Medical Records and the Law / Edition 3

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Frederick, MD 1998 Hardcover 3rd Edition New Condition Still in Shrinkwrap Multiple copies available this title. Quantity Available: 4. Category: Medicine & Health; Law & ... Criminal Studies. ISBN: 0834211041. ISBN/EAN: 9780834211049. Inventory No: 1560743304. Read more Show Less

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Overview

The third edition of this highly successful textbook addresses the issues associated with managed care and advances in computer technology that have occurred since the last edition. New legal issues arise when information is integrated and widely available in different electronic formats to a growing number of players in the health care delivery system. The legal issues surrounding technological advances in computer—based patient records, electronic links between patients and providers, telemedicine, community—wide information systems, and access to patient record information are addressed. The implications of new Federal regulation of the confidentiality of health care information, an overview and discussion of state and Federal regulation of managed care, provisions governing electronic payment claims contained in the Health Insurance Portability and Accountability Act and their impact on the transmission of other forms of health care information will all be features of the third edition of Medical Records and the Law. An instructor's manual is available.

The book contains no figures.

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Editorial Reviews

From The Critics
Reviewer: Jay Gold, MD, JD, MPH (MetaStar, Inc.)
Description: This book is a presentation of the law regarding medical records, including the latest trends in health information management. This is a revision of the 1994 edition.
Purpose: The purpose is to analyze the legal issues affecting health information management. This is a very important issue today, with technological advances creating all sorts of scenarios in recordkeeping that would not have been possible in the past.
Audience: This book is intended for attorneys and healthcare providers. It should be useful to both — the author avoids arcane legal terminology, while there are enough references to statutory and case law to make it useful for lawyers. The author is a practicing attorney.
Features: After an introduction to the American legal system, the author covers a myriad of topics related to the subject: medical record entries, managed care issues, consent to treatment, access, confidentiality, reporting, disclosure, documentation, legal admissibility of records, improper disclosure, risk management and quality review, and computerized medical records. There is a separate chapter on HIV issues. The references are excellent, and the index is good.
Assessment: The law in this area changes very quickly: telemedicine, e-mail, electronic claims processing, and many other topics must now be added to the traditional law of medical records. With this book the author offers a creditable exposition of the law in the area.
Jay Gold
This book is a presentation of the law regarding medical records, including the latest trends in health information management. This is a revision of the 1994 edition. The purpose is to analyze the legal issues affecting health information management. This is a very important issue today, with technological advances creating all sorts of scenarios in recordkeeping that would not have been possible in the past. This book is intended for attorneys and healthcare providers. It should be useful to both -- the author avoids arcane legal terminology, while there are enough references to statutory and case law to make it useful for lawyers. The author is a practicing attorney. After an introduction to the American legal system, the author covers a myriad of topics related to the subject: medical record entries, managed care issues, consent to treatment, access, confidentiality, reporting, disclosure, documentation, legal admissibility of records, improper disclosure, risk management and quality review, and computerized medical records. There is a separate chapter on HIV issues. The references are excellent, and the index is good. The law in this area changes very quickly: telemedicine, e-mail, electronic claims processing, and many other topics must now be added to the traditional law of medical records. With this book the author offers a creditable exposition of the law in the area.
LouAnn Schraffenberger
This is the second edition of a well-respected reference book addressing the fundamental legal aspects associated with medical records and the information contained with the records. Confidentiality of health information represents one of the major health care challenges of the next decade as the computerization of information escalates in health care. Anyone interested in legal aspects of health information will find this book a worthwhile addition to their collection. The purpose is to examine the legal issues associated with medical records and health information, including contents of records and databases, retention, authentication, correction, and destruction of paper and information. The audience includes health information management professionals, quality assurance and risk management practitioners, health lawyers, health care administrators, and physicians. The authors use current regulatory information, case law, and practical advice in their chapters. Special legal problems such as documentation of advance directives, child abuse reporting, disposition of records in a change of facility ownership, AIDS records, and records in an electronic age are included. Several appendixes are useful to identify state statutes concerning medical records, discoverability and admissibility of medical staff committee records, and a table of cases that describe the case law presented. This is the long-awaited second edition (first in 1985) of an excellent text and reference book for health care professionals interested in or working with medical records and health information management. The primary author, William Roach, is a well respected health care lawyer, and the Aspen Health Law Centerlawyers provided many resources to make the book even more user friendly. The book contains clear, concise information that is difficult to find elsewhere.
Booknews
A practical resource for both attorneys and health care professionals. After an introduction to the American legal system, medical records, and managed care, chapters cover medical record requirements, documenting consent, access to information, reporting and disclosure requirements, HIV/AIDS, admissibility of medical records, computerized medical records, and legal theories in improper disclosure cases. Includes a glossary. This third edition takes into account new methods of delivering health care services, the role of a variety of health care providers, different uses made of health data, and confidentiality concerns. Annotation c. by Book News, Inc., Portland, Or.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780834211049
  • Publisher: Jones & Bartlett Learning, LLC
  • Publication date: 7/28/1998
  • Edition description: 3RD
  • Edition number: 3
  • Pages: 346

Table of Contents

Preface
Acknowledgments
Ch. 1 Introduction to the American Legal System 1
Ch. 2 Medical Records and Managed Care 17
Ch. 3 Medical Record Requirements 28
Ch. 4 Medical Record Entries 44
Ch. 5 Documenting Consent to Treatment 62
Ch. 6 Access to Medical Record Information 87
Ch. 7 Reporting and Disclosure Requirements 140
Ch. 8 Documentation and Disclosure: Special Areas of Concern 153
Ch. 9 HIV/AIDS: Mandatory Reporting and Confidentiality 213
Ch. 10 Discovery and Admissibility of Medical Records 240
Ch. 11 Legal Theories in Improper Disclosure Cases 258
Ch. 12 Risk Management and Quality Review 278
Ch. 13 Computerized Medical Records 290
App. A - Glossary: Acronyms and Definitions 328
Index 335
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