Over the last six months, The Joint Commission's survey have continued to show a pattern in regard to findings related to the Record of Care and Treatment chapter of the Joint Commission accreditation manual. The challenging standards are outlined below, including tips for compliance.
Betty B. Bibbins has a message for any healthcare professional-including HIM managers and directors-who struggles to get physicians to document with enough specificity to produce compliant coding and billing: It's your job to tell them how to do it better.
If HIM professionals needed another reason to be concerned with protected health information (PHI) outside of paper records, a surgery center in Arizona provided one in April.
Summers can be wonderful, it's true. But they can also be a glowing reminder of what you don't have in your HIM department: a bountiful staff and endless resources.
A presumption is a belief or hypothesis about something. An assumption is taking a piece of information (as in knowledge about a topic) as a given fact. When you put them together, a presumptive assumption is troublesome because you can assume in error.
