COMPLETION OF MEDICAL RECORDS - UTHSCSA
www.uthscsa.edu › sites › defaultmedical record. 2. POLICY: A medical record will be established for every person treated at this facility or at the expense of this agency, regardless of beneficiary status. Medical Records will be accurate and complete in accordance with The Joint Commission (TJC), Current Edition, and Medical Center standards. Medical
Best practices in record completion
pubmed.ncbi.nlm.nih.gov › 15500017Completion of hospital and office (clinic) medical records is one of the least popular of clinicians' duties. Adherence to Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirements and submission of hospital and provider bills to insurers and patients, however, are predicated on patient charts being completed and signed ...
Medical Record - Joint Commission
www.jointcommission.org › standards › standard-faqsOct 25, 2021 · The organization is free to determine the time frame for completion of authentication. The timeframe must comply with any applicable laws or regulations. If the organization is silent on the issue for specific types of documentation, the time frame defaults to the time frame that the organization adheres to for completion of the medical record.