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Transactions Delay Prompts Concern Among Covered Entities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2002


AHIMA recently attended a meeting of healthcare providers, payers, and staff representatives of the National Committee on Vital and Health Statistics (NCVHS) and the Centers for Medicare and Medicaid Services (CMS). Organized by the Association for Electronic Health Care Transactions, the meet....

First Step Toward Compliance: OCR Outreach

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: February 2002


Though the Office for Civil Rights (OCR) has played an active role in the Department of Health and Human Services (HHS) since the early 1980s, it has only recently moved to the forefront of HIM professionals’ minds. Charged with enforcing the HIPAA privacy rule, OCR has become the leading....

Best Practices for Medical Necessity Validation

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: February 2002


To protect the Medicare Trust Fund from being drained, government health plans must provide coverage restrictions for unnecessary health services in vulnerable patient populations. One restriction mechanism is the provision of edits that look for valid reason-for-visit codes for selected servi....

Dilemma of Psychotherapy Notes and HIPAA

Author: Nicholson, Ruby E.

Source: Journal of AHIMA

Publication Date: February 2002


For HIM professionals in behavioral health settings, the HIPAA privacy regulations pose a downright dilemma. Here’s why.


The privacy rule defines psychotherapy notes as:


Notes recorded in any medium by a mental health professional documenting or analyzing....

Medical Necessity under OPPS: a Look at the Challenges

Author: Carter, Darren

Source: Journal of AHIMA

Publication Date: February 2002


The outpatient prospective payment system (OPPS) has dramatically changed claims processing by introducing an automated system. Medical necessity validation has also been automated as a result, leaving hospitals with increased rejections. This article explores how OPPS impacts the medical nece....

Addressing HIPAA Across the Continuum

Author:

Source: Journal of AHIMA

Publication Date: February 2002


HIPAA is an issue in hospitals across the nation, but what about other kinds of facilities—such as long-term care, behavioral health, or home care organizations? They, too, need to address HIPAA. We asked three HIM professionals who work in these settings to briefly address how HIPAA is ch....

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