Uggh! I think I made a fool of myself.
I referenced this article:
Making Changes in Charts Do's and Don'ts of Documentation
By Joan Roedigerand and Patricia Salmon,
Obermayer Rebmann Maxwell & Hippel LLP
February 1, 2005, Physician's Practice, Vol. 15, No.3
The fact that a record may contain something that is incorrect or that may have legal implications does not justify destroying, rewriting, or replacing the prior record. Doing so places the credibility of the entire record in jeopardy.
The only time it is appropriate to destroy and rewrite a medical record entry is when an error is recognized when it is being written and before the entry has been completed. For instance, if you are in the middle of a patient exam and you realize you wrote the wrong name on the progress note, you can properly dispose of the incorrect progress note and start over.
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