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STATE OF WISCONSINDEPARTMENT OF ADMINISTRATION Tony Evers, Governor Joel Brennan, Secretary Jana Steinmetz, Administrator December 15, 2021KEEP THIS DOCUMENT FOR YOUR RECORDSRecordReview Jane Kremlin

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Fill in all the required personal information such as name, date of birth, address, etc.

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Document any relevant medical history or previous treatments

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Who needs record-review?

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Patients who want a review of their medical records for personal reference or to share with another healthcare provider

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Healthcare providers who are requesting a review of a patient's medical history for treatment purposes

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Insurance companies or legal professionals who require a review of medical records for claims or legal proceedings

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What is record-review?

Record-review is the process of examining and evaluating records to ensure accuracy and compliance with regulations.

Who is required to file record-review?

Entities subject to specific regulations or policies are required to file record-review.

How to fill out record-review?

Record-review can be filled out by analyzing and documenting information according to established guidelines.

What is the purpose of record-review?

The purpose of record-review is to verify the integrity and authenticity of records.

What information must be reported on record-review?

Information such as date, time, participants, and details of the reviewed records must be reported on record-review.

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