Task – Part I: Organize the contents

Task – Part I: Organize the contents of a patient’s medical record with all required forms completed and set up in the proper format for a new patient. This must include: a) Patient information form (a blank is provided): this must be documented by completing all demographics on the new patient with at least primary insurance information. If your patient does not have secondary insurance, please be sure to type the word, None in that area of the form; b) Medication record/reconciliation form: for this form, you will only complete the patient’s name, DOB and MR#. If students do not find an applicable form to download, they must recreate one based on what they find these forms look like from their research; c) HIPAA Privacy Practices Acknowledgement form: this form can be downloaded from a website or recreated it. All that needs to be documented in this form is the name and date since the patient will sign off once they arrive and receive the notice of privacy practices; d) History and physical form: this form can be downloaded from a website or students will research to determine what this form must look like areas for information it must contain and can then recreate one. The only areas on this form the student must complete is patient name, DOB, MR#; e) Progress note: this form can be downloaded from a website or students will research to determine what this form must look like and areas for information it must contain and can then recreate one. The only areas on this form the student must complete is patient name, DOB, MR#; Students are only required to complete patient information, i.e., last name, first name, on the history and physical form and progress note with MR#/identifier. You must use the medical record format of 8 characters to identify the patient: First 5 characters of the last name, first two characters of the first name, ending in zero, 0. All alpha characters are upper case. If the name is shorter than the required number of characters, you add zeros. Task – Part II: Identify the steps to protect the integrity of the medical record. On a separate word document, list the steps the medical assistant/healthcare manager/healthcare professional should take to protect the integrity of the medical record. Your answer should include both paper and electronic medical records and indicate what is meant by, “integrity” of the medical record. Complete sentences must be used and this part of the assignment must be at least 8-10 sentences in length, in Times New Roman, size 12 font and double-spaced. Objectives: ï‚· Organize a patient’s medical record with all required forms completed in the proper format for a new patient (BL3) ï‚· Identify the steps to protect the integrity of a medical record (BL2) SCIENCE HEALTH SCIENCE NURSING AH 1001

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