Clinical Documentation

What Are The Top IT Security Challenges Facing Hospitals?

By Jim Keener for Health IT Outcomes A recent survey of healthcare executives revealed employee awareness as their greatest cybersecurity concern. Even if comprehensive educational programs are already in place, it can be difficult for hospital administrators to stay on top of the latest IT security challenges and solutions. This is partially due to how busy physicians…

Read MoreWhat Are The Top IT Security Challenges Facing Hospitals?

Cancer moonshot head recounts exchange with Epic’s Faulkner

By David Pittman, With help from Darius Tahir for Politico BIDEN, EPIC TALK MEANING OF ‘EASY TO UNDERSTAND’: Former Vice President Joe Biden took to task an Epic executive who questioned during a January meeting of the Cancer Moonshot why patients should have their full medical record, a Biden aide recounted Tuesday. Epic CEO Judy Faulkner…

Read MoreCancer moonshot head recounts exchange with Epic’s Faulkner

Bridging the Gap between HIM Coding and CDI Professionals

Article by Steven Robinson, MS, PA, RN, CDIP. This article was originally published on the Journal of AHIMA website on April 26, 2017 and is republished here with permission. Unity is strength… when there is teamwork and collaboration, wonderful things can be achieved. —Mattie Stepanek Clinical documentation improvement (CDI) professionals have a worthy task to help identify…

Read MoreBridging the Gap between HIM Coding and CDI Professionals

Cyberattack on Medical Software Shows Industry Vulnerability

By John Lauerman and Jeran Wittenstein, with assistance by Joshua Fineman and Saritha Rai for Bloomberg Technology Many doctors still can’t use a transcription service made by Nuance Communications Inc. three weeks after the company was hit by a powerful, debilitating computer attack. Hospital systems including Beth Israel Deaconess in Boston and the University of Pittsburgh Medical Center…

Read MoreCyberattack on Medical Software Shows Industry Vulnerability

CDI in the Outpatient Setting: Finding the ‘Hidden Gems’ of Opportunity for Improvement

By Kay Merriweather, RHIA, CCS, CCS-P, COC, CHDA, CDIP; Leslie Slater, RHIA, CCDS, CIC, CRC; and Michele Bohley, RHIA, CCS for AHIMA “If it’s not documented, it wasn’t done.” This is one of the first axioms health information management (HIM) professionals learn. HIM professionals have witnessed the evolution of quality documentation, with patient education becoming…

Read MoreCDI in the Outpatient Setting: Finding the ‘Hidden Gems’ of Opportunity for Improvement

Ransomware Cyber Attacks: How to Prepare & Respond

By Christine Bucci for BRITTON GALLAGHER Hackers are wielding their power across Europe by unleashing a rash of ransomware cyber attacks on companies, with the most severe hitting the Ukraine. Ransomware is a type of malware that holds your computer and data files hostage until the ransom pays the demanded amount. In the most recent European…

Read MoreRansomware Cyber Attacks: How to Prepare & Respond

Survey: Hospital, Office Physicians Say EHRs Hinder Patient Interaction, in Different Ways

By Heather Landi for Healthcare Informatics While it’s no secret that physicians have complaints about electronic health records (EHRs) and the impact on patient interactions, one survey has found that hospital-based physicians and office-based physicians have slightly different concerns about how maintaining electronic records impacts clinical encounters. An analysis by researchers at Brown University and…

Read MoreSurvey: Hospital, Office Physicians Say EHRs Hinder Patient Interaction, in Different Ways

Has CAC Lived Up to Its Promise? Providers, Vendors Weigh In

Article by Lisa A. Eramo, MA. This article was originally published on the Journal of AHIMA website on June 1, 2017 and is republished here with permission. In the months leading up to the ICD-10 go-live, many hospitals implemented computer-assisted coding (CAC) in the hopes that it would offset anticipated productivity losses and boost coding accuracy. Now…

Read MoreHas CAC Lived Up to Its Promise? Providers, Vendors Weigh In

Christie: Opioid Commission May Propose Changing HIPAA Rules

By Katherine Landergan for POLITICO MORRISTOWN — The presidential opioid commission may propose changing patient privacy regulations so there are clear exemptions for overdose cases, Gov. Chris Christie, the commission chairman, said Monday. Christie said the commission could recommend a retooling of the Health Insurance Portability and Accountability Act of 1996, or HIPAA, so physicians…

Read MoreChristie: Opioid Commission May Propose Changing HIPAA Rules