Answer questions separately
Medical Records Policy: Part I
Develop Part I of the Medical Records Policy that focuses on the maintenance of medical records. In this section, you should consider things such as the following:
- the contents of a medical record (i.e., what information goes in a record)
- guidelines for properly making an entry in a medical record (i.e., how to do so, how to make a correction, etc.)
Medical Records part II
develop Part II of the Medical Records Policy. In this section, you should consider issues such as the following:
- ownership of the medical record
- policies/procedures for the release of records
- ways to maintain confidentiality (include any major laws that govern this)