Many resources are available to aid and reassure HIM professionals as they embark on the journey to create a paperless environment at their organizations. The Healthcare Information Management Systems Society (HIMSS) Analytics EMR Adoption Model (EMRAM) is one such resource.
Medical Records Briefing (MRB) recently asked HIM, clinical documentation improvement (CDI), and coding professionals about their ICD-10 implementation efforts for our first quarterly benchmarking survey of the year.
Q. Is an authorization required when releasing HIV testing results/information via a health information exchange? If not, what other state/federal regulation may govern sensitive information related to HIV test results or treatment?
When Shallie J. Bryant, CHC, CHPC, went to work at CaroMont Health in North Carolina more than two years ago, her biggest challenge was creating a culture of patient privacy.
Although the 2014 inpatient prospective payment system final rule didn't bring too many changes to the process of discharge planning, you can and should be using the discharge plan to meet some of the updated documentation requirements.
