MR 206 - Lab for MR 205

• become familiar with the methods of routine record keeping in alternative care settings;
• define content requirements for non-acute care records;
• define the standards of accrediting and licensing organizations;
• define the content of the medical record;
• interpret and respond to standards of licensure, accreditation, certification, and other regulatory agencies specific to alternative care records;
• define the flow and processing of clinical information for various healthcare systems;
  
  • admission/patient registration process;
  • flow of record through the medical record department; and
  • record completion processes and guidelines.
• understand the components of medical record both paper and electronic and reimbursement systems to include: ambulatory, long-term care, managed care, psychiatric and rehabilitation facilities;
• evaluate the current computer technology as it relates to chart controls, filing systems, and other record systems;
• differentiate between reimbursement systems utilized in different health care settings;
• identify the components of compliance plan;
• monitor and comply with current state and federal coding regulations;
• utilize a variety of health information resources ;
  
  • list serves;
  • journals;
  • books;
  • web sites.