While patient portals offer convenience and a change to engage in their healthcare for patients, usage remains relatively low.
Computer-assisted coding (CAC) has become a commonly recognized presence on the health information management scene, so much so that we now have coders in the workforce that have likely only ever briefly trained on coding without CAC—or potentially have never worked without CAC at all.
Preparing for a disaster isn’t a matter of “if,” but rather a matter of “when.” The “big one” WILL happen and it will more than likely impact health information management and other operations.
Embracing the knowledge and expertise of an HIM professional can help achieve long-term viable solutions that are efficient and can help improve the quality of healthcare.
The evidence for almost any diagnosis can be argued regarding the given variables within a record. This applies to both CDI professionals seeking to add diagnoses and auditors seeking to remove them.
I have discussed the importance of preservation of electronically stored information (ESI) in multiple Legal e-Speaking posts, as well as the potential consequences of not doing so. A recent court decision, Small v. University Medical Center, offers an example of both the importance of preservation of electronically stored information (ESI) and the potential consequences of not doing so.