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Author:
Grider, Deborah J., author.
Title:
Medical record auditor : a guide to improving clinical documentation in a changing health environment / Deborah J. Grider.
Edition:
Fourth edition.
Publisher:
American Medical Association,
Copyright Date:
2015
Description:
xx, 664 pages : illustrations ; 28 cm
Subject:
Medical records--Management.
Medical records--Problems, exercises, etc.
Forms and Records Control--methods.
Medical Audit.
Medical Records--standards.
Medical records.
Medical records--Management.
Problems and exercises.
Other Authors:
Vermazen, Vicki -- Memorial Bookplate Recipient IaU
American Medical Association, issuing body.
Notes:
Includes bibliographical references and index.
Contents:
The role of the medical record auditor -- Compliance in the medical practice -- Regulatory guidance -- Documentation basics -- The medical record -- Clinical documentation improvement -- Auditing fundamentals -- Auditing evaluation and management services -- Auditing the office medical record -- Evaluation and management audit case study exercises in the office setting -- Evaluation and management audit case study exercises in the hospital setting -- The surgical medical record -- Auditing diagnostic radiology services and physical therapy professional services.
ISBN:
1622021010
9781622021017
OCLC:
(OCoLC)915153003
LCCN:
2015452849
Locations:
OVUX522 -- University of Iowa Libraries (Iowa City)

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