Risk Management and Patient Safety Conference Series - Good and Bad Medical Record Documentation: From Claims Management to Optimal Patient Care Outcomes
Inadequate or inaccurate medical record documentation increases the risk of medical errors and legal liability. Accurate and timely medical record documentation facilitates diagnosis and treatment, communicates pertinent information to other caregivers to ensure patient safety, and supports optimal care delivery and patient outcomes. In claims management, the medical record is the only way to prove that the treatment was carried out properly. Oscar J. Cabanas, J.D., will examine the role of medical record documentation as an important medical-legal function in risk management.
Live Event at Homestead Hospital, Auditorium |
Videoconference to Baptist Hospital, 5MCVI |
Videoconference to West Kendall Baptist Hospital, Auditorium |
WebCast |
Target Audience
Medical Staff Physicians, Advanced Practice Providers , Podiatrists and Clinical Employees.
Learning Objectives
- Execute accurate documentation of medical necessity in patient medical records.
- Describe the impact medical necessity documentation has on the perception of hospitals, payer and public databases for patient acuity.
- Reduce the risk of legal liability associated with improper or incomplete maintenance of patient medical record documentation.
- Assess system deficiencies to improve medical record documentation, delivery of care and patient outcomes.
- Evaluate the impact of improper documentation on claims management.
Registration is required. Please log in to register.
Mark J. Hauser, M.D.
Vice President, Medical Affairs
Baptist Health South Florida
Oscar J. Cabanas, J.D.
Wicker Smith O'Hara McCoy & Ford P.A.
Coral Gables, Florida
Mark J. Hauser, M.D., and Oscar J. Cabanas, J.D. indicated that neither they nor their spouses/partners have relevant financial relationships with commercial interest companies, and they will not include off-label or unapproved product usage in their presentations or discussions.
Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose.
Available Credit
- 2.00 AMA PRA Category 1 Credit™
- 2.00 General certificate of attendance
- 2.00 Florida Board of Laboratory Personnel
- 2.00 Nurse Practitioners
- 2.00 Florida Board of Nursing
- 2.00 Florida Board of Occupational Therapy
- 2.00 Florida Board of Pharmacy
- 2.00 Florida Board of Podiatric Medicine
- 2.00 Florida Bureau of Radiation Control
- 2.00 Florida Board of Respiratory Therapy
Required Hardware/Software
Technical Support: If you are experiencing technical difficulties or have received an error message, please send an email to CME@BaptistHealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.