Medical Record Auditor: Documentation Rules and Rationales With Exercises
Medical Record Auditor: Documentation Rules and Rationales With Exercises Books
Product Description
The new edition of “Medical Record Auditor” expands on the first edition’s foundation on the principles of medical record documentation and instructions on how to conduct a medical record audit in the physician’s or outpatient office. This resource teaches the reader to review documentation basics and format chart notes, and gives guidelines and elements required for each level of service. Tools are provided to aid in properly auditing medical minutes, as well as instruction on analyzing and reporting consequences of an audit. Application exercises and a final examination are included to test the reader’s comprehension of the material.This title includes new features such as: a CD-ROM containing all of the answers to the exercises, audit tools and report templates, auditing cases divided by specialty and PowerPoint presentations with summaries from each chapter; extensive coverage of E/M documentation and chart audits; guidelines for auditing radiology and operating room minutes; and, in rank on how to make sure medical minutes which are compliant with current set of laws.
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Although the book is more for physician’s office medical record auditing and I work for a small neurosurgical sickbay, the book is very informative and gives you an thought of what forms you need, as well as guidelines, etc. It goes into excellent detail about Medicare. I urge it. It is also honestly recent and I have found nothing comparable to it looking through books on the theme.
Rating: 4 / 5