On July 8, HHS released a proposed rule to modify the HIPAA privacy, security, and enforcement rules, extending HIPAA compliance requirements to subcontractors of business associates (BA) and strengthening patient rights to health information privacy.
The HITECH Act includes new privacy requirements that allow for stronger individual rights to access electronic health records (EHR) and restrict the disclosure of certain PHI.
In severity and risk adjustment, defining acute kidney disease, specifically acute renal failure (ARF) and its synonym, acute kidney injury (AKI), are confounding issues for physicians, coders, and quality specialists. When do patients with elevated creatinine levels or oliguria have ARF or AKI, a major complication and comorbidityunder MS-DRGs? How do ARF, AKI, and other terms, such as acute renal insufficiency or azotemia, factor in risk adjustment?
If you’ve been outsourcing your transcription but think there might be a better way to meet your needs in-house, you may want to take another look at some other options. You may have more than you realize.
Incidents involving paper records and desktop computers are second and third most common on the growing list of privacy breaches reported on the OCR website. (The No. 1 reason for privacy breaches re-mains the loss or theft of laptop computers and other portable devices. Briefings on HIPAA looked at ways to prevent those types of privacy breaches in the June issue.)
It may be too early to start intensive ICD-10-CM training for your coding team, but now is a good time for your coders to at least become familiar with features of the new system.
