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Journal Q&A (11/02)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2002

Q: When should a change to scanned documents in an information system be identified as a late entry?

A: An entry is not considered "late" in a set time frame. Generally, an entry should be made as close to the event as possible. The more time that passes, the more suspicious and vulnerab....

Journal Q&A (1/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 2003

Q: When is it legal to disclose protected health information (PHI) to clergy?


A: If the individual is informed in advance of the possible disclosure and has the opportunity to object, the HIPAA privacy rule allows a covered entity to disclose directory information to clergy. Directo....

Preventing Risk in Long-term Care: Lessons Learned

Author: Wright, Amy

Source: Journal of AHIMA

Publication Date: January 2003


“If you or a loved one has been the victim of nursing home abuse, please call for a free consultation.” This refrain is familiar to Floridians and is quickly moving to other states where laws allow large punitive or damage awards for malpractice lawsuits.


Long-term c....

Journal Q&A (1/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 2003

Q: Is faxing patient information legal under HIPAA?
A: If the covered entity is permitted to release the information (for treatment purposes or by authorization, for example), then using a fax machine is allowed. The privacy rule requires the entity to provide appropriate administrative, techn....

Journal Q&A (1/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 2003

Q: Does HIPAA allow clinicians in our home health facility to pull their own records?
A: Your facility must make a reasonable effort to limit the access of your clinicians to the PHI they need to perform their duties. You will have to determine what policies are reasonable. As employees, the c....

Commitment to Progress through e-HIM

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2003


Consensus is growing for a national health information infrastructure (NHII). As financial resources permit, all types of healthcare organizations are moving from paper to electronic health records (EHR). More than ever, the HIM profession must be visible and vocal advocates for this transform....

Moving Toward a Unified Information Security Program

Author: Ruano, Michael

Source: Journal of AHIMA

Publication Date: January 2003


Is your organization up to the challenge of creating a unified information security program?


A unified information security program has been all but mandated for healthcare organizations by the federal government. HIPAA requires that electronic, paper, and oral patient identif....

Sample Policy: Protecting Patient Privacy from Outside Callers

Author: AHIMA

Source: Journal of AHIMA

Publication Date: February 2003


Background: It is customary for family members, legal guardians, and friends of patients at [name of hospital] to telephone the hospital, inquire in person about the condition of a patient, or to request other health information. Privacy regulations require that a patient’s identity or oth....

Protecting Verbal PHI: a Plan

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: February 2003


Does your organization have a policy in place for protecting patient health information (PHI) over the phone?


This article will discuss how a workgroup at Children’s Hospital and Health Center (CHHC) in San Diego, CA, implemented a policy to protect verbal PHI and how your....

Staff Discovery Tools

Author:

Source: AHIMA web extra

Publication Date: February 02, 2003


Use one of the two approaches below to involve and educate staff on privacy issues. The second method uses a more structured approach.
1. Protected health information (PHI) is confidential information that includes a patient's identity and medical information. Identify instances where PHI....

AHIMA Mobilizes to Meet the e-HIM Call

Author: AHIMA

Source: AHIMA Advantage

Publication Date: February 2003


At the 74th National Convention and Exhibit in September 2002, Executive Director Linda Kloss announced an electronic health information management (e-HIM) initiative designed to expand support to members and the industry to migrate from paper records to an electronic information infrastructure....

VA Puget Sound Reaps Benefits of Automation

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: March 2003


What is it like to work in a fully automated healthcare system? As a visitor, I was doubly curious, because the topic of my management practicum in 1977 was preparing the Veterans Affairs Puget Sound Health Care System MPI for computerization. This was a sophisticated practicum at the time bec....

Computer Recycling: Are you Legally Prepared

Author: Harford, Joseph P.

Source: Journal of AHIMA

Publication Date: March 2003


None of these methods of disposal address healthcare organizations’ environmental or legal responsibilities. But how do you know if your organization is legally positioned to handle disposal of computer equipment? This article will address these concerns.

What Is Legal?
<....

Clinic EHR Streamlines HIM Department

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: March 2003


Is your clinic or medical group thinking about implementing an EHR? Plan for plenty of changes—in staffing, processes, and the delivery of care. Here, learn how a variety of clinics weathered the conversion.

When the Mayo Clinic in Scottsdale, AZ, planned to open a new hospital....

Documentation Issues

Author: Kennedy, James S.

Source: AHIMA community resource

Publication Date: March 02, 2003


Issues to Consider If you write: Consider this: Acute Coronary Syndrome: This is a great admitting diagnosis, however it is so broad that it doesn't tell us the exact pathophysiology of what we found after study, diagnosis, and treatment of our patient. Does the patient have a coronary thromb....

Preparing for a New Generation of HIM

Author: Siegel, Barbara

Source: Journal of AHIMA

Publication Date: March 2003


Earlier generations—our grandparents and parents—tell stories of how technology changed their lives. Born at the turn of the 20th century, my grandparents witnessed the successes of Alexander Graham Bell and the Wright brothers. My parents were mesmerized by talking movies and televi....

