Table
of Contents
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About the
Editors |
xix |
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About the
Chapter Contributors |
xxi |
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About the
Instructor Manual Contributors |
xxiii |
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Introduction |
xxv |
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PART I |
CLINICAL DOCUMENTATION AND THE HEALTHCARE DELIVERY SYSTEM |
1 |
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Chapter 1 |
Healthcare Delivery Cheryl Gregg Fahrenholz, RHIA,
CCS-P |
2 |
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Chapter 2 |
Clinical Documentation and the Health
Record Cheryl Gregg Fahnnholz, RHIA, CCS-P |
24 |
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PART II |
UTILIZATION OF THE HEALTHCARE RECORD |
71 |
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Chapter 3 |
Principal and Ancillary Functions of
the Healthcare Record Cheryl
Gregg Fabrenbolz, RHIA, CCS-P |
72 |
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Chapter 4 |
Documentation for Statistical
Reporting and Public Health Cheryl Gregg Fahrenholz, RHIA,
CCS-P |
150 |
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Chapter 5 |
Clinical Information and Nonclinical Data Ruthann Russo, PhD, MPH, RHIT |
184 |
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Chapter 6 |
Health Record
Design Ruthann Russo,
PhD, MPH, RHIT |
300 |
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Chapter 7 |
Best Practices in Health Record
Documentation Ruthann
Russo, PhD, MPH, RHIT |
396 |
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PART III |
ORGANIZATION AND MANAGEMENT OF THE HEALTH RECORD |
431 |
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Chapter 8 |
Federal and State Requirements and
Accreditation Guidelines Ella L. James, MS, RHIT, CPHQ |
432 |
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Chapter 9 |
Health Records in Ambulatory
Care Susan Rossiter, RHIA |
480 |
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Chapter 10 |
Long-Term Care
Hospitals Ella L James, MS,
RHIT, CPHQ |
512 |
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Chapter 11 |
Facility-Based Long-Term
Care Ella L. James,
MS, RHIT, CPHQ |
530 |
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Chapter 12 |
Home Care and Hospice Documentation,
Accreditation, Liability, and Standards Margaret J. White, MS, NHA,
RHIA, CPHQ |
550 |
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Chapter 13 |
Behavioral
Healthcare Kathleen M. Mum,
RHIA, and Diana M. Warner, MA, RHIA, CHPS, FAHIMA |
604 |
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Chapter 14 |
Exploring Other Healthcare
Settings Cheryl Gregg Fahrtnholz, RHIA, CCS-P |
650 |
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Glossary |
686 |
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Index |
716 |
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