For this part of the semester project, you must research the problems faced by healthcare facilities when their medical record documentation is found to be deficient and/or noncompliant wi
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Consequences of Deficiencies and Noncompliance in Medical Record
Documentation.
A) For this part of the semester project, you must research the problems faced by
healthcare facilities when their medical record documentation is found to be
deficient and/or noncompliant with all regulatory standards. This may involve
issues discovered through random audits performed by regulatory entities, i.e,.
CMS, Recovery Audit Contractors – RACs, Departments of Health, Accrediting
bodies, etc. You have to base your findings on a minimum of three sources found
from your research. These sources can be articles, textbooks, websites, ebooks,
but must be academically acceptable. You must submit the sources to your
instructor for approval before starting the essay for this part of the project.
You must go beyond the healthcare setting you chose for Part I of the project
and provide a general assessment of consequences of deficiencies and
noncompliance in medical record documentation, but you must also include
information on this specific setting as part of your essay.
B) After completing your research and compiling your data, you need to discuss your
findings in an essay of 2-3 pages in length, approximately 6 paragraphs, using
This must include an APA
formatted reference page
You are required to paraphrase your information and to limit any use of
quotations to no more than 3 in the entire essay.
C) The content of the essay must include how the following issues related to
deficiencies in medical record documentation have an impact on patients,
providers and healthcare facilities:
a. Continuity of patient care;
b. Allegations of fraud and abuse;
c. Relevance of allegations of negligence/malpractice;
d. Impact on facility revenue/reimbursement;
e. Effect on quality improvement and research reviews;
f. Consequences for facility/provider licensing and accreditation.
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