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
[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
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.