After a medical assistant has notified his or her supervisor and the physician of an error in patient care, her or she should then: document the error in the medical record.
- A written summary of a person's medical history is called a health record, often called a medical record.
- It contains prescription drugs, treatments, examination results, immunization records, and notes from doctor's appointments.
- Correcting an inaccuracy in a medical record requires a process that is everything but simple.
- Patients have the right to request that doctors remedy mistakes under federal HIPAA regulations, but the provider has up to 60 days to reply and may request a 30-day extension.
- The supplier may decline as well, but only after providing a written justification.
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