OCR Releases HITECH Privacy Regulations

The Office for Civil Rights released a notice of proposed rulemaking today on modifications to the HIPAA privacy and security rules mandated in the HITECH Act. The release is a display copy, with official publication in the Federal Register to follow on July 14. The proposed rule addresses a variety of modifications and additions outlined in subtitle D of the act, which was part of the larger American Recovery and Reinvestment Act:...

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Meaningful Use Rule on the Way

Update July 12: Health and Human Services will release the rules tomorrow, with an annoucement scheduled for 10 a.m. EST. The long-awaited “meaningful use” rule appears to be on the way. A final rule has been sent for review to the Office of Management and Budget, a required step prior to publication. Although OMB is under no strict deadline to review the rule, high-profile regulation typically does not remain in its queue...

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An Org Chart for CDI Workflow

The July “Coding Notes” article “Establishing a CDI Program” outlines how St. Mary Medical Center in Langhorne, PA, set up its clinical documentation improvement program, moving its Core Measure staff into the role of clinical documentation specialists. St. Mary’s organizational chart is available in the online version of the article available in the AHIMA Body of Knowledge.  The chart outlines Centers for Medicare and Medicaid...

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E-Discovery from the Judicial Perspective

Gerald “Jud” E. DeLoss is counsel with Krieg DeVault, LLP, in Chicago. In the July Journal he looks at e-discovery from the judicial perspective—how a judge determines relevancy, scopes an e-discovery request, handles issues of privilege, and more. As he writes, having a broader understanding of the discovery process can help health information managers respond to requests as part of in-house discovery teams.  * * * In a typical legal...

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In with the Old?

Physician practices that implement EHR systems have decisions to make on managing their old paper records. Will they bring some forward into the EHR and keep others in storage? Will entire records be brought forward or just selected information? How will records be added to the system—via scanning, data entry? Practices must manage the integrity of all data during the conversion to the new system, and they require workflows and...

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