ExpiresJune 30, 2020
Medical Risk Management, Inc.
Most physicians can remember reading medical records and seeing entries that are questionable or don’t make sense. On occasion these entries have been made in error (i.e., the event or treatment occurred but was documented in the wrong patient’s chart). Sometimes these entries are vague or ambiguous, and sometimes they have even been made in a deliberate attempt to falsify the record. Good documentation is essential to good patient care, and that’s why this course has been developed.
Correct answers to the post-test
ABMS Member Board Approvals by Type
ABMS MOC Part II CME Activity
Allergy and Immunology
Physical Medicine and Rehabilitation
Psychiatry and Neurology
NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Know what should be documented in the medical record
Know how errors in the chart should be corrected
Understand when and how should late entries be made
Know what steps should be taken to protect the integrity of the medical record when there are multiple providers
Risk Management, EHR, Medical Record
CME Credit Type
AMA PRA Category 1 Credit
Inpatient, Outpatient, Rural, Urban
National Quality Strategies and/or Quadruple Aim Care Processes