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Discussion

Is this Reportable

I was notified a nurse last week that they were completing charting from the previous month. We are a JACHO certified faciltiy and I think this is fraudulent behavior. I really don't know what the next step shoud be but I am sure that there shoud be some follow-up. Any advice would be greaty appreciated.

Thanks

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Doctors can put addendums to their H & P's. Nurses can write addendums as well. A slong as you aren't changing the ORIGINAL documentation......

someone correct me if I am wrong.

Or as long as it's noted as a "late entry."

Doctors can put addendums to their H & P's. Nurses can write addendums as well. A slong as you aren't changing the ORIGINAL documentation......

someone correct me if I am wrong.

That's what I thought too. Our neonatologists have had to go back and add to medical records weeks after a baby is discharged. For example to document that they followed up with the family on an abnormal test result that may have take weeks to result (like a newborn screen). But it was always dated for that exact date.

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