Our experts answer questions about NCCI edits for injections, modifier -25, modifier -59, laminotomy with insertion of Coflex distraction device, billing mammogram for needle placement, and auditing electronic orders.
Observation or inpatient? It sounds like a simple question, but it continues to be a sticky area for most facilities. If your organization is having trouble correctly assigning every patient, you're not alone.
Q. Is it a HIPAA violation if a hospital receives a faxed Healthcare Effectiveness Data and Information Set (HEDIS) request and the hospital cannot identify the patient by full name, last name, or date of birth? These requests contain name, date of birth, provider, and the HEDIS Measure (Chlamydia screening, cervical cancer screening, cholesterol management, etc.) and last date of service of the patient. Typically, these faxed requests are from business associates of the patient's health insurance, but occasionally they come directly from the insurance company.
Reliable data backup is critical. If a backup is not in place and your system crashes, you not only have a HIPAA compliance problem, but you may not be able to support your critical operations. IDrive® is a secure backup service that provides "ready when you need it" backup restoration and meets the National Institute of Standards and Technology safe harbor encryption standard.
Eleven years ago, when hospitals and other healthcare facilities were on the cusp of the new HIPAA Privacy Rule, Kathleen A. Frawley, JD, MS, RHIA, FAHIMA, spoke words that were prophetic.
Most soon-to-be HIM professionals fresh out of college want nothing more than to know what's going on inside the HIM director or manager's head. After all, it would help to know what a potential interviewer is thinking when you pop into that chair for your first interview for a potential HIM job, wouldn't it?
