Registered Health Information Administrator

A quality improvement team is focusing on the unacceptable number of unsigned doctors order sin your facility. The most effective method for increasing the time...

Before making recommendations to the Executive Committee regarding new physicians who have applied for active membership, the Credentials Committee must query t...

A qualitative analysis of OB records reveals a pattern of inconsistent data entries when comparing documentation of the same data elements captured on both the...

Medicare rules state that the use of verbal orders should be infrequent and used only when the orders cannot be written or given electronically. In addition, ve...

The lack of a discharge order may indicate that the patient left against medical advice. If this situation occurs, you would expect to see the circumstances of...