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HEALTH SERVICES POLICY & PROCEDURE MANUAL North Carolina Department Of Correction Division Of PrisonsSECTION: Administrative Medical Records POLICY # AD VI10 PAGE 1 of 1 EFFECTIVE DATE: SUPERSEDES
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To fill out the section administrative medical records, follow these steps:
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Start by gathering all the necessary information such as patient's personal details, insurance information, and medical history.
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Verify the accuracy of the information provided and make any necessary corrections.
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Document the patient's demographic information, including their name, address, phone number, and date of birth.
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Record the patient's insurance details, including the name of the insurance company, policy number, and any relevant coverage information.
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Take note of the patient's medical history, including any previous illnesses, surgeries, or allergies.
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Capture the dates and details of any previous medical appointments or hospitalizations.
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Include any relevant paperwork or documentation related to the patient's medical condition or treatment.
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Review the completed administrative medical records section for accuracy and completeness before finalizing.
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File the completed administrative medical records section in the appropriate patient file or digital system for easy access and reference.
Who needs section administrative medical records?
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Several individuals and entities may need access to the section administrative medical records, such as:
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- Healthcare providers: Doctors, nurses, and other medical professionals require administrative medical records to understand the patient's medical history, insurance coverage, and contact information.
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- Insurance companies: To process and verify insurance claims, insurance companies need access to administrative medical records.
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- Medical billing and coding specialists: These professionals rely on administrative medical records to accurately bill patients and insurance companies for medical services rendered.
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- Regulatory bodies: Health regulatory bodies may require access to administrative medical records for auditing purposes or to ensure compliance with medical guidelines and regulations.
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- Patients themselves: Patients may need access to their own administrative medical records for personal records, future medical appointments, or insurance purposes.
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What is section administrative medical records?
Section administrative medical records typically contain administrative information related to a patient, such as demographics, insurance information, and contact details.
Who is required to file section administrative medical records?
Healthcare providers and facilities are typically responsible for filing section administrative medical records.
How to fill out section administrative medical records?
Section administrative medical records are usually filled out by healthcare administrative staff using electronic health record systems or paper forms.
What is the purpose of section administrative medical records?
The purpose of section administrative medical records is to maintain accurate administrative information for each patient in order to provide proper care and billing.
What information must be reported on section administrative medical records?
Common information reported on section administrative medical records includes patient's name, date of birth, address, insurance information, and emergency contacts.
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