Documenting the appropriate medical information in the patient's health record is the responsibility of the:
A) patient (if of legal age).
B) patient's parents or legal guardian.
C) insurance company.
D) healthcare provider.

Question

Quizplus · Accepted Answer

Healthcare providers have the responsibility to document the appropriate medical information in the patient's health record. While patients (if of legal age) and their parents/legal guardians can provide information, it is the provider's responsibility to ensure it is recorded accurately and appropriately. Insurance companies may receive portions of the patient's health record for billing purposes but are not responsible for documenting the information themselves.

Documenting the Appropriate Medical Information in the Patient's Health Record