Electronic medical records (EMRs) produce new—and sometimes confusing and voluminous—documentation. Understanding the implications of the transition from paper to electronic record, both generally and specifically, helps you make sense of all of this information.
Medical records alteration, while not the rule, happens more often than we realize. While many of these changes are made without ill intent, there are times when a provider is illegally tampering with records to cover a trail of negligent medical care. The tips below will help researchers ferret out inconsistencies in patient charts, possibly leading to a legal win for the client.
Despite our rapidly-advancing digital age, obtaining a complete copy of an electronic medical record (EMR) can prove to be a significant challenge. Unlike paper records, which are commonly organized in a specific fashion, electronic records often make little sense when simply printed out.
Your analysis of medical records shows that a provider tampered with medical records. You have a healthcare provider or possibly a documents examiner confirm your suspicions. Here is what can happen next.
Legal cases often arise because of conflict over medical care. Whether representing plaintiff or defendant, you need thorough and accurate patient records to construct your case and serve your client. For legal professionals handling medical documentation, it's imperative to know what tampering looks like and how it happens.
When you uncover inaccuracies in medical data, they may well be a result of unintentional error, but sometimes the alterations will look more intentional. In my last blog post, I homed in on these suspicious inaccuracies; this week, I'll shine a spotlight on some typical tampering incidents.