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Q: Discuss the important role that a health care workers play in documentation, confidentiality, maintenance, and credibility of the medical record.
A: First and foremost, they document the history of examination, diagnosis and treatment of a patient. [ This information is vital for all providers involved in a patient’s care and for any subsequent new provider who assumes responsibility for the patient. In disciplinary or peer review matters, medical records can justify (or refute) the need for a particular treatment. In reimbursement and
utilization disputes, medical records can document what services were rendered and whether they were medically necessary. Medical records are the single most important evidence for the provider whenever a malpractice claim, or other inquiry, arises concerning patient care. In today’s health care environment, which now features multi-specialty care, in ever changing health care networks, and often requires consumers to transfer to different providers, the need for comprehensive, accurate medical records simply cannot be overemphasized. ]
Expert answered|Marvel2|Points 24|
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Asked 2/6/2013 1:22:31 PM
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