Imagine the information services department manager tells the HIM director he or she can't outsource transcription or receive reports directly in the EHR without a tremendous amount of manual intervention.
Perhaps it's because I reside in Chicago?home of both Oprah Winfrey and the American Health Information Management Association?but lately I have been thinking about "aha moments" for HIM professionals.
I have recently heard questions and discussion about the use of abbreviations within the medical record. With that in mind, this quarter's Joint Commission column will outline the requirements for abbreviations and provide guidance regarding the pros and cons of expanding the limited "do-not-use" list
1. Phase 2 of OCR's HIPAA audits will be desk audits, which means OCR will not conduct on-site audits of covered entities (CE) and business associates (BA) unless resources are available.
The CMS EHR Incentive Program 2014 attestation deadlines for Medicare-eligible hospitals and professionals draw near (November 30 and December 31, respectively), so MRB asked healthcare professionals to reflect upon their successes and struggles associated with EHR implementation for benchmark survey.
Editor's note: Andrea Clark-Rubinowitz, RHIA, CCS, CPCH, has more than 30 years of experience working with healthcare professionals, information systems, hospital coding, and operational and compliance training. She founded and led Healthcare Revenue Assurance Associates from 2001 to 2014. Contact her at 954-465-0968 or aclark5678@gmail.com.
