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Post by suec2020 on Feb 14, 2018 15:53:59 GMT -6
Does anyone know if you are required to click the Record Complete button after an exam is finished? We just discovered that one of our docs hasn't been clicking it and are worried that information won't pull forward next year. I'm hoping this isn't a big deal. Any insight would be greatly appreciated! Thanks!
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Post by friscoeyeassociates on Feb 14, 2018 18:36:48 GMT -6
This button is there for the discretionary use of your staff only if you decide to do so. There are no requirements from a compliance standpoint for clicking this button. That is not to say that it is not useful to utilize the button...
At our office we have scribes who transcribe everything the doctor says and does during an exam into the patient's chart. At the end of the doctors shift or between exams if they have time, it is their personal responsibility to look over the chart and make sure the scribe correctly interpreted their findings into the chart. Upon looking it over and making any necessary changes the doc then clicks Record Completed. Getting in the habit of marking your records completed allows the doctors or managers to run a report (either the "Daily Report", "Multi Day Report" or the "Medical Record Report") that shows how many charts are out still needing a doctors final review.. All of this is purely for internal quality control, and no one is going to come after you for not clicking the record completed button. It is really a fail safe for the practice against an audit, so that no charts will go uncompleted or misrepresented.
Additionally, all information in charts that are not marked completed should still transfer over next year. Right now you likely have all the exams this one doctor did so far still not marked completed. If you would like to mark all of them completed at once you can run the "Multi Day Report" for a date range that would cover all the exams he/she has done in Crystal. At the bottom of the "Multi Day Report" you will see a counter at the bottom with "Open Med Recs" next to it. Click on the number to drill down into another list of all the open Med Recs. There you will see another button that says "Close all Medical Records in List". Clicking this should mark them all completed.
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Post by erica on Feb 15, 2018 9:00:56 GMT -6
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