Record Keeping Course Agenda

Medical Record Keeping Course Agenda

You can also get this document as a PDF

MONDAY

7:30 am: Registration
8:00 – 10:15 am:
  • Pre-Test.
  • Introduction.
  • Purposes of patient record documentation.
  • Documentation and the law of evidence.
  • Deficient records.
  • Content of the patient records.
  • Other information that should be documented.
  • Technical issues in documentation.
10:15 – 10:30 am: BREAK

10:30 am – 12:30 pm:

  • Electronic health records.
  • Documenting discussions with patient and/or family.
  • Records that show fulfillment of legal obligations.
12:30 – 1:30 pm: LUNCH ON YOUR OWN

1:30 – 3:30 pm:

  • Record keeping errors that increase liability risk.
  • Documentation in situations requiring increased caution.
3:30 – 3:45 pm: BREAK

3:45 – 5:00 pm:

  • Documenting frequently litigated conditions.
5:00 – 6:00 pm:
  • Medical record workshop with analyses of submitted
  • records.
6:00 pm: ADJOURN

 

TUESDAY

8:00 – 10:15 AM:

  • Undermining the credibility of the records.

10:15 – 10:30 AM: BREAK

10:30 AM – 12:30 PM:

  • Undermining the credibility of the record keeper.
  • Maximizing reimbursement while minimizing the risk of fraud and abuse accusations.
  • Medical record confidentiality.

12:30 – 1:30 PM: LUNCH ON YOUR OWN

1:30 – 3:30 PM:

  • Confidentiality when contacting the patient.
  • Release of medical records with authorization.
  • Release of medical records without authorization.

3:30 – 3:45 PM: BREAK

3:45 – 5:00 PM:

  • Patients’ access to their own records.
  • Post-test.

5:00 – 6:00 PM:

  • Medical record workshop with analyses of submitted records.

6:00 PM: ADJOURN