What is the acceptable time in which a physician should complete a chart note in a clinic setting?
The Healing Arts Act which is the licensure act for MDs, DOs, and DCs does not set forth a specific time frame, but it does provide that failure to keep accurate medical records describing the services rendered, the patient history, pertinent findings, examination results and test results constitutes unprofessional conduct which may be grounds for disciplinary action. See K.S.A. 65-2836(b) (http://www.kslegislature.org/legsrv-statutes) and K.S.A. 65-2837(b)(25) (http://www.kslegislature.org/legsrv-statutes). The issue becomes when has so much time passed that it impacts the accuracy of the medical records? This will depend upon the facts in each case. Additionally, K.A.R. 100-24-1 (http://www.kslegislature.org/legsrv-kars) sets forth the minimal requirements that must be maintained in the patient records.
Related Questions
- In a clinic setting does the "incident to" requirement to have a physician present when the person is being seen, pertain to the MNT benefit?
- Why do I need to have a physician sign and date the form or send a chart note to the OMMP? Why can’t I just provide my medical records?
- What is the acceptable time in which a physician should complete a chart note in a clinic setting?
