There is no "strike against the doctor." - You can have errors corrected Posted: Aug 16th, 2015 - 4:18 pm In Reply to: It's a pain in the ... but it - can be done.
Your supervisor was talking about things YOU think are errors, and she did not tell you everything.
If you see a serious error, and I do not mean the "critical errors" in spelling that MTSOs harp on, but actual serious errors like the wrong report in a record, you should be able to bring it to someone's attention for correction. Yes, the physician has to agree. Redictation might not be necessary; the report can be copied if it is electronic, or can addendum can be added with the correction.
Federal law (HIPAA) provides a way for you to correct errors. Incorrect material can be retracted or corrected. You just need to contact the HIM department at the facility. Request the correction, specifying what is wrong. They must ask the physician to correct it. The report can be retracted or the error corrected. If the physician refuses, you are still entitled to insert your objection into the record.
There is no strike against the physician.
I do not understand why this has become such a crusade for the OP and why she continues to blame the EHR. This is not the fault of the EHR, but of the doctor. The same errors occurred in paper records; they were just less visible. We have told her several times how to have them corrected.
Google HIPAA documentation errors for more information.
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