Medicine has entered the digital age with electronic medical records and e-prescriptions. When you need to understand and use medical records in a case, not only must you go through the machinations to retrieve those records in view of HIPAA and other invasion of privacy mandates, but you must also translate their contents—a daunting task hampered by jargon, abbreviations, unfamiliar word usage and various digital formats.
Saving you hours of extensive research in medical terminology and years of practice reading records, Professor Sam Hodge greatly simplifies the process for you in this book. He shows you how to make the retrieval process easier and how to organize the records, and he shares with you his very own methods and tricks for understanding medical terminology and jargon. He focuses on electronic medical records and teaches you how to understand this format and determine if the records have been altered.
Table of Contents
- Medical Records in the Digital Age
Medical Records
Topics
Why are medical records maintained?
Medical Codes
Ethics
Medical Records
The Health Insurance Portability and Accountability Act (HIPAA)
Fee structure for what health care providers can charge
Destruction of records?
Time to produce the records
Outsourcing records to be copied<
Cost for the records under the various federal legislations
Pharmacy records
Illegible records
Ownership of medical records
Litigation tips
Common abbreviations
Eye glasses
Medical Terms
Joint Commission on Accreditation of Health Care Organizations
Organization of medical records
Retention of Medical Records
Medical Research
- Appendix: Understanding Medical Records in the Twenty-First Century