In October 2012, Medical Records Briefing (MRB) asked HIM managers and directors about their ICD-10 implementation efforts for our first quarterly benchmarking survey of the year.
Physician documentation must include sufficient detail to ensure that case managers can accurately estimate LOS, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, PCS, FCS, C-CDIS, CCDS, an independent health information management consultant in Madison, Wis.
The American Health Information Management Association (AHIMA) wants improved and unified health information governance to standardize EHR use. AHIMA says the move will lead to technology that provides better, more efficient patient care.
It has been quite a year in the privacy world, hasn't it? The OCR website has reported 500 breaches of unsecured PHI affecting 500 or more individuals, totaling more than 12 million patients. There has been an increase in HIPAA-related criminal sentences involving jail time. And private lives are no longer private.
Ensuring detailed documentation isn't important only with respect to documenting medical necessity. Case managers should also ensure physicians are including enough information in patient records to help them accurately estimate LOS, says Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, PCS, FCS, C-CDIS, CCDS, an independent health information management consultant in Madison, Wis.
