What is the purposes of medical records5/10/2023 ![]() In an effort to justify existing programs and services or to plan for future outreach initiatives, these organizations are utilizing medical record data. Most healthcare organizations are in a competitive market and seek to highlight their organizations’ services.As a communication tool among the resources providing patient care, the patient care record facilitates continuity of patient care, not only for the current episode of care, but for future patient encounters. The data contained in the patient’s record capture the treatment and outcomes of the patient for each encounter with the healthcare team.Fraud investigators working for insurance providers or any federal or state operated programs complete detailed reviews of the medical record in an effort to detect cases of billing fraud and abuse prior to processing the claims for distributing insurance benefits. In an effort to comply with legitimate billing practices, specific processes have been implemented and trained staff hired by healthcare organizations and healthcare providers to review patient records and validate claims prior to submitting them for reimbursement. Civil and criminal penalties for fraudulent billing are very severe. As more claims are now being billed to Medicare and third party payors, it is imperative that no fraudulent billing occurs. The record is reviewed for documentation of billed treatments being completed on the patient’s behalf.Medical educators use actual case data to introduce their students to patient data as part of their initiation to disease, medical management, and evaluation of outcomes based on the facts presented in the medical record. Through the use of statistical analysis, researchers can evaluate the compiled data to verify disease patterns or identify the need to establish new health outreach programs locally or globally. ![]() Written medical record information facilitates compliance with these types of laws and regulations. ![]() Various state and federal laws require that certain events, such as births and deaths, as well as certain diseases, be reported to public health agencies.LNCs are familiar with their role in evaluating liability, causation and/or damages.
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