In Audit
Mar 21st, 2018
Healthcare providers must maintain a complete and accurate medical record for all services they perform. These requirements are generally enforced through licensing, the certification process, or credentialing with insurance carriers. Components commonly found in all medical records make each as unique as the individual to whom it belongs. These components include: Each medical record must ...
A quick review of the HIPAA Privacy Rule can help to guide healthcare entities on the proper way to share information in emergency situations. By Jillian Harrington, EdD, MHA, CPC, CPC-P, CPC-I, CEMC, CCS, CCS-P, AAPC Fellow Following several situations that have recently occurred, such as the mass shooting in Las Vegas, the weather related disasters in Florida ...
Dec 5th, 2017
How to fulfill their legal right, legally. Patients have a federal right to “request to amend” their medical record. This right is conferred by the Standards for Privacy of Individually Identifiable Health Information, otherwise known as the HIPAA Privacy Rule of 2001 (45 C.F.R. § 164.526). Let’s review legal details so you can best formulate ...
Help overcome risks by understanding what protected health information is and how (not) to use it. Federal law limits how patients’ personal information may be used and disclosed. Here are the basics you should know to protect your practice when handling patients’ protected health information (PHI). Know What’s Protected  The HIPAA Privacy Rule protects patients’ ...
Failing to thoroughly document signs and symptoms, assessments, and treatments of chronic diseases creates a ripple effect of misfortune. First, all relevant codes are not captured; this leads to improper payment (not to mention, an injustice to the patient). The next thing you know, the claim fails a Risk Adjustment Data Validation (RADV) or Office ...