As a health Information management (HIM) manager, you have been assigned to review a Physicians’ documentation for completeness of a patient’s health record in EHR. Which elements of the documentation would you look for in the health record and what is the rationale for your selection of these elements? How would incompleteness of the health record affect the quality of a patient’s health outcomes and Continuum of Care? How would the incompleteness of health records impact the revenue cycle of the practice? What measures would you recommend to minimize health record incompleteness in the future?
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