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 proposed legislation would require at a federal level that hospitals, nursing homes, rehabilitation centers, mental health providers, and jails develop a workplace safety plan to protect their employees. Such safety plans could include measures such as hiring more security guards, installing surveillance cameras, and training staff in how to respond to violent incidents.
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.
Former Cleveland Clinic president and CEO Delos “Toby” Cosgrove, who is advising Google as it seeks to enter the healthcare technology industry, envisions a future in which a doctor’s face-to-face conversation with a patient could provide all the information an EHR needs to document that patient’s encounter.
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.