Week 8- Medical Record MGMT Flashcards
in nys, records must be maintained __ yrs after last visit
3yrs
for clients first visit (or new pet) they should be asked to arrive __ minutes early
15 min early (to fill out or update client/patient info form)
purpose of consent and release forms
clarify info to client ab treatment/rechecks, help comply w doctrine of informed consent
signed and dated by cleint
what is the doctrine of informed consent
requirment that info myst be plainly conveyed to clients
when is it recommended inpatient data from PSTs (patient service trackers) be entered into computer
end of each day or at least start of following day
owners w multiple animals are grouped together but each animal has separate_____
medical records
records are stored in reverse chronological order which means
most recent records should be on top
most common filing method
alphabetical
misfiling is most common in what filing method
alphabetical
who owns the medical records
the clinic (NOT the owner)
when must the practice release a copy of a medical records
owners written and signed request