Health Information Management

Build dialogue with physicians to combat incomplete records

HIM-HIPAA Insider, June 9, 2009

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Interview physicians regularly—either on the patient-care floor, during medical staff meetings, or while they are completing their records in your department. This will help you gain input into improving the process. For example, one interview may reveal that a physician would prefer the record completion area to have a small copier so he or she could copy progress notes and take them to his or her office billing staff. Once the copier is installed, it may be an inducement for the physician to stop by that area to complete his or her notes while copying records.

Editor’s note: This tip was adapted from HCPro’s book More With Less: Best Practices for HIM Directors, Second Edition.



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