In this month's issue, our expert answers questions on color-coded filing systems, sharing information with overseas providers, coordinating research with hospital employees, and more!
Q: I was recently informed that providers use cellular-based tissue products to treat ulcers when a patient fails to respond to more conservative treatment options. What constitutes a failed response to treatment and how would this be documented?
Q: What information does HIPAA allow to be shared on a health insurance user portal if multiple family members are on the same policy? Should all individuals on the policy have separate user accounts?
Q: If our physician only documents “uncontrolled diabetes” in an admitted patient’s chart, but I can see from the lab results in the record that the patient’s blood glucose levels are high, can I go ahead and assign the ICD-10-CM code for diabetes with hyperglycemia?
