January 31, 2018
HIM Briefings

In May, we expect to see the release of the International Classification of Diseases, 11th Edition, for Mortality and Morbidity Statistics (ICD-11-MMS) by the World Health Organization. Work will then begin in the U.S. to adapt it for our clinical use as ICD-11-CM. Hopefully, with the benefit of foresight and lessons learned from the past, we will not reenact the pain we all had with the ICD-10-CM/PCS implementation.

January 24, 2018
HIM Briefings

Review the provider documentation and operative report below and consider the ICD-10-CM and CPT® codes to be reported.

January 17, 2018
HIM Briefings

Given it’s time for New Year’s resolutions—and my resolution is to work smarter, not harder—it seems appropriate to talk about techniques for bringing balance back into our lives.

January 10, 2018
HIM Briefings

Project REFRESH brought the deletion of many standards and elements of performance (EP), and you will see even more changes beginning in January. This column will also review the changes to the Evidence of Standards Compliance (ESC) corrective action plan for Requirements for Improvement (RFI) that must be submitted after a survey.

January 8, 2018
Briefings on HIPAA

HIPAA compliance and enforcement saw its share of highs and lows in 2017. As the year comes to a close, it’s a good time to look back on what your organization has learned—in terms of personal growth and lessons gleaned from other organizations.

January 5, 2018
News & Insights

The Substance Abuse and Mental Health Services Administration released updates to the Confidentiality of Alcohol and Drug Abuse Patient Records regulations.

January 4, 2018
News & Insights

Q: Is it a HIPAA concern if a patient and/or visitor takes photos or videos in which other patients, intentionally or not, appear? Are we required to forbid or prevent patients and visitors from taking photos or filming? If so, where is this requirement specified?

January 3, 2018
HIM Briefings

Overall, coding productivity benchmarks haven’t budged from 2016.

December 22, 2017
News & Insights

21st Century Oncology, a national network of cancer providers headquartered in Fort Myers, Florida, came under scrutiny by the Department of Justice (DOJ) and the Office for Civil Rights (OCR) earlier this year. In December, the organization agreed to a $26 million settlement with the DOJ and a $2.3 million settlement with OCR. 21st Century Oncology filed for bankruptcy in May.

December 21, 2017
News & Insights

Q: How long do we need to keep hard copies of medical records after they’ve been scanned into our EMR?

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