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Documentation for Health Records
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Title Details
3rd Ed.
2025 © American Health Information Management Association
Dilhari DeAlmeida, PhD, RHIA, FAHIMA; Heather Merkley, DHSc, RHIA
ISBN-13: 978-1-58426-970-0
eISBN-13: 978-1-58426-971-7
Healthcare Informatics, Patient Safety and Quality Improvement , Allied Health
Additional Details
Documentation for Health Records explains the importance of accurate and timely health record documentation and addresses fundamental documentation requirements and practices in a variety of healthcare settings.
This third edition takes a fresh perspective on a variety of health record documentation uses and settings while addressing key documentation topics such as privacy and security, enterprise data and information management, telehealth, and artificial intelligence.
Key Features
- New chapter dedicated to behavioral healthcare documentation
- Provides federal and state requirements and accreditation guidelines
- Incorporates documentation for acute care as the practice model
- Covers documentation in a variety of practice settings and telehealth
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