May 22 2017. There are also a myriad of other reasons that a comprehensive medical record, that includes a detailed history and physical, progress notes, and consults, is vital. These HIM staff members need specific training, of course. Coding is an important step required to submit medical claims with insurers and bills for insurers and patients. Challenges Associated with Information Gathering and Distribution If a patient cannot remember or is unsure of their current medications, a maintained medical record can provide this information to … A medical record is crucial to the defensibility of a case; occasionally it can be the biggest hurdle. The Importance of Accurate Medical Records. While a good many folks tend not to think about it, medical records management is a vital function. … It states that nurses ‘must ensure that the health care record for the patient or client is an accurate account of treatment, care planning and delivery. Medical records management is the part of records management that relates to the operation of a healthcare practice. Clinical records also provide data for use in audit and research. Thanks to technological innovation, more and more healthcare facilities are now adopting the use of electronic health records (EHRs). Achieving Data Integrity and Accuracy in the Electronic Health Record (EHR) Here, we discuss the importance of data accuracy and how health systems can better ensure actionable intelligence at the point of care. Methodical records of symptoms, diagnoses and treatments will greatly benefit the next healthcare professional involved and more importantly benefit the patient The number one reason why accurate, up-to-date medical records are important: THEY CAN SAVE LIVES . As a healthcare professional, you should understand that the basics of medical records remain the same and its purpose is unchanged, regardless of the platform in which you interact with a … A medical record can be the single most important evidence for the healthcare practitioner in lawsuits, hearings or inquests, or when patient care provided by the practitioner is in question. Accurate documentation of medical records provides for program integrity, ensures patient safety and protects the provider: Program Integrity – Accurately documented medical records ensure that payer programs such as Medicare and Medicaid pay the correct amount -- not too much, not too little -- and ensure that the programs pay the right people. Why is it important to maintain child health records? This includes medical conditions, diagnoses, the care and treatment you provide, and results of such treatments. This means sticking to the facts and writing in an objective manner. Medico-legal - The importance of good records. It is essential that all records are 100% accurate. Look After Your Patients. The Importance of Keeping Up with Your Medical Records. TITLE OF DOCUMENT 2 The Importance of Accurate Medical Records Medical records are very important to the health care industry. According to the society's outline, writing accurate initial assessments and progress notes improves patient care by requiring medical professionals to think carefully about what they do. Coding is critical as it can indirectly affect medical care, particularly as it relates to insurance reimbursements. Medical records serve important patient interests for present health care and future needs, as well as insurance, employment, and other purposes. Medical records have long been vital tools in patient care, and current technologies are bringing medical records into the 21 st century through innovative software and hardware computer programs. 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