The Privacy Mindset with Third Party Record Reviewers

Amy Derlink Careers, CDI, Coding, Disclosure Management, Outsourcing Leave a Comment

As HIM professionals we expect others we encounter in our personal and professional lives to share our same high level of commitment and dedication to our professional career.  We also expect that from our team at the office, including external third-party auditors and record reviewers. External reviewers must share your organization’s commitment to protecting patient privacy and keeping medical records …

ROOT OPERATION DILEMMA: CONTROL vs. DESTRUCTION

Cathie Wilde CDI, Coding, Disclosure Management, Outsourcing 1 Comment

A 67 year old male who had been experiencing frequent melena presents to the hospital for work up and treatment. An esophagogastoduodenoscopy (EGD) was performed with the finding of a medium sized angioectasia (AVM) seen in the mid jejunum which was thought to be the source of the bleeding.  As a result, the following procedure was performed: A single medium …

2017 HIM Challenges in Data Integrity, Revenue Integrity & Denial Prevention

Laureen Rimmer CDI, Coding, Disclosure Management Leave a Comment

As we evolve in 2017, the challenges have settled for Health Information Management (HIM) post implementation of ICD-10.  Clinical Documentation Improvement (CDI) programs and Computer Assisted Coding (CAC) continue to bring value to data integrity.  Larger healthcare systems continue to centralize revenue services while their auditing efforts have improved with technology and resources to conduct audits, analyze findings and implement …

HIM Best Practices For Scanning Into The Electronic Health Record (EHR)

Charlie Disclosure Management, Leadership, Outsourcing 4 Comments

Scanning Information Into The Electronic Health Record (EHR) It’s a fact. Without HIM best practices for scanning information into the electronic health record (EHR), organizations run the risk of poor quality images that are unreadable, unreliable, and that could pose significant risk to patients. It isn’t difficult to imagine a scenario in which a physician can’t make a critical medical …

ePHI Patient Engagement Heats Up With The Proposed MU Stage 3

Ann D Disclosure Management Leave a Comment

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) published the proposed Meaningful Use (MU) Stage 3. The industry is currently waiting for publication of a final rule. In the meantime, everyone seems to be contemplating potential HIM implications of this new phase of MU. MU Stage …

Navigation in a Hybrid Environment

Ann D Disclosure Management Leave a Comment

The iPhone 6 was released a couple weeks ago and Apple lovers around the world rejoiced. The new model includes advanced technology and improvements to the last version. But there’s a problem. The iPhone is breaking in half, partly because of how it’s being used and cared for. Similar to the iPhone challenge is the introduction of electronic medical records …

The Ideal Patient Portal – What should it include?

Karen G Disclosure Management Leave a Comment

Technology empowers patients and consumers with easier access to their health records. The Blue Button Project is just one example, where patients can access their medical records electronically and share those records with health care professionals. But are patient portals where they need to be? Patient portals should provide… Information that is meaningful Easy access for patient review for data …

MRA Thought of the Day – HIPAA’s Privacy Rule Regarding Sharing Information Related to Mental Health

Charlie Disclosure Management Leave a Comment

Mental health has always been considered highly sensitive information with added protection for release. However, the Privacy Rule recognizes that there are certain circumstances when it is necessary to share a patient’s mental health information for the purpose of treatment and the safety of the patient and/or others. The U.S. Department of Health and Human Services (HHS) recently released new …

MRA Thought of the Day -Medical Identity Theft Is On the Rise

Charlie Disclosure Management Leave a Comment

As gatekeepers of PHI, we are accustomed to guarding people’s privacy on a daily basis. While we primarily focus our efforts on upholding the privacy guidelines of HIPAA and the Affordable Care Act, we rarely discuss the risks of Identity theft. While, massive public breaches, such as Target and TJX, where millions of customers’ credit card information was stolen, occupy …

MRA Thought of the Day – The New HIPAA Privacy Rules Role in Improving the Health and Safety in School Settings

Ann D Disclosure Management Leave a Comment

The new HIPAA Privacy Rule has made it easier to disclose student immunization records to schools in order to meet the requirements of the “school entry” laws. Most states are governed by “school entry” laws which prohibit students from attending school until they have provided documented proof of all required immunizations. The intent of the school entry law is to …