Consultant to personal injury attorneys, preparation of deponents for personal injury related deposition
  • J.D. degree, Howard University School of Law; B.S. degree, Howard University College of Nursing
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Why Lorman?

Over 33 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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Product ID: 407618
Published 2020
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