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Risk Management Series 1- Documentation in Allied Healthcare

Risk Management Series 1- Documentation in Allied Healthcare

Tip #7: Documentation in Electronic Medical Records Many practices or facilities are using Electronic Medical Records (EMRs) at this point, and it will continue to grow as time continues. If you are documenting in an EMR, a few tips to keep in mind: following: The use of EMRs is continuing to grow and you may

Risk Management Series 1- Documentation in Allied Healthcare

Risk Management Series 1- Documentation in Allied Healthcare

Tip #6: Things to Possibly Avoid in Documentation There are times you may need to be cautious about what to document. Check to see if your state has rules about documenting information on third parties, including names, and if there are rules indicating a third party may have a claim against you if you release

Risk Management Series 1- Documentation in Allied Healthcare

Risk Management Series 1- Documentation in Allied Healthcare

Tip #5: What Should or Should Not be Documented? Documentation is critical to reflect care provided.  It is essential for current treatment, can be important years later for subsequent treatment, and can be used if a legal issue arises.  What should or should not be documented will depend on the patient, the type of care

Risk Management Series 1- Documentation in Allied Healthcare

Risk Management Series 1- Documentation in Allied Healthcare

Tip #4: Is an Addendum or Correction OK? The short answer is, yes, an addendum or correction is ok, and actually is needed to clarify the care or to correct misinformation.  It must be clear, however, that your addition to your previous note is an addendum or correction.  Avoid an addendum or correction that may

Risk Management Series 1- Documentation in Allied Healthcare

Risk Management Series 1- Documentation in Allied Healthcare

Tip #3: When to Document: Timing There may be a myriad of daily occurrences that impact your ability to document.  This is a common issue that many Allied Healthcare professionals face.  Some of these occurrences might include mounting requirements from insurers, back-to-back scheduled patients, emergency issues, phone calls for prior authorization or other issues which occur daily.

Risk Management Series 1 – Documentation in Allied Healthcare

Risk Management Series 1 – Documentation in Allied Healthcare

Tip #2: Objective versus Subjective Documentation No matter the Allied Healthcare profession in which you are practicing, from social work to physical therapy, documentation should be objective, not subjective. It should not be judgmental, but should be an accurate, descriptive representation of what you observed and heard. Keep in mind the types of documentation may

Risk Management Series 1 – Documentation in Allied Healthcare

Risk Management Series 1 – Documentation in Allied Healthcare

Tip #1: Why Is It Important to Document? Documentation is critical, but there are also times when certain observations or occurrences may not be memorialized when documenting in an electronic medical record (EMR) or in written format. Many of you work in systems where EMRs are used; however, some of you may still document in

5 things to consider before you purchase Professional Liability insurance

Professional Liability Insurance Professional liability insurance (also called malpractice insurance) is coverage that protects a qualified professional against claims alleging negligent acts, errors, or omissions in the performance of providing professional services (defined as those services for which one is certified, licensed, accredited, trained, being trained, or otherwise qualified to provide as specified in a

New Name Same Affordable Insurance Coverage

The underwriter of The Trust Sponsored Professional Liability Program, ACE, has acquired Chubb, creating an even stronger financial foundation underlying the Program. ACE will now operate under the Chubb name, while continuing to offer – through The Trust – the same broad, affordable malpractice insurance for which The Trust is known. For details, please see

Independent Study Continuing Education

FREE eBOOK! Psychologists insured through The Trust Sponsored Professional Liability Program can now download a FREE Second Edition eBook Assessing and Managing Risk in Psychological Practice: An Individualized Approach. Psychologists who read the original publication and took the original exam in a previous policy period can earn new CE credit and 10% premium discount based

Professional Liability Discounts

Read about a variety of discounts on Trust Sponsored Professional Liability Insurance. Save at least 5% when you purchase Business Office Insurance. [Read More…]

Health Insurance Portability and Accountability Act (HIPAA)

Dear Practitioner Many practitioners have asked if the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule requires covered health care providers to have a Business Associate Contract with either The Trust or Trust Risk Management Services, Inc. (TRMS) for professional liability insurance purposes. The Trust and TRMS have reviewed the HIPAA Privacy Rule from

NOTE: This information is provided as a risk management resource and is not legal advice or an individualized personal consultation. At the time this resource was prepared, all information was as current and accurate as possible; however, regulations, laws, or prevailing professional practice standards may have changed since the posting or recording of this resource. Accordingly, it is your responsibility to confirm whether regulatory or legal issues that are relevant to you have since been updated and/or to consult with your professional advisors or legal counsel for timely guidance specific to your situation. As with all professional use of material, please explicitly cite The Trust as the source if you reproduce or distribute any portion of these resources.