You are the HIM Director at Sacred Heart Hospital. After completing a documentation audit, you have identified three significant issues that you believe d
Scenario: You are the HIM Director at Sacred Heart Hospital. After completing a documentation audit, you have identified three significant issues that you believe do not align with Joint Commission requirements: History and physical examinations (H&Ps) are not complete (missing chief complaint and review of systems) and are not being done within the required … Read more