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1. Introduction, Purpose and General Rules for Health Management (Medical Record Keeping) 2. Record Organization and General Principles 3. Application of Models for Organization and Guidelines for Content4. Component Requirements 5. Coding and Documentation 6. Standardized Forms and Content 7. Legal Issues in the Medical Record 8. MDS Purpose and Components 9. Medicare and Non-Medicare Content Principles 10. Pediatric Documentation11. The Electronic Medical Record or Computerized Patient Record 12. Utilization Review and Utilization Management References Appendices
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