Medical Records

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Patient, Demi Daniels, calls to ask you to change her diagnosis in her medical record from R/O (rule out) bladder infection to “bladder infection” because her insurance will not pay for a R/O diagnosis. In fact, she tested negative for an infection, but the physician placed her on antibiotics anyway. 1. What do you do?

2. Is this an ethical or legal question? Why or why not?

3. What could happen to the physician you work for if you make a mistake and change the diagnosis?
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Develop a proposal for transforming the organization from paper medical records to a paperless clinical medical record or Electronic Medical Record (EMR). Your boss is the Director of Medical Records at a large academic medical center. He is finding it difficult to monitor the ongoing legislative and policy changes related to Health Information Management. He has asked that you do the following: 1) Visit Medical Records Filing Systems Blockchain For The Protection Of One Of Medical, Financial, Or Educational Records.