In this column, we often discuss challenges with EHR systems. Sometimes these relate to technical problems, other times they are process related, and occasionally-as we'll be doing in this issue-we talk about the need for effective "people management."
As the healthcare industry moves toward adoption of EHRs, facilities need structured data entry capabilities to realize increased efficiency in completing medical records and maintaining documentation integrity.
Medical Records Briefing catches up on computer-assisted coding (CAC) with Deloris Farthing, RHIA, CHDA, director of HIM for Hays (Kan.) Medical Center.
Chasing down information on incomplete records can be overwhelming and a lost cause. What do you do when a medical record is incomplete 30 days after discharge (or 14 in California’s case) and thus does not meet regulatory standards?
It was a gorgeous afternoon and a perfect day to hold an outdoor summer barbecue for the HIM department at Central Peninsula Hospital in Soldotna, Alaska.
Q. If an organization’s human resources officer is also the plan administrator for the organization’s group health plan (self-insured), does that individual have the right under HIPAA to access records of high-dollar pharmacy/medical claims for the purpose of targeting the insured for wellness programs or other alternative treatment plans?
At the Association of Clinical Documentation Improvement Specialists (ACDIS), questions on physician queries are never few and far between. Although AHIMA has published a couple briefs on the topic over the last decade, questions have still remained about how to implement a compliant and effective query process.
