Registered Health Information Administrator

In an acute care facility, the responsibility for education physicians and other health care providers regarding proper documentation policies belongs to the

For inpatients, the first data item collected of a clinical nature is usually

Documentation found in acute care health records should include core measure quality indications required for compliance with Medicares Health Care Quality Impr...

One record documentation requirement shared by BOTH ascute care and emergency departments is

In addition to diagnostic and therapeutic orders from the attending physician, you would expect every completed inpatient health record to contain