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To summarize, first, as to records: The records have to be authenticated by offering evidence that they were prepared by agents of the medical facility in the ordinary course of business at or near the time of the relevant act, condition or event contained in the records, and that the mode of preparation indicate the ...
Authentication. confirms the content and accuracy of the entry into the medical record by written signature, initials, or computer-generated signature code.
All health records of discharged patients shall be completed and filed within 30 days after discharge date and such records shall be kept for a minimum of 7 years, except for minors whose records shall be kept at least until 1 year after the minor has reached the age of 18 years, but in no case less than 7 years.
If you made your request in writing for the records to be sent directly to you, the physician must provide copies to you within 15 days. The physician can charge a reasonable fee for the cost of making the copies.
Authentication in medical documentation refers to the process of confirming the validity of the document and the identity of the person who created it. This is typically done by the healthcare provider who is responsible for the patient's care.
What does it mean for a physician to "authenticate" a record? A: The physician has signed and dated it.
Authentication of medical record entries may include written signatures, initials, computer key, or other code. For authentication, in written or electronic form, a method must be established to identify the author.
Authentication means that stamped signature can be verified, validated, confirmed, and is countersigned/initialed. G. Errors are corrected ing to legal medical documentation standards.