In this episode, Terry discusses late entries, addendums, or corrections to a medical record that are legitimate occurrences in the documentation of clinical services.
Compliance is always an issue in this act and Terry clears up the confusion. A late entry, an addendum or a correction to the medical record, must bear the current date of that entry – and is signed by the person making the addition or change.
Also, some discussion of coding NSTEMI myocardial infractions.
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