Katy Perry, a health record technician, was preparing records to be filed when she found one that she thought needed the attention of the HIM director. She notices there are some suspicious sections in the record where Dr. Kilmer did not document certain treatments or purposes for treatment, which may have led to an adverse outcome suffered by the patient. Betty Davis, the HIM director has reviewed the record and agrees with the technician that a potential adverse event may have occurred. Later, the Dr. Kilmer recognizes he should have been more specific in documenting the patient's care. He is now asking the HIM director, who is a personal friend, to let him add additional documentation to the patient's record, which has since been placed on legal hold.

• Dr. Kilmer is a good friend with Bette Davis and knows he should have been more precise in his documentation, should Bette the HIM director allow Dr. Kilmer access to the record to add to the documentation? Why or why not?
• If Bette Davis, the HIM director decides to give the Dr. Kilmer access to the record, what ethical issues does this decision raise?

Answer rating: 100% (QA)

No Bette Davis the HIM director should not allow Dr Kilmer to alter the record at this point Heres why Tampering with Medical Records Adding informati... View the full answer