Medical record tampering is a serious offense and can affect the credibility of the healthcare provider, leading to severe penalties. Medical records of the patients are legal documents that are governed by both federal and state legislation. They are considered valid evidence in medical-legal cases. Hence, the process of making any necessary changes to medical documentation is governed by state legislation. As a result, if these procedures are not followed, it is considered falsification of medical records, also called medical record tampering. Physicians and healthcare providers may face significant liability for any illegal changes in the medical chart of the patient.