This Accreditation Manual for Hospitals requires that medical records be sufficiently detailed to enable a practitioner to give a patient effective continuing care; to determine, at a future date, what the patient’s condition was at a specific time; and to record what procedures were performed. The medical records help an Independent Medical Examiner (IME) give an opinion after the examination of the patient. The claims person should be certain that all medical records are obtained and available before seeking an IME so the IME physician can review them and apply the records to what is observed when conducting an IME.
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