Insurance 101 – Chapter 15 – Volume 85 – Hospital Records

Hospital Records

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.

The following video was adapted from my book, “Insurance Claims A Comprehensive Guide” Published by the National Underwriter Company and is available at the Zalma Insurance Claims Library

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The author and publisher disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this blog. The information provided is not a substitute for the advice of a competent insurance, legal, or other professional. The Information provided at this site should not be relied on as legal advice. Legal advice cannot be given without full consideration of all relevant information relating to an individual situation.

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