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Medical Record Auditor, fourth edition



Medical Record Auditor, fourth edition

A guide to improving clinical documentation in a changing health environment

Providing in-depth guidance for proper review of medical documentation in today’s changing medical environment, this fourth edition is full of new content. American Medical Association new topics include electronic health records (EHR), ICD-10 coding, Health Information Management and many other issues essential for maintaining compliance.

Learn critical auditing fundamentals, read dozens of case studies, use the checkpoint exercises to test your knowledge, and download actual audit forms to help improve your process.

Features and Benefits
New content addresses EHRs, ICD-10 coding and more
Downloadable forms. One copy of each audit form included in appendix, but all forms are downloadable from website.
Case studies. Nine different specialties are featured with two case studies each, for 18 total case studies.
Checkpoint exercises. Test your knowledge to confirm comprehension of new content.
NEW in this edition
Cases, chapters, direction for electronic health record (EHR) auditing
Chapter on Clinical Documentation Improvement
Downloadable audit forms
Downloadable Audit Analysis Form and Summary Report
Eighteen evaluation and management E/M case studies for the office setting
Surgery audit cases
Other services audit cases (anesthesiology, radiology, PT and E/M other)