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People also ask
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What is considered a complete medical record?
A medical record is considered complete if it contains sufficient information to identify the patient; support the diagnosis/condition; justify the care, treatment, and services; document the course and results of care, treatment, and services; and promote continuity of care among providers.
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What is a purpose of maintaining a patient record for each patient?
Documentation communicates the what, why, and how of clinical care delivered to patients. These records allow other clinicians to understand the patient's history so they can continue to provide the best possible treatment for each individual.
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How long are medical records kept for Quizlet?
How long are medical records kept for? ing to federal and state laws, medical records should be kept at least two to seven years.
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How long are most medical records kept?
CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report. And if you're a Medicare managed care program provider, CMS requires that you retain the patient records for 10 years.
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