Medical Records
Medical Record Keeping (MR-17)
BackMedical Record Keeping
The PBI Medical Record Keeping course illustrates, for all clinicians, why the process of keeping and maintaining complete, clear, and accurate medical records is critical to the responsible provision of patient care.
This live, interactive, two-day course, is comprised of didactic lectures and group discussion. During the course, participants are given real medical records to analyze and discuss. The course culminates in each participant’s development of their Personalized Protection Plan, outlining how they will improve record keeping and documentation moving forward.
PBI is committed to providing interactive, individualized, impactful education. To facilitate this, our Medical Record Keeping course size is limited to 15 participants.
Course participants complete pre-course assignments including: personal record review and critique, research on state and specialty specific laws and guidelines, additional readings, and written assignments to prepare them for participation in the hands-on review and interactive group analysis of records during their course.
The Record Review Program is an ongoing expert review of participants' medical records, available as a follow-up for Medical Record Keeping course graduates. Learn more about the RRP here.
Participating in more than one live course?
Contact us about our multi-course discount program.
Course Editions
MR-17
- Pre-course assignments, 3 hours
- Two-day virtual live course
MR-17 Extended
- Pre-course assignments, 3 hours
- Two-day virtual live course
- Post-course assignment, followed by weekly faculty-led group teleconference seminars (MAS), one hour for 12 weeks
Reasons for Referral
- Documentation that does not comply with laws & regulations
- EMR: inaccuracies, “copying and pasting”
- Incomplete or illegible records
- Other record keeping deficiencies as determined by employer, regulator, or law
- Billing inaccuracies
- Coding inaccuracies
Professions This Course Is Suitable For
This course is multi-disciplinary and appropriate for physicians, physician assistants, nurses, veterinarians, podiatrists, and other clinicians.
Learning Objectives
- Describe how to maintain compliance with laws regarding medical record-keeping
- Improve documentation in support of appropriate billing, regulations, and expectations
- Document with clarity to reduce misinterpretation and errors
- Provide improved documentation for risk management
- Apply improved skills for maintaining electronic medical records
- Create and implement a Personalized Protection Plan that includes strategies, safeguards, and systems to reduce the risk of relapse and improve accountability
Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of California, Irvine School of Medicine and Professional Boundaries, Inc. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The University of California, Irvine School of Medicine designates these live activities each for a maximum of 30 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in activity.
FAQ
Other course options you may be interested in
Scroll Down