Description:

This program will cover in detail  CMS regulations and interpretive guidelines for medical records for Acute Care and Critical Access hospitals. There will also be a brief discussion of the Interoperability and Patient Access Rules. The law effectively grants patients immediate access to health information in their electronic medical record without incurring a charge. Certain records are excluded, and the rule establishes exceptions to “information blocking”. This rule and its implications for health care providers will be discussed. This program will revisit information on HIPAA from the Office of Civil Rights, including the difference between patient access and when authorization is needed. There will also be a discussion on the standards that The Joint Commission  CMS CoPs requirements. Other topics to be discussed include the CMS memo on texting, security of health information, history and physicals, and the OIG and CMS position on copy/paste in a medical record.