In ICD-10-CM, defining, diagnosing, and documenting the various forms of altered mental status and their underlying causes remains an ongoing challenge for physicians and their facilities.
Technology has transformed HIM. Today, challenges in the HIM department include EHRs, alphanumerical codes, quality metrics, and technology devices like scanners.
This month's security Q&A answers readers' questions about accounting of disclosures, providing information to marketing departments, unencrypted emails, and terminating BAAs.
Accurate clinical documentation is the bedrock of the legal medical record, billing, and coding. It is also the most complex and vulnerable part of the revenue cycle.
This due digilence checklist will help track and evaluate document requests, warn of privacy and security issues, and provide a basis for determining action plans and resources required to integrate privacy and security programs.
