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Complete Medical Record Due Diligence Checklist

OnDemand Webinar (89 minutes)

Learn and understand what needs to be included in a medical record to be considered complete and compliant.Many organizations struggle with defining what constitutes a patient medical record, and ensuring that medical records are complete. Certain regulatory requirements interact with medical record requirements and present their own challenges and risks. Additionally, electronic medical records play a crucial role. This topic will provide an overview of the requirements for medical record keeping, amendments, and production, together with helpful considerations that should be made related to medical record keeping.


Joy S. Easterwood, Esq., CHPC, Johnson Pope Bokor Ruppel & Burns, LLP


What Constitutes a Complete Medical Record

• What Is Required

• Medical Record Components

• Institutional Policy

How Electronic Medical Records Play a Role

• Emr Settings and Configurations

• Amendments to Medical Records

• How to Protect the Integrity of Medical Records

Incomplete Medical Record Ramifications

• Record Production

• Impact on Patient Care

• Duty to Preserve