US · guidance
BOP Program Statement 6090.04 § 10
HEALTH RECORD REVIEW
a. General. Maintaining accurately documented and complete health records requires HIM and
clinical staff to conduct regular health record reviews. Health Services meetings will include a
summary of the health record review findings to identify documentation issues which need to be
corrected.
b. Monthly Review. Each facility will review at least 15 records each month. The records to be
reviewed will be selected to cover all services provided. The outpatient health re cord audit
worksheet (Appendix E) may be used; however, local modification may be made to meet the
institution’s needs and comply with Joint Commission standards. Records will be reviewed,
audit worksheet completed, results discussed, and worksheet kept for at least one year.
History
PS 6090.04 dated 2015-03-02
Provenance
- Source
- bop.gov
- Retrieved
- 2026-09-20
- Edition
- bop-ps-2026-09-20
- Content hash
2ff25101de9711401450dffa7f7c58b204d133d8bd16d2eb2b51f09377b3acdf
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