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Legal Requirements of Medical Records
Section 1 - What is the medical record?
drip 0 - Course Transcript, Slide Deck and Sample Forms
drip 1 - Introduction (8:48)
drip 2 - What is the medical record? (9:37)
drip 3 - Why good medical recordkeeping? Part 1 (7:35)
drip 4 - Why good medical recordkeeping? Part 2 (5:32)
Section 2 - Legal Requirements
drip 0 - State Medical Records Laws
drip 1 - Federal Regulations (4:23)
drip 2a - State Law Requirements: California Part 1 (8:51)
drip 2b - State Law Requirements: California Part 2 (10:57)
drip 3 - State Law Requirements: Texas (7:49)
drip 4 - Admissibility Requirements (7:31)
drip 5 - Evidentiary Presumptions (7:17)
drip 6a - Informed Consent Part 1 (7:04)
drip 6b - Informed Consent Part 2 (10:22)
drip 6c - Informed Consent Part 3 (10:18)
drip 7 - Storage and Retention (7:54)
Section 3 - The SOAP Format
drip 1 - The SOAP format (6:20)
drip 2 - The HEAP format (7:32)
drip 3 - The E in HEAP (5:52)
drip 4 - The A in HEAP Part 1 (3:34)
drip 5 - The A in HEAP Part 2 (5:34)
drip 6 - The P in Heap (2:26)
drip 7a - Charlie Case Example Part 1 (9:20)
drip 7b - Charlie Case Example Part 2 (9:02)
drip 7c - Charlie Case Example Part 3 (6:56)
Section 4 - Details of the Medical Record
drip 1a - Magic Words Part 1 (6:37)
drip 1b - Magic Words Part 2 (9:57)
drip 2 - Documenting Client Communications (6:10)
drip 3a - VCPR Part 1 (7:49)
drip 3b - VCPR Part 2 (7:19)
drip 4a - Confidentiality Part 1 (8:45)
drip 4b - Confidentiality Part 2 (5:22)
drip 5 - Electronic versus Handwritten Notes (5:52)
Section 5 - Efficiency for the Team
drip 1 - Efficiency (10:26)
drip 2 - Copy and Paste (6:47)
drip 3 - Client Handouts (3:50)
drip 4 - Delegate: During Surgery and During Examination (9:31)
drip 5 - Acronyms (4:10)
drip 6 - Dictation Software (2:46)
Section 6 - Common Mistakes
drip 1 - Common Mistakes (10:29)
drip 2a - Common Cases Part 1 (8:59)
drip 2b - Common Cases Part 2 (5:34)
drip 3 - Bad and Good Examples (7:31)
drip 4 - Summary (2:08)
Post-Course Assessment Legal Requirements of Medical Records
Post-Course Assessment Legal Requirements of Medical Records
drip 5 - Electronic versus Handwritten Notes
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