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HIM-HIPAA Insider
Keep up to date with weekly advice on issues such as coding and reimbursement, medical record documentation, Joint Commission IM standards, and more.
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HIM-HIPAA Insider
Issue 18, May 13, 2013
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Keep an eye on compliance
How robust is your facility’s compliance program? When did you last update it? Do you know... -
Wife of slain coach: Is HIPAA privacy more important than a life?
The wife of a murdered high school football coach urged Congress during testimony April 26 to... -
Don't burn those ICD-9-CM Manuals just yet
Planning a big bonfire for October 1, 2014, using your ICD-9-CM Manuals as fuel? You might want to... -
An insider’s guide: What it takes for an effective HIPAA compliance plan for business associates
Business associates (BA) definitely have their work cut out for them. HHS' release of the final... -
HIPAA Q&A: Encrypting laptop hard drives
Q. A long-term care facility has deployed laptops that connect to a file server and are password... -
Physician engagement is key to coding accuracy
William E. Haik, MD, FCCP, CDIP, a practicing pulmonologist and director of DRG Review, Inc... -
Product of the week: Principal Diagnosis: Ensure Accurate MS-DRG Assignment live audio conference
The accurate selection of principal diagnosis is essential for your facility’s reimbursement... -
The week in Medicare updates
The week in Medicare updates -
Take our sepsis survey
Sepsis. Ureosepsis. Severe Sepsis. Systemic inflammatory response syndrome (SIRS). Bacteremia...
Issue 17, May 6, 2013
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CMS focuses on quality in IPPS proposed rule
Because we are currently under a code freeze until ICD-10 implementation October 1, 2014... -
OCR: More guidance coming on HIPAA mega rule
OCR will be providing additional guidance on the HIPAA “mega rule,” the all-in-one... -
Get to know ICD-10 codes for wrist and hand conditions
Penny comes in to see Dr. Morang for pain in her wrist. After performing a comprehensive exam and... -
HIPAA mega rule includes impact on HIM
HIM directors must revisit and potentially refine processes for patient record restriction requests... -
Privacy standards for de-identification revisited
The HIPAA Privacy Rule de-identification standard-Section 164.514(a)-includes two methods... -
HIPAA Security Q&A: What is permitted regarding registration areas and privacy requirements?
Q. In a hospital setting, what is permitted regarding registration areas and privacy... -
Product of the week: Principal Diagnosis: Ensure Accurate MS-DRG Assignment live audio conference
The accurate selection of principal diagnosis is essential for your facility’s reimbursement... -
Provider Roundtable seeks new members
The Provider Roundtable (PRT) was established in 2003 to give CMS the benefit of providers&rsquo... -
The week in Medicare updates
The week in Medicare updates -
Take our brief sepsis survey
Sepsis. Ureosepsis. Severe Sepsis. Systemic inflammatory response syndrome (SIRS). Bacteremia...
Issue 16, April 29, 2013
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ICD-10 readiness remains a hot topic
AHIMA held its annual ICD-10-CM/PCS Summit last week in Baltimore and not surprisingly, presenters... -
CMS reaffirms October 1, 2014 implementation date for ICD-10
It was almost inevitable. The possibility of another ICD-10 delay was brought up during the AHIMA... -
OCR to propose reducing HIPAA barriers to filing information with NICS
HHS on April 19 reported an executive action to address unnecessary legal barriers under HIPAA that... -
Diagnostic errors common, costly, and harmful
Wrong site surgeries and medication mishaps get all the gory malpractice headlines, but diagnostic... -
Diagnostic errors common, costly, and harmful
Wrong site surgeries and medication mishaps get all the gory malpractice headlines, but diagnostic... -
Diagnostic errors common, costly, and harmful
Wrong site surgeries and medication mishaps get all the gory malpractice headlines, but diagnostic... -
Diagnostic errors common, costly, and harmful
Wrong site surgeries and medication mishaps get all the gory malpractice headlines, but diagnostic... -
HIPAA Q&A: Patient information sheets sent to departments
Q. We have many departments throughout our healthcare organization that need patient information... -
Tip: Recognize pediatric CDI target areas
Physicians don’t document the same way for pediatric patients as they do for adult patients... -
Condition code 44: How coders and billers can help ensure compliance
Although coders and billers don't play a role in determining whether condition code 44 is... -
Condition code 44: How coders and billers can help ensure compliance
Although coders and billers don't play a role in determining whether condition code 44 is... -
Product of the week: Principal Diagnosis: Ensure Accurate MS-DRG Assignment live audio conference
The accurate selection of principal diagnosis is essential for your facility’s reimbursement... -
The week in Medicare updates
The week in Medicare updates
Issue 15, April 22, 2013
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Add mitigating fraud risks to your ICD-10 to-do list
HIM managers are probably the group paying the most attention the upcoming switch to ICD-10. After... -
Don't look for one size fits all ICD-10 fix
Here’s a stat that will come as no surprise to most coders: approximately 50% of physicians... -
Florida health system faces class-action HIPAA suit
Former hospital patient Richard Faircloth fileda class action lawsuit against hospital owner... -
Consumer Reports expands hospital ratings list
Consumer Reports has nearly doubled the number of hospitals that fall under the updated hospital... -
HIPAA Q&A: Release of medical information
Q. I was told I would be "terminated" if I did not sign a release of medical information... -
Tip: Take steps to comply with HIPAA Omnibus rule
Organizations have until September 23 to get into compliance with the new HIPAA Omnibus rule... -
ACDIS/AHIMA brief provides guidance on query best practices
At the Association of Clinical Documentation Improvement Specialists (ACDIS), questions on... -
Charging for Ancillary Bedside Procedures and Supplies in 2013, live audio conference April 29
Avoid double-dipping and missed revenue opportunities. Join HCPro at 1 p.m. (Eastern) Monday, April...
