Best Practices for Terminal Digit Filing

Paper doesn’t get the publicity these days, but maintaining current and legacy paper-based health records continues to be important to day-to-day HIM operations. Understanding how to file, retrieve, and maintain paper records—especially across multiple locations, such as offsite storage—remains a core function in many departments. Most HIM departments file by terminal digits, which is the only way to keep files expanding at an even...

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Putting ICD Updates on Ice

One step to help the industry make the transition to ICD-10-CM/PCS will be temporarily suspending updates to the code set as the October 2013 deadline gets closer. Freezing both the current ICD-9-CM and the new ICD-10-CM/PCS code sets will save organizations further cost and complexity by enabling them to focus on the system change without simultaneously managing code updates. The Centers for Medicare and Medicaid Services has been...

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More E-Signature Resources

Organizations can find further guidance on developing electronic signature policies in the online version of the November–December practice brief “Electronic Signature, Attestation, and Authorship (Updated).” The online version includes five separate appendixes, linked at the end of the brief: Appendix A excerpts portions of the HL7 EHR-System Records Management and Evidentiary Support Functional Profile Standard, which can be used to...

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More Delays for the Red Flags Rule

The Federal Trade Commission has announced a new delay for the Red Flags Rule. Enforcement will now begin June 1, 2010. The delay, announced October 30, comes at the request of Congressional members, the FTC said. The rule was scheduled to go into effect November 1. The announcement comes a week after the House of Representatives passed an amendment to the rule that would exclude certain businesses, including small healthcare,...

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Exposing Double Identity at Patient Registration

Keeping the organization’s master patient index clean leads some HIM departments all the way back to patient registration, where they collaborate to prevent errors before care starts. Accurate registration helps keep patient data complete and clean as it moves throughout the organization. Long-term trouble can start during a brief check-in. A rushed or incomplete search of the organization’s MPI can cause clinical registrars to create...

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