Q: We are currently coding a chart for an acute kidney injury which has the baseline serum creatinine and urine output missing from the chart. Is there something we can do before we have to query the physician?
Interventions designed to reduce hospital readmissions are accomplishing their goal from a patient perspective—but not always from a cost savings perspective.
A new model patient request for health information form aims to simplify the medical record request process and reduce confusion and errors that lead to compliance problems.
Q: If we terminate a business associate agreement, are we required to obtain assurance that it has completely destroyed all of our protected health information (PHI) stored on its servers and other devices? If the PHI was not completely destroyed and was breached after we terminated the contract, who is responsible for reporting the breach?
As more focus is placed on improved revenue integrity management, coordination, and collaboration, revenue cycle is evolving to revenue integrity. As such, it’s important to understand the classic revenue integrity issues which can arise at any facility.
