Instructions:<\/p>\n
As a compliance officer, you are required to manage and monitor security, integrity, and quality of medical information. You will demonstrate competence in information governance by completing both of the scenarios in this assignment.<\/p>\n
Scenario 1: A patient has requested an amendment to their medical record. They also want their medical record released to a physician in a different healthcare system. You recognize there is no policy in place to help facilitate requests such as this. For this portion of the assignment, you should:<\/p>\n
Review and interpret the HIPAA guidelines regarding patient amendments as well as release of information (ROI) regulations applicable to your home state. A resource to assist in reviewing HIPAA guidelines can be found at: HIPAA Rights and Privacy Rights Clearinghouse. Release of information applicable to each state can be found at the following site: https:\/\/www.findlaw.com\/state.html
\nDevelop an institutional policy for ensuring data security, integrity, and quality of health information. Your policy should include the following:
\nTimelines for responding to a requested patient amendment or release of information (ROI) request.
\nProcedural compliance with HIPAA relating to the patient amendment and ROI processes.
\nYour policy should be created as a 1- to 2-page Microsoft Word document.
\nScenario 2: You have been tasked with recommending strategies to maintain compliance of health record content across the health system. To accomplish this, you must do the following:<\/p>\n
Visit the following links pertaining to documentation guidelines relating to patient care, reimbursement, quality improvement, and research. Use the information from these links to complete the assignment.<\/p>\n
Behavioral Health Documentation Requirements
\nDocumentation Requirements for Acute Care
\nNational Committee for Quality Assurance Documentation Requirements
\nHome Health Documentation Requirements
\nReimbursement
\nCDI and Research<\/p>\n
Evaluate the importance of compliance with documentation guidelines across the health system as they relate to patient care, reimbursement, quality improvement, and research.
\nBased on your interpretation and evaluation of the documentation guidelines provided, create a 1- to 2-page report for your facility\u2019s administration. Your report should identify one facility setting, such as a hospital, home health agency, or behavioral health institution. Recommend and justify one initiative in each of the following areas: patient care, reimbursement, quality improvement, and research, that is important in meeting the compliance standards across the health system.
\nReferences<\/p>\n
American Professional Agency. (2019). Documentation in behavioral health. https:\/\/www.apa.org\/members\/your-membership\/benefits\/insurance-documentation.pdf<\/p>\n
Combs, T. (2021). The importance of high-quality clinical documentation across the healthcare continuum. Journal of AHIMA. https:\/\/journal.ahima.org\/the-importance-of-high-quality-clinical-documentation-across-the-healthcare-continuum<\/p>\n
FindLaw. (n.d.). State laws. https:\/\/www.findlaw.com\/state.html<\/p>\n
Individuals\u2019 Right Under HIPAA to Access Their Health Information, 45 CFR \u00a7 164.524 (2020).<\/p>\n
Privacy Rights Clearinghouse. (2014). The HIPAA privacy rule: Patients’ rights. https:\/\/privacyrights.org\/consumer-guides\/hipaa-privacy-rule-patients-rights<\/p>\n
Medicare Learning Network (MLN). (2021). Complying with medical record documentation requirements. https:\/\/www.cms.gov\/Outreach-and-Education\/Medicare-Learning-Network-MLN\/MLNProducts\/Downloads\/CERTMedRecDoc-FactSheet-ICN909160.pdf<\/p>\n
National Committee for