HIM 486 Essential of Health Information Management Unit 6 Medical Record Review
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Analyze the two assigned medical charts and the assigned surgical chart. The charts can be found in “Medical Records for Review”. You will be viewing electronic medical records that were created from old paper records. The information has been “typed” into forms to make it easier for review. These are not “perfect” records, these are real records. You will find inconsistencies, inaccuracies and missing information as you work through the chart reviews. Not all records have all data elements. You will utilize all pages of the practice records provided for review.
Complete a medical chart worksheet for case numbers 6,and 10.
- Complete a surgical chart worksheet for case number 1.
Submit the worksheets through Blackboard below. Create ONE document with both medicine worksheets before submitting. Create ONE document for the surgical record before submitting.
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