This form is used to certify the authenticity of medical records provided to the attorney by a medical provider.
Rhode Island Certificate of Authenticity of Medical Records
State:
Multi-State
Control #:
US-PI-0013
Format:
Word;
Rich Text
Instant download
Description
How to fill out Certificate Of Authenticity Of Medical Records?
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FAQ
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.
Requests for records may be mailed to the Rhode Island Department of Health ATTN: Pamela Lopes, Suite 404, Three Capitol Hill, Providence RI 02908, or faxed to (401) 222-1797. The regular business hours of the Rhode Island Department of Health are Monday through Friday a.m. to p.m.
Authentication of Entries and Methods of Authentication Every entry in the medical record must be authenticated by the author ? an entry should not be made or signed by someone other than the author. This includes all types of entries such as narrative/progress notes, assessments, flowsheets, orders, etc.
The reasons for and results of x-rays, lab tests, and other services should be documented or included in the medical record. Relevant health risk factors should be identified. The patient's progress, including treatment, change in treatment, change in diagnosis and patient non-compliance should be documented.
Authentication means that stamped signature can be verified, validated, confirmed, and is countersigned/initialed. G. Errors are corrected ing to legal medical documentation standards.
(7) Electronic signatures ? a code consisting of a combination of letters, numbers, characters, or symbols that is adopted or executed by an individual as that individual's electronic signature; a computer-generated signature code created for an individual; or an electronic image of an individual's handwritten ...
A specialist who authenticates his own dictated report electronically using a password is an example of acceptable authentication of a medical record entry.
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 ...
