While it can be challenging to define your organization's legal health record (LHR), one health system in Denver is proving that collaboration and perseverance can lead to an effective LHR and EHR.
Coding and documentation should tell a patient's complete story. With the greater specificity in ICD-10, organizations should be better able to capture these stories, and the respiratory codes, listed in Chapter 10: Diseases of the Respiratory System (J00?J99), are no exception.
In the wake of several large breaches, OCR is ready to ramp up its oversight of HIPAA compliance as it embarks upon Phase 2 of its HIPAA privacy, security, and breach notification audits. OCR began preparing for this round of audits around the same time that news broke of the second-largest HIPAA breach in the U.S., a hacking incident that affected 4.5 million patients treated at or referred to Tennessee-based Community Health Systems, Inc.
With quarterly code updates and other regulatory changes from CMS throughout the year, the chargemaster coordinator has to constantly monitor the healthcare landscape, but the final few months of the year remain the most challenging.
