ENTRIES. (a) A written record shall be made for every ser- vice provided on the date the service is provided. This written record shall be incorporated into the health care record no later than 7 calendar days after the date of service. (b) All entries shall be legible, permanently recorded, dated and authenticated by the person making the entry, and shall include that person’s name and title. (c) Medical symbols and abbreviations may be used in health care records if approved by a written program policy which defines the symbols and abbreviations and controls their use.
Appears in 9 contracts
Samples: Hospice Regulations, HFS 131 Hospices Regulations, HFS 131 Hospices Regulations
