(Optional) Demonstrate the assessment of abstracted information from medical records and other documents, applying knowledge of medical terminology.

Demonstration should include

• assessing information for appropriateness, accuracy, and completeness
• assessing information for adherence to legal, ethical, and regulatory guidelines.

Process/Skill Questions:

• Why is it essential to have knowledge of medical terminology when abstracting information from medical records?
• What healthcare careers are involved with differentiating information within medical records?
• How might abstracting information from medical records affect reimbursements?
• Where would you find legal, ethical, and regulatory guidelines related to abstracting information from medical records?
• How do insurance companies make use of the EMR?
• How do healthcare workers make use of the EMR?