Medical Records Briefing (MRB) recently asked HIM, clinical documentation improvement (CDI), and coding professionals about their ICD-10 implementation efforts for our first quarterly benchmarking survey of the year.
Many resources are available to aid and reassure HIM professionals as they embark on the journey to create a paperless environment at their organizations. The Healthcare Information Management Systems Society (HIMSS) Analytics EMR Adoption Model (EMRAM) is one such resource.
As we listen to the tick-tock of the clock, and we approach a pivotal year in healthcare that is sure to be full of impactful changes, I’ve put together a top 10 list of tasks to which you can devote that precious work time.
Q . Are HIPAA policies and training required regardless of the number of employees at a facility? For example, must a three-provider clinic provide HIPAA training?
To accurately interpret and code physician documentation, the HIM department must employ a quality clinical documentation improvement (CDI) program and an effective query process. Building upon these programs is integral to the success of the HIM department, especially where ICD-10 is concerned, said Deborah Lantz, RHIA, during HCPro's audio conference "Auditing Documentation for ICD-10: Steps to Take Now to Prepare Physicians and Staff." Lantz is the director of HIM at St. Charles Hospital in Port Jefferson, N.Y., and an AHIMA-certified ICD-10 trainer.
