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The Overlooked Basics
The Overlooked Basics
dentalattorney
A summary of what every dental practice owner should know and implement in the day to day operations of their practice.

Dental Records: Documentation and Maintenance

Dental Records: Documentation and Maintenance

8/1/2017 6:19:57 AM   |   Comments: 0   |   Views: 55
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Patient dental records are critical in documenting a patient's care and treatment. The information contained in patient charts should be maintained in an organized, standardized fashion with clear, complete entries. Dental records must be maintained on a concurrent basis immediately after care is provided, results are obtained and reviewed, or communication with the patient is done either in person or via telephone.
 
The record should accurately reflect results of examinations; recommendations for treatment; actual procedures, treatments and results; and complications or adverse outcomes.
 
Record maintenance is an important component of a risk management program and contributes to patient safety as well. Organization and management of dental records should be done in compliance with federal, state and professional standards. If a patient requests a copy of their records, the records must be provided to the patient in a timely manner. The patient should receive a copy of their records and the practice should retain the original patient's records.

For More Information on Topics Related to Record Keeping, Visit Our Website's Blog:

- Documentation for the Dental Practice: A Must

- Practice Data Security Policy and Standards

- HIPAA Privacy and Security




OBERMAN LAW FIRM 

Stuart J. Oberman, Esq handles a wide range of legal issues for the dental profession including cyber security breaches, employment law, practice sales, OSHA, and HIPAA compliance, real estate transactions, lease agreements, noncompete agreements, dental board complaints, and professional corporations.
 
For questions or comments 
regarding this article 
please call (770) 554-1400 or visit www.obermanlaw.com

Email Emily Calvert at emily@obermanlaw.com to hear Stuart J. Oberman, Esq speak at your meeting or event.
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