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Documentation for Health Records

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Title Details

3rd Ed.

Dilhari DeAlmeida, PhD, RHIA, FAHIMA; Heather Merkley, DHSc, RHIA

ISBN-13: 978-1-58426-970-0

eISBN-13: 978-1-58426-971-7

Healthcare Informatics, Patient Safety and Quality Improvement , Allied Health

Additional Details

Description

Documentation for Health Records explains the importance of accurate and timely health record documentation and addresses fundamental documentation requirements and practices in a variety of healthcare settings.

This third edition takes a fresh perspective on a variety of health record documentation uses and settings while addressing key documentation topics such as privacy and security, enterprise data and information management, telehealth, and artificial intelligence.

Key Features

  • • New chapter dedicated to behavioral healthcare documentation
  • • Provides federal and state requirements and accreditation guidelines
  • • Incorporates documentation for acute care as the practice model
  • • Covers documentation in a variety of practice settings and telehealth

Table of Contents

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