Is Your NPP Your Best Defense?

Author: Lee, Michael R.

Source: Journal of AHIMA

Publication Date: April 2003


In the event of a privacy-related legal challenge, the content of your organization’s notice of privacy practices (NPP) will be a focal point for both plaintiff and defense arguments with respect to the protected health information (PHI) disclosure activities of your organization. Is your....

Record Reviews, Clinician Education Form Best Defense

Author: Pinder, Ray

Source: Journal of AHIMA

Publication Date: April 2003


We have all heard stories about attorneys winning large settlements for their clients due to lack of or insufficient documentation in the medical record. Many HIM professionals have taken steps to teach the basics to physicians, nurses, and other health professionals that have documentation re....

Journal Q&A (4/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: April 02, 2003

Q: An attorney recently told our facility that we need to retain records for at least 10 years to comply with the False Claims Act (FCA). Our state law only requires seven years. Which takes precedence?

A: The FCA (31 USC§3729–3733) applies to actions, jurisdiction, and procedu....

How Poor Documentation Does Damage in the Courtroom

Author: Schott, Sharon

Source: Journal of AHIMA

Publication Date: April 2003


Poor documentation practices can result in a host of problems, and even minor errors can come back to haunt an organization. Here, learn how documentation errors can be used against your facility in a lawsuit.
In our increasingly litigious society, medical malpractice lawsuits are becomin....

Accounting for Disclosure Cost Analysis Worksheet

Author: Dunn, Rose T

Source: External - used with permission

Publication Date: May 02, 2003

This worksheet has been developed to provide guidance on components to consider in developing the basis for a reasonable, cost-based charge for the Accounting for Disclosure (164.528). This worksheet is not intended to be all inclusive. Users are encouraged to discuss inclusions to this analysis with their facility’s cost accountant.

Handling Cancer Registry Requests for Information

Author:

Source: In Confidence (newsletter)

Publication Date: May 02, 2003


Question: Does HIPAA say anything about primary care physicians giving information to cancer registries if requested for follow up?
Answer: Cancer registries collect data on patients treated for cancer and often follow patients for a long period of time. Registry information may be used t....

Journal Q&A (5/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 2003


Q: What is multi-factor authentication?


A: Multi-factor authentication uses two or all three of the following methods of authentication:

Something you know, such as your password, PIN, computer ID

Something you have, such as your ATM card, a token, a key,....

Calculating Costs for Accounting of Disclosures

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: May 2003


The privacy rule allows a covered entity to charge a cost-based fee for providing an accounting of disclosure (AOD). Has your organization determined these costs? Calculating the actual costs may be more involved than you think. This article will discuss the requirements for setting the fee an....

Catching Up with HIPAA: Managing Noncompliance

Author: Weintraub, Abner E.

Source: Journal of AHIMA

Publication Date: May 2003


With the April 14 HIPAA privacy deadline behind us, many covered entities are still struggling to become compliant. Limited budgets and staff, conflicting advice, and unforeseen delays have all conspired to keep many covered entities from meeting the deadline.


What do you tell....

Journal Q&A (6/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: June 02, 2003

Q: Under the privacy rule, how should a physician’s office handle a request from parents for a written statement recommending limitation of their child’s activities at school?

A: Most covered entities have policies requiring written requests or authorizations for disclosure of....

Oral Privacy and HIPAA: We Really Need to Talk

Author: Jacobs, Jodi

Source: In Confidence (newsletter)

Publication Date: June 02, 2003


Oral privacy is not a new need or requirement in healthcare. However, because it is now backed by a federal mandate, it is receiving newfound attention. With the passing of the April 14, 2003, deadline for HIPAA compliance, hospitals, pharmacies, clearinghouses, physician’s offices, military....

Cryptography and HIPAA: Breaking the Code

Author: Ruano, Michael

Source: In Confidence (newsletter)

Publication Date: June 02, 2003


Part four in a 10-part series.
This article is the fourth of a 10-part series that introduces the domains of information security and relates them to federal HIPAA regulations. The information security domain of cryptography is probably the most complex and mathematical of all the domai....

Obtaining Satisfactory Assurance for PHI Disclosure

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: June 2003


Obtaining “satisfactory assurance” in the privacy rule may sound like something new, but the concept has been around for a long time. Do you know what it means and how it affects your HIM department? This article will explain what obtaining satisfactory assurance means and how it can....

Journal Q&A (6/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: June 02, 2003

Q: What are a covered entity’s legal responsibilities when a former employee breaches confidentiality of information gained during his or her employment period?

A: Individual state laws would affect the outcome of litigation if charges were pressed through civil action. If the organ....

Sorting Out Employee Sanctions

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: June 2003


Has your organization addressed sanctions related to privacy and security issues? Both the final privacy rule and final security rule address this issue. The privacy rule states that the covered entity must “have and apply appropriate sanctions against members of its workforce who fail to....

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