C810 - Key Words Glossary / Sure A
Provider needing access to medical record - Availability Hospital meaningful use eligibility - Ensure EHR certification Extensive social services documentation - Behavioral Health Keep the original entry, enter the correct information, and sign/date the change - Correcting documentation errors EHR - Primary data source Within how many days prior to admission must the H&P be performed and within how many hours must the H&P be placed in the patient's record after admission? - 30 days; 24 hours Documentation of symptoms in the H&P - History of Present Illness Completed discharge summary post discharge - 30 days
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c810 key words glossary sure a