Revenue Cycle

Joint Commission quarterly update: Medical record documentation guide and medical record reviews

HIM Briefings, April 1, 2016

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Our readers have been asking for an updated medical record documentation guide, and here it is?new and improved! The guide provides references to the associated CMS Conditions of Participation and new and revised standards and elements of performance (EP). A recent Joint Commission column discussed ongoing record reviews and the continued focus of Joint Commission surveyors related to documentation in the medical record. The guide takes the Record of Care, Treatment, and Services chapter and breaks it down into an easy-to-use tool for comprehensive record reviews by topic.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to HIM Briefings.

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