Clinical Documentation

OIG Says No Fines for Hospital’s Transcription Service

By Eric Topor from Health Care Daily Report for BNA Dec. 29 — The Health and Human Services Office of Inspector General posted an advisory opinion Dec. 29 (No. 15–15) that said it wouldn’t impose sanctions on a hospital’s proposal to provide market rate transcription services for radiology tests performed at the hospital for patients of an unaffiliated…

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A Mobile Device Triggered a HIPAA Breach In Your Office… Now What?

By Jennifer B. Cohen, Esq. for Physicians News Digest In today’s health care environment, even the smallest practices have integrated the use of mobile devices into their daily practices; recordkeeping using laptops, tablets, and even cell phones has become a norm, rather than an exception. This is no surprise, given the portability and convenience of using…

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12 Days of Christmas

In the true spirit of the holidays, I am sharing an ICD-10 coding gift that was given to me in hopes that you will enjoy it as much as I did. Thank you, Annie Boynton, BS, CPC, COC (formerly CPC-H), CPC-P, CPC-I, RHIT, CCS, CCS-P, CPhT. Your clever mind, generosity, and humility have no limits.…

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The Leapfrog Group names 2015 Top Hospitals: 5 things to know

By Shannon Barnet for Becker’s Infection Control & Clinical Quality The Leapfrog Group has recognized 98 hospitals as Top Hospitals on its 2015 list, up from 94 hospitals in 2014 and 90 in 2013. The list recognizes organizations that performed at the highest national levels in quality and safety. All total, more than 1,600 hospitals…

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The Essentials of Medical Necessity

By Laurie Desjardins, CPC-I for For The Record Vol. 27 No. 11 P. 6 The Social Security Act defines medical necessity as follows: “Notwithstanding any other provisions of this title, no payment may be made under Part A or Part B for any expenses incurred for items or services, which are not reasonable and necessary for the diagnosis…

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2015 Best Hospital IT Departments: Meet the winners

By Mike Miliard for Healthcare IT News Hospital IT departments have a lot on their proverbial plates these days, as they work to help their health systems manage the minutia of meaningful use attestations, deal with the nuts and bolts of the ICD-10 changeover (so far, so good!) and strengthen defenses against data security threats that…

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ICD-10 Moves Healthcare One Step Closer to Improved Documentation

Article by Karen Diop, RN, CDIP. This article was originally published on the Journal of AHIMA website in the “Coding Notes” section in November 2015 and is republished here with permission. Change has become a constant in healthcare. With the introduction of electronic health record (EHR) systems, core measures, the “meaningful use” EHR Incentive Program, value-based purchasing, and the…

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A few blips mar ICD-10 rollout

By Joseph Conn for Modern Healthcare It’s been mostly smooth sailing with a few rough spots one month into the national conversion to the International Classification of Diseases, 10th Revision, of diagnostic and procedural codes, better known as ICD-10. The CMS issued a statement Thursday saying Medicare fee-for-service claims “are processing normally,” with 4.6 million…

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