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I am sure that from time to time we have all come across the vexed question of backdating documents.

A client or, in the case of an in house lawyer colleague (who for the purposes of this article will also be considered a client), asks you to prepare a document and then your heart sinks as he says “oh and it has to be dated” and gives a date which has already passed.

With the continued advancement of electronic health records (EHRs), there is increasing concern that a potential loss of documentation integrity could lead to compromised patient care, care coordination, and quality reporting and research as well as fraud and abuse.

HCAN has tried to buy time to broadcast the video on CNN, but the network refuses to air it.

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Documentation integrity involves the accuracy of the complete health record.

It encompasses information governance, patient identification, authorship validation, amendments and record corrections as well as auditing the record for documentation validity when submitting reimbursement claims.

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