Fundamentals of the legal health record

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Assignment:

Review the AHIMA Practice Briefs: Fundamentals of the Legal Health Record and Designated Record Set and Integrity of the Healthcare Record: Best Practices for EHR Documentation

Describe the following in your essay:

? The legal health record

? The HIPAA designated record set

? Best practices in documentation to support regulatory compliance. Deliberate the following in your essay:

? the role of the physician

? the role of Health Information Management team

? the role of the Clinical Documentation Improvement Specialist in compliance with these Medicare Conditions of Participation (CoPs).

Reference no: EM133462683

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