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Medical Records in the Digital Age

Shouldn't That Make Them Easier to Understand and Obtain?
Samuel D. Hodge, Jr.

Electronic medical records, artificial intelligence and e-prescriptions have dramatically

changed the practice of medicine. Nevertheless, every time a client visits a health care

provider, a record is made – a history of complaints, the physician’s observations, and

prescribed treatment. Each record is unique, handwritten or typed in a doctor’s distinctive

shorthand with abbreviations and codes with no uniformity among health care providers.

When you need to understand and use medical records in a case, not only must you go

through the machinations to retrieve them in the face of cumbersome federal and state

mandates, you must also translate their contents, - a task hampered by jargon, abbreviations,

unfamiliar words and various digital formats.


Save time, costs and resources when obtaining records and researching medical terminology!


Sam Hodge’s unmatched energy, graphic–intense format and entertaining delivery guide you

to case clarifying sense as he shares productive tips regarding:

  • understanding the nuances of medical records in view of federal and and state mandates such as HIPAA, the American Recovery and Reinvestment Act, the Cures Act and Medicare

  • how to cut through red tape in obtaining medical records at a fraction of the costs

  • how health care providers maintain and organize records in the 21st Century especially in view of electronic medical records and e-prescription initiatives

  • common medical phrases and abbreviations as well as the terms used in the writing of prescriptions for medication and routes of drug administration

  • the crossroad involving medical and legal ethics

  • practice and litigation tips every step of the way with specific references to statutes, regulations, court cases and medical record forms

  • understanding the electronic medical chart and determining if the record has been altered or if material is missing.

Program Agenda & Detail

6 Hours Including 1 Ethics

[Part I: 60 Minutes]

The Intersection of Medical and Legal Ethics

Ethical issues involving the intersection of law and medicine, medical record protections,
disclosure of private health information, and novel ethical issues attorneys face in the
medical arena

[Part II: 30 Minutes]

The Changing Nature of Medical Records in View of Federal and State Mandates

Learn about federal mandates such as HIPAA, the American Recovery and Reinvestment
Act, the Cures Act and Medicare involving medical records and the challenges of electronic medical records

​15 Minute Break

​​[Part III: 90 Minutes]

Obtaining Medical Records and Understanding Them

Learn how to cut through the red tape and delays in obtain medical records, obtain records at a fraction of the cost, routes of drug administration and e-prescriptions


[Part IV: 90 Minutes]

Understanding Medical Terminology

How medical terms are created, defining terms, understanding medical jargon and abbreviations, common mistakes made in recording and reading of abbreviations, diagnostic procedures, and Sam’s tips for understanding medical records

15 Minute Break

[Part V: 90 Minutes]

Types of Medical Records

Medical record organization, what determines the order for seeing a patient, the contents
of the hospital chart versus treating physician records, the SOAP format, the emergency
room record, triage, the admissions process and classifications of surgery


Unconditional Guarantee
If you are not convinced that your understanding of the course topic has
improved after completion of any P.E.G.® seminar, we will refund your course tuition.

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