TY - CHAP M1 - Book, Section TI - Legal Issues in the Medical Record A1 - Shamus, Eric A1 - Stern, Debra A1 - McGehee, William F. A1 - Gainer, Kara PY - 2021 T2 - Communicating Clinical Decision-Making Through Documentation: Coding, Payment, and Patient Categorization AB - OBJECTIVESFollowing completion of this chapter, the reader will be able to:Discuss the need for informed consent and explain the relevance to PT documentation.Define what HIPAA is and the relevance to medical records keeping and PT documentation.Explain what is authentication in documentation.Discuss what are the emerging challenges of protection in electronic or computerized documentation.Explain the importance of legibility in the medical record. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/29 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1177888548 ER -