What happens to a medical record at a facility serving individuals with intellectual disabilities if there is a death or discharge of the individual?
?At the death or discharge of the individual, the active record is closed and retained for the duration of the statute of limitations. If a facility utilizes an imaging program for active records, the remaining portions of the closed records are often imaged at the death or discharge of the person. However, some facilities prefer to avoid the additional cost of imaging the entire record and may image only selected portions for research or administrative purposes. The remainder of the paper record in these facilities is destroyed upon reaching the statute of limitations or other legal retention period.
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The charge slip is created with ________________ for the specialty being practiced
a. specific codes b. letterhead c. name and address d. billing information