Ultimate responsibility for the quality and completion of entries in patient health records belongs to the

Question

Quizplus · Accepted Answer

The attending physician is ultimately responsible for the quality and completion of entries in a patient's health record as they are the ones who diagnose, treat, and manage the patient's care. The chief of staff may have oversight responsibilities, but they are not involved in the day-to-day documentation of patient care. The HIM director is responsible for managing the health record system but is not responsible for the content within the records. The risk manager may be involved in mitigating risk related to documentation, but they do not have primary responsibility for the completion and accuracy of the records.

Ultimate Responsibility for the Quality and Completion of Entries in Patient