Over the course of the past 30 years in the HIM field, I have observed much trial and error on the part of HIM managers who have been pioneers in the EHR journey.
Undocumented policies and procedures are among the top five stumbling blocks to HIPAA compliance that Chris Apgar, CISSP, finds when he audits healthcare organizations.
Q A fax containing PHI is sent to an incorrect fax number. Did the covered entity (CE) or business associate (BA) violate HIPAA? Must the patient disclosure accounting record include this incident?