Gloryanne Bryant, RHIA, RHIT, CCS, CCDS, regional managing director of HIM (Northern California Revenue Cycle) for Kaiser Permanente in Oakland, compiled a sample list of some of the terms coders are likely to see when coding for wound care. Consider sharing this reference tool with your coding staff.
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?
Undocumented policies and procedures are among the top five stumbling blocks to HIPAA compliance that Chris Apgar, CISSP, finds when he audits healthcare organizations.
Sometimes the best care a patient can receive in the ED is to not be treated there at all. They can often have treatment needs and do received meds, but that does not necessarily entail an admission.
