Amending the Medical Record

After seeing a patient, providers must sign off and close out (or lock) treatment notes once they feel they are complete. But what do providers do when they realize they must add or make a correction to a signed note? There are specific rules in place for these “amendments.”  Once an error is found, or…

Certified Chiropractic Clinical Assistant Training is now available as part of Library Membership! This official training is for those who wish to certify through the Federation of Chiropractic Licensing Boards (FCLB). The KMC University Library is an online resource for chiropractors and their teams that provides access to a vast array of educational materials and resources related to Medicare, documentation, billing, coding, compliance, and the business aspects of running a chiropractic practice. It can help chiropractors and their teams stay up-to-date on the latest regulations and best practices, as well as save time and money by avoiding costly mistakes. Click here to learn more.

The Anatomy of a Patient’s Chart

There are many pieces of a patient’s chart, whether paper or electronic. Multiple types of documentation are required for a complete and compliant patient chart. The way the chart or file is organized is critical to proper recordkeeping. Sometimes, we take for granted how simple the chart building process is, or how we use the…

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