HIPAA allows patients to request amendments to their medical records. Facilities are not required to automatically make whatever change a patient requests, but they must allow patients to make the requests and follow a specific process for handling them.
Finding postacute placement for infants, children, and youth with complex health conditions can be a sizable challenge. While many organizations have begun to create programs to support adult patients in their transitions to postacute facilities and back into the community, the same programs should be considered for pediatric patients.
Q: We have a patient admitted with a history of chronic heart failure (CHF) and end-stage renal disease (ESRD) who was admitted with volume overload due to acute kidney injury (AKI) and dialysis noncompliance. The AKI and volume overload resolved with hemodialysis treatment. How should we report this in ICD-10-CM?
Q: Where can the policy be found that shows records can be destroyed as soon as they are scanned into the electronic medical record (EMR)? Would a hospital presume that it is acceptable to destroy paper records after they are scanned into the EMR if electronic storage media is legally acceptable for medical records in its state?
