Medical Records
Good documentation is your best defense in a claim or lawsuit. Read about best practices in medical record documentation.
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Risk alert: Medical records phishing scams
Review records requests for signs of fraud
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Medical record FAQs
Answers to your questions about the release, retention, and allowable charges for copies of medical records
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Treating minors in Texas: Answers to your questions
Physicians must balance parental rights, a minor’s autonomy, and the law.
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Q&A on medical record privacy and security
Requirements for physicians under state and federal laws
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Setting the record straight: Dispelling 10 common medical record myths
The rules that govern medical records can be complex and confusing.
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Case briefs — HIPAA
Case studies about violations of HIPAA privacy rules.
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TMLT Closed Claims: Documentation Errors
Learn how good documentation practices can make it easier to defend a physician’s actions in the event of a claim.
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Reporter Q2 2022
CME (2-hour): Electronic medical records; Wearable health technology; Medications: Common risk management issues; Failure to monitor medication and order testing; Delay in treating stroke
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Guidelines for the release of medical records
A how-to guide for medical record release
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Potential pitfalls: Risk management for the EMR
Documentation pitfalls related to EMRs and how to avoid them.
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Managing medical record release for children and young adults
A discussion of releasing the medical records of children and young adults, especially those in college.
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Texting patients while staying HIPAA compliant
How to text patients and colleagues without violating the Health Insurance Portability and Accountability Act.
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Good documentation never goes out of style
Times change, but the advice stays the same
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Request onsite HIPAA training from TMLT staff certified in health care privacy compliance.
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How to dispose of storage devices containing PHI and other sensitive data
Improper disposal of electronic devices increases the risk of a breach.
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Clearing up the confusion: Charging your patients for medical record copies
A brief description of federal and Texas rules for charging for copies of medical records.
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Improper prescribing following surgery
A 43-year-old man came to the emergency department (ED) on August 21 with sudden epigastric pain radiating to his back with severe nausea and vomiting.
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Failure to manage postpartum symptoms
Following a normal prenatal course, 30-year-old woman went into labor at 39 weeks.
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Medical record regulations in Texas
The basics of documentation for Texas physicians
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Common malpractice allegations
And how to avoid them
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Top 10 risk management recommendations
Guidance from TMLT risk management professionals
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