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 W CDI, Coding, Disclosure Management, Outsourcing Leave a 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 Leave a Comment

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 …

4 Skills ROI Specialists Need To Succeed

Charlie Disclosure Management Leave a Comment

Skills For Medical Release Of Information Specialists Today’s medical release of information (ROI) specialists wear many hats and must possess many skills. At a very high level, ROI specialists must be highly proficient in medical terminology and the specific components of an electronic health record (EHR). They must also be able to perform data entry as well as navigate through …

E-signatures: Take Them Or Leave Them?

Charlie Disclosure Management Leave a Comment

Know Your Facility’s Release of Information Policy In today’s technology-driven healthcare environment, e-signatures are common, yet they also raise many questions in the world of release of information (ROI). How can ROI specialists verify a patient’s identity when patients sign electronically through a portal, for example? What about when patients sign on an electronic pad/device? Signatures oftentimes look nothing like …

Integrated delivery systems and data sharing: 4 questions that HIM can help to answer

Karen G Disclosure Management Leave a Comment

In this quality-driven healthcare environment, hospital mergers are commonplace. Sometimes one or more hospitals merge directly. In other cases, hospitals merge together under one corporate umbrella that may include many other facilities. When these types of mergers occur, data integrity and information governance are critical. HIM professionals are often at the center of these changes, ensuring data accuracy and explaining …

How can ROI specialists evolve?

Ann D Disclosure Management Leave a Comment

Over the years, the role of the ROI specialist has changed significantly commensurate with increased HIPAA scrutiny and the implementation of EHRs. In a previous post, I discussed the challenges that today’s ROI specialists face when navigating through a hybrid environment. It’s difficult at best to locate information that spans multiple formats and locations, and it requires new skills and an …

HIP week: A time to reflect on the importance of HIM

Charlie Disclosure Management 1 Comment

This year, health information professionals (HIP) week takes place March 22-28. During this weeklong celebration, it’s helpful to ponder how much the profession has evolved and where we are headed in the future.  HIM has seen many changes over the years, and we’ll likely see many more as EHRs continue to become a core part of clinical care. The history of HIM …