Issue 13, April 15, 2013
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Recovery Auditors remain in the news
The Recovery Auditor (RA) program is alive and well judging by the number of news items popping up... -
Provider gets 12 years in prison for $10 million Medicare fraud and HIPAA identity theft
The U.S. Attorney’s office in Eastern New York announced April 10 that an owner and officer... -
Putting a broken jaw back together in ICD-10
Sidney is admitted to Stitch ‘Em Up Hospital after being hit in the mouth with a hockey puck... -
Three security tips to help safeguard PHI
Many healthcare organizations face the challenge of protecting patient records and reducing the... -
Coded data drives so much more than reimbursement
Researcher Bill Rudman, PhD, RHIA, says he didn't fully understand the implications of codes that... -
ACDIS to hold annual conference in May
The Association of Clinical Documentation Improvement Specialists (ACDIS)—the nation’s... -
Upcoming CMS events
CMS will hold four National Provider calls in April including a newly announced call focused on the... -
Charging for Ancillary Bedside Procedures and Supplies in 2013, live audio conference April 29
Avoid double-dipping and missed revenue opportunities.Join HCPro at 1 p.m. (Eastern) Monday, April...
Issue 12, April 8, 2013
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Correctly charging ancillary bedside procedures
What ancillary bedside services do you charge for in addition to your room rate for inpatients? Are... -
HIT errors ’tip of the iceberg,’ says ECRI
Healthcare systems' transitions from paper records to electronic ones are causing harm and in so... -
Lawsuit claims IRS stole 60 million medical records
IRS agents stole 10 million people’s medical records without a warrant – including... -
CMS plans ICD-10 planning call April 18
Will you be ready for ICD-10? The ICD-10 implementation date draws closer by the day and CMS wants... -
Intermountain Fined $25.5M for Self-Disclosed Stark Violations
Intermountain Healthcare will pay the federal government $25.5 million to resolve self-reported... -
Ten steps to help you comply with the HIPAA final rule
Privacy and security officers got their marching orders when HHS released the long-awaited new... -
Outpatient Coding Edits: Learn the Logic Behind the Edits live webcast May 15
Coders routinely use modifiers, especially modifier -59, to override coding edits to ensure their...
Issue 11, April 1, 2013
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OCR surveying HIPAA-audited entities about experience
The OCR is taking an interest in how covered entities fare in their HIPAA audits by conducting... -
EHRs rush in where doctors fear to tread
Electronic health records (EHR) are the future, but physicians have yet to embrace them for a... -
ICD-10 tip: ICD-10-PCS root operation change will do you good
Coders are preparing for big changes on October 1, 2014, with ICD-10-PCS implementation rolling... -
CMS releases second ICD-10 NCD transmittal
In a new transmittal, CMS has unveiled updated national coverage determination (NCD) edits that... -
HIPAA Q&A
Do medical supply companies need to have Business Associate Agreements with each facility from...
Issue 10, March 25, 2013
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10 technologies hospital leaders should be watching
In its annual list, the ECRI Institute identifies 10 technologies it says bear consideration by... -
Medicare Audit Improvement Act reintroduced, AHIMA shows support
The Medicare Audit Improvement Act, which aims to rectify problems identified in the Recovery... -
ICD-10 tip: Coding for infectious and parasitic diseases
When it comes to coding for infectious and parasitic diseases, the translation from ICD-9-CM to... -
HIPAA Q&A
As a Medicare beneficiary, do you have the right to access the UB-04 form that a hospital submits...
Issue 9, March 18, 2013
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CMS issues proposed changes to Part B inpatient billing in hospitals
Effective Wednesday March 13, hospitals denied payment because a Part A inpatient stay was deemed... -
HIPAA Q&A
Chris Apgar, CISSP, CEO and president of Apgar & Associates, LLC answers your HIPAA questions... -
HCPro’s 2013 Recovery Auditor Benchmarking Report
In 2012, Recovery Auditors continued to expand their reach and gain speed. How has your facility... -
Phone company introduces secure medical record exchange
Verizon Communications Inc. (VZ) will introduce the first national service enabling physicians to... -
GERD yourself for coding digestive diseases in ICD-10-CM
Take a look at this week’s ICD-10 trainer tip, which looks at coding gastro-esophageal reflux... -
HIPAA/HITECH Omnibus Final Rule: Stay Compliant With 2013 Changes
On Wednesday May 8, join HCPro for an informative audio conference that will help listeners...