This interactive presentation will examine best practices for record
keeping in clinical practice. This training will provide a
comprehensive overview of the legal as well as ethical requirements of
health care records
Participants will come away with an understanding of how records can be applied to clinical practice and risk management.
This training will not focus on HIPAA, though it will touch on HIPAA requirements regarding privacy and disclosure.
Goals and Objectives:
- Provide
a comprehensive overview of the legal requirements of disclosure and
informed consent, discussing purpose, function and utility. Attendees
should come away with a clear understanding of what is required, such
that they can review and edit their own disclosure statement and ensure
it is in compliance.
- Provide a comprehensive overview of the
legal and ethical limits to confidentiality. Attendees should come away
with a clear understanding of when disclosure may or must be made
without client authorization.
- Provide a comprehensive overview
of the legal requirements and ethical relevance of health care records,
as well as differing philosophies about what to record. Attendees should
come away with a clear understanding of how they can best comply with
the law and also protect themselves and their practice and still render
the best care and service they can.
- Provide a comprehensive
overview of the legal requirements and ethical concerns related to
disclosure to third parties. Attendee should come away with a clear
understanding of the legal and ethical issues involved in the release of
information to third parties, and how to review their own forms for
compliance.
- Provide a comprehensive overview of the legal and
ethical issues of documentation of protected health information to third
party payors. Attendees should come away with a clear understanding of
how to comply with disclosure, as well as how to maintain client
confidentiality to the fullest extent possible.
- Provide a
comprehensive overview of development and use of treatment plans.
Attendees should come away with a clear understanding of how to compose a
treatment plan that is symptom-based and meets criteria for medical
necessity.
