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Best Practices in Record Completion

Best Practices in Record Completion

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by Cindy Doyon, R.H.I.A.

Completion of hospital and office (clinic) medical records is one of the least popular of clinicians? duties. Adherence to Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirements and submission of hospital and provider bills to insurers and patients, however, are predicated on patient charts being completed and signed in a timely manner.