There are a variety of State and Federal laws that impacts how and what must be
documented and retained in the legal health record.
It is vital that each organization
review their practices and ensure that they are in compliance with State and Federal laws
that govern documentation in the healthcare setting. During this session we will review
the guidelines associated with medical record documentation, modification, retention,
Catrena Smith, CCS, CCS-P, CPC, CPC-I, CRC, CHTS-PW has over 17 years’ experience in
the health information management industry. She is currently the president of Access
Quality Coding and Consulting, LLC located in Orange Park, Florida. She has served in
many roles such as coding specialist, coding auditor, coding trainer, medical records
technician, and coding manager. Catrena is a certified professional coding instructor and
conducts numerous educational sessions annually.
Compliance officers, administrators, COOs, medical staff, medical coders, medical billers,
coding consultants, medical coding auditors, practice managers, office managers, billing
managers, and others involved in the revenue cycle management process at health care