HIM directors can always do more to gear up for the super transition into ICD-10 next year. In fact, one way you can begin preparing is to pinpoint specific elements in ICD-9 that already exist in the record and will be documentation and coding musts once the new code set arrives.
In this column, we often discuss challenges with EHR systems. Sometimes these relate to technical problems, other times they are process related, and occasionally-as we'll be doing in this issue-we talk about the need for effective "people management."
This article is based on the results of HCPro's annual MRB salary survey. Data in this article represent the responses of 292 HIM professionals from hospitals in the following categories:
As the healthcare industry moves toward adoption of EHRs, facilities need structured data entry capabilities to realize increased efficiency in completing medical records and maintaining documentation integrity.
Chasing down information on incomplete records can be overwhelming and a lost cause. What do you do when a medical record is incomplete 30 days after discharge (or 14 in California’s case) and thus does not meet regulatory standards?
