Reference no: EM134044205

Question

Fogelman and Lamb (n.d.) state, "Medical documentation is any written or electronically generated information about a patient that describes the care or service provided to that patient." Though most healthcare practitioners have implemented electronic health records, there are still a few holdouts. Regardless of paper or EHR, we still have to determine what is appropriate medical documentation. Unit 2 discusses general documentation requirements that apply to paper and electronic medical records. AHIMA discusses legal guidelines for handling corrections, errors, omissions, and other documentation problems in AHIMA's Long-Term Care Health Information Practice and Documentation Guidelines. The legal guidelines include: Proper Error Correction Procedure Handling Omissions in Documentation Making a Late Entry Entering an Addendum Entering a Clarification Omissions on Medication, Treatment Records, Graphic and Other Flowsheets Documenting Care Provided by a Colleague Resident Amendment to their Record Choose a guideline from AHIMA's guidelines list and find a recent article (no older than 2015) that discusses your chosen guideline. Then provide the following: Title of Article Author's Name (if present) and date of the article Summarize your chosen guideline and your article Does your guideline or article cover do's and don'ts? If so, explain the dos and don'ts. You can use the.