When documenting patient encounters, CAP physicians are encouraged to review their notes prior to signing. If there is a need to correct, modify, or change the record, you should identify the note, enter the new data, and/or refer to the specific encounter, if necessary.

Introducing an electronic medical record system into a medical practice enables physicians and their staff to provide more efficient care by making patient information more accessible. It also presents some risks.

It depends… The Medical Board of California (MBC) cautions, “Physicians should view carefully his or her decision to allow medical assistants to perform this task.” It is not the physical act of picking up a phone and dialing a number that is of concern.

The California Medical Association (CMA) has provided additional information concerning the changes related to controlled substance prescription forms. This article will supplement the previous Risk E-Notes and provide more information about this change.

What exactly are you required to do when you receive unsolicited diagnostic test results? California's regulatory requirements for physicians, or other licensed providers, are as follows.