| Official Course Description: MCCCD Approval: 11/26/02 | |||
|---|---|---|---|
| HSE105 20032-99999 | LEC | 1 Credit(s) | 1 Period(s) |
| Beginning Medical Chart Audit/Management | |||
| Introduction to medical chart audit/management. Emphasis on industry practices, purpose and principles of documentation, and medical charting formats/styles. Practice compliance plans and compliance officers. Management of documentation inconsistencies and omissions. Fraud and abuse issues. Prerequisites: Employment in a health services setting is suggested but not required or permission of instructor. | |||
| MCCCD Official Course Competencies: | |
|---|---|
| HSE105 20032-99999 | Beginning Medical Chart Audit/Management |
| 1. | Describe medical office staff responsibilities related to the organization of medical information within a medical record. (I) |
| 2. | Describe practices that "protect" the medical record. (I) |
| 3. | Describe the purpose and principles of medical documentation. (II) |
| 4. | Explain medical record documentation practice guidelines. (II) |
| 5. | Describe formats/methods for charting medical data with review of examples. (III) |
| 6. | Discuss the development of a practice compliance plan and assignment of a compliance officer. (III) |
| 7. | Identify medical documentation inconsistencies and/or omissions requiring correction or clarification. (III) |
| 8. | Describe fraud and abuse issues and related penalties. (III) |
| MCCCD Official Course Outline: | |
|---|---|
| HSE105 20032-99999 | Beginning Medical Chart Audit/Management |
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