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  • Requesting Medical Records: Do you have a “complete medical record”?
    Medical Records

    Requesting Medical Records: Do you have a “complete medical record”?

    ByMichele Gonsman April 2, 2020March 21, 2024

    An attorney’s definition and expectation of a “complete medical record” can often be as elusive as the Loch Ness Monster. In my work as a Clinical Forensic Documentation Analyst, I read countless requests for production that ask for the “complete medical record” with a laundry list of items that should be included or simply just…

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  • Timeclocks:  An Alibi for Murder
    Medical Records

    Timeclocks: An Alibi for Murder

    ByMichele Gonsman October 24, 2017March 19, 2024

    Are you requesting audit logs for time clock punches? In this age of apps and remote accesses; you should be. Have you ever asked if the employer uses geofencing? Have you ever asked if the employer uses GPS tracking for employee management? If not, you could be missing critical pieces of evidence. In some medical…

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  • Are You Paying Too Much For Your Medical Records?
    Uncategorized

    Are You Paying Too Much For Your Medical Records?

    ByMichele Gonsman May 25, 2017March 18, 2024

    Are you paying too much for your medical records? Are you getting the complete medical record? How does $6.50 sound for medical records? Well, this blog will hopefully assist you to pay less and get more. First, thanks to the HITECH Act, there are limitations on what a facility can charge for medical records. There…

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  • Audit Trail Analysis: Clinical Forensic Documentation Analysis
    Medical Records

    Audit Trail Analysis: Clinical Forensic Documentation Analysis

    ByMichele Gonsman November 28, 2016March 21, 2024

    You can find out a lot about a medical case through an audit trail analysis. Medical Record Tampering can be the nail in the defense coffin. In medical negligence and nursing home abuse cases, a high index of suspicion is needed when analyzing any medical record, especially the Electronic Medical Record. The medical record must…

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  • Nursing Home RUG
    Medical Records

    Nursing Home RUG

    ByMichele Gonsman November 4, 2016June 24, 2019

    Make no mistake, the provision of healthcare services is a business. Unfortunately, our most vulnerable citizens suffer due to corporate attempts to increase their “bottom line.” Nursing homes are regulated by the government. They must provide reports, called MDS reports, to the Centers for Medicare and Medicaid Services detailing the level of care provided to…

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