Version 7.0
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What you peers say about Medical Records Health Information Management Manual
Online subscription
With the online subscription, you will receive a username and password that allows you to access all of the documents in this policy manual on our Policy Library website, www.mcn-policy-library.com.
Within the Policy Library website, you can browse or search for the specific policies, procedures and forms that you need. All documents can be downloaded in Microsoft Word format, and customized for your own use. The online subscription provides access to the website for an entire year, and includes free updates to that manual during that year.
- Donna Hoover, RHIA, Medical / Vocational Records Director
Woodrow Wilson Rehabilitation Center
Fishersville, VA
"Fantastic publication with ready references to JCAHO standards. Where were you for our last survey? Impressive and pertinent. Please keep me on your mailing list."
- Jan Johnson-Fagel, ART, CCS, Director Medical Records
Samaritan Medical Center
Watertown, NY
"Up-to-date and very usable policies and procedures. Saves a great deal of time. Can adapt to policies to meet our specific needs."
- Suzanne Lash, RHIA, Director Medical Records
Fisher-Titus Medical Center
Norwalk, OH
"Impressed with overall information in manual. Manual will save me a great deal of time since it is compiled in conjunction with JCAHO standards and guidelines."
- Sandra Boyce, Manager Medical Records
Chandler Regional Hospital
Chandler, AZ
MCN has created one all-inclusive manual covering everything you need in your Medical Records/HIM Department. With over 285 ready-to-customize policies, procedures and forms that meet the latest Joint Commission standards. NIAHO standards and CMS regulations, you won't have to worry about compliance. This comprehensive manual demonstrates best practices for the management of patient information and is completely cross-referenced to the latest TJC and NIAHO standards!
Hot topics covered in the Medical Records Health Information Management Manual include:
Data Protection and Confidentiality Guidelines -
Health Data Integrity -
Uses and Disclosures of Protected Health Information -
Violation of Confidentiality/Security of Organizational Information -
Administrative Safeguards - Sanctions -
Access and Maintenance of the Electronic Health Record -
Scanning Documents into the Electronic Health Record -
Retention of Medical Information -
Accessibility of the Medical Record -
Social Media Sites -
Release of Medical Information -
Secure Filing of Medical Records -
Contingency Plan for Water Damaged Medical Records -
Unacceptable Abbreviations -
Coding of Medical Records -
Ownership of Medical Records -
Performance Improvement Plan and Performance Measures/Outcomes -
Medical Record Content -
Legibility of Medical Record Documentation -
Advance Directives -
Informed Consents -
Medical Record Audit -
Delinquent Medical Records -
Destruction of Medical Records -
Medical Record Review - Point of Care -
Transcription -
Patient Rights and Responsibilities -
Confidentiality of Information - General Issues -
Job Descriptions and Competencies
... and much more!
Sample Pages:
Click here to view the complete Table of Contents
Click here to view document sample #1 in pdf format
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