Legibility of physician handwriting is an issue in every hospital. Nearly every medical record I have ever reviewed—more than 100,000 in my lifetime—has had at least one illegible note. Some have been completely illegible. Many of the accrediting and government agencies have created sanctions or fines for hospitals with illegible medical records. In the meantime, what can you do if you obtain your medical record and cannot read it?
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A recent report from the Agency for Healthcare Research and Quality (AHRQ) reports that do to poor primary care Americans faced as many as 4.4 million preventable hospitalizations totaling nearly 29 billion dollars in 2004.
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To maintain a healthy perspective, you may find it useful to use the PPOFF acronym, which stands for:
P = Positive
P = Proactive
O = Organized
F = Flexible
F = Focused
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A blind second opinion requires the second physician to see you under the same circumstances as the first physician. In other words, the second physician does not have access to the notes and records of the first physician. This process ensures that the first physician’s findings and recommendations do not influence the second physician.
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Dr Russo discusses how your medical record can be used as legal evidence. Your medical record is a legal document. It is kept in the "normal course of business" and is a "business record" and, therefore, can be used as evidence in any legal inquiry.
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Physician fees, prescriptions, and other non-covered costs can be significant if you have a catastrophic illness. Depending on your situation, you may want to purchase a secondary health insurance policy. Commercial insurance companies offer secondary insurance for anyone with a specific type of disease or healthcare need.
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How your medical records are used - How your medical records are used by insurance companies medical record to verify that their payment was justified and researchers use medical records to research conditions.
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A basic overview of your privacy rights under HIPAA for your medical records and health information.
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The 2007 Quality Report from HealthGrades.com was released yesterday and among other issues demonstrates the varying level of care provided at hospitals throughout the country. The study found that on average there is a 71% lower chance of a patient dying at the top-rated hospitals as compared to the lowest rated hospitals for comparable patient stays on a risk adjusted basis. This study highlights the need for the individual healthcare consumer to assess the quality of the health providers available to them in order to get the best possible healthcare.
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If you are interested in learning what to do if your medical record is illegible or incorrect, you have come to the right place. Legibility of physician handwriting is an issue in every hospital. Nearly every medical record I have ever reviewed—more than 100,000 in my lifetime—has had at least one illegible note. Some have been completely illegible. Many of the accrediting and government agencies have created sanctions or fines for hospitals with illegible medical records. In the meantime, what can you do if you obtain your medical record and cannot read it?
Continue reading "Video: What to do if Your Medical Record is Illegible or Incorrect" »

Dr Russo discusses ownership rights in your medical records and that patients do own their health information, but it is a generally accepted understanding in the healthcare industry that the healthcare provider who collected the information owns the medium on which it is stored.
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Medical terminology may seem like confusing to many consumers however understanding the lingo of medicine can be valuable in your health care. Here are two quality sites that provide medical terminology training.
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An overview of how to obtain copies of your medical records from your hospital's health information department or your doctor's office manager.
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