Retain. Train. Assess. Investigate. Analyze. HIM professionals have undoubtedly come across action verbs like these since HHS announced on January 15, 2009, the final regulation to replace the ICD-9-CM code set with the more advanced ICD-10-CM code set currently used in other nations.
Over the last six months, The Joint Commission's survey have continued to show a pattern in regard to findings related to the Record of Care and Treatment chapter of the Joint Commission accreditation manual. The challenging standards are outlined below, including tips for compliance.
It may not be the proverbial keys to the kingdom, but OCR's recently published audit protocol for its current privacy and security audits gives healthcare organizations an inside look at the inspection process.