Editor's note: As part of our yearlong celebration of MRB's 25th year, we wanted to take a look back at article excerpts from years past. In some ways, things haven't changed much-getting physicians to complete documentation in a timely manner is still a challenge-but in others, it is clear that HIM has come a long way.
If you are gearing up for a computerized provider order entry (CPOE) implementation, there are some tips and tricks that will help you stay on top of the transition.
Legible.Complete.Dated, timed, signed, and authenticated.That's what section 482.24 of the Medicare Conditions of Participation requires of your medical records.
Facilities that hold regular interdisciplinary care coordination rounds often say such meetings save time. However, the rounds can turn from time-savers to time-wasters if the matters discussed do not stay on topic or drag on.
Organizations need to determine whether they have fully implemented the Security Rule. The HIPAA Security Rule has been around for a while, but many organizations have not implemented all of its requirements.
