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Aug 6th, 2022
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How to Link character in the Release of Medical Information

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[Music] [Applause] [Music] everyone on this episode of cunning with Kate I wanted to talk about working in medical records and I only wanted to discuss this topic because I received a comment someone was asking what its like to be a health information clerk medical records technician medical records clerk that sort of thing what you all do in medical records just a snapshot and overview and I know I talked about this before in update videos where I sprinkled some information in there Ive touched on specific topics in each video but I dont have one video that discusses everything altogether so today I wanted to go through all of that and I think its good information because then you will have an idea of what its like being in medical records what you will learn what you will do and then you can get an idea of what other things you need to be doing to either get into medical coding that are covered in medical records or if your dream job is to be in medical records in some capacity

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The patients legal name, date of birth, gender, Social Security number, address, telephone number, guarantor, subscriber, or next-of-kin are key identifying elements that assist in establishing the proper individual.
Phase 1: Recording, Tracking and Verifying the Request. Phase 2: Retrieving Your PHI. Phase 3: Safeguarding Your Sensitive Information. Phase 4: Releasing Your PHI. Phase 5: Completing the Request and Preparing an Invoice.
They should include: 1) All relevant clinical findings. 2) A record of the decisions made and actions agreed as well as the identity of who made the decisions and agreed the actions. 3) A record of the information given to patients. 4) A record of any drugs prescribed or other investigations or treatments performed.
12-Point Medical Record Checklist : What Is Included in a Medical Patient Demographics: Face sheet, Registration form. Financial Information: Consent and Authorization Forms: Release of information: Treatment History: Progress Notes: Physicians Orders and Prescriptions: Radiology Reports:
Updated August 04, 2022. The medical record information release (HIPAA) form allows a patient to give authorization to a 3rd party and access their health records.
A release of information is a document that gives a consumer the opportunity to decide what material they want released from their medical file, who they want it delivered to, how long the data can be issued, and under what statutes and guidelines it is released.
I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested, e.g. medical history form you provided; physician and nurses notes; test results, consultations with specialists; referrals.]
If the patient is not available or incapacitated, or if an emergency circumstance exists, the provider may, in the exercise of professional judgment, determine whether the disclosure is in the best interests of the patient, and if so disclose that information relevant to that persons involvement in the patients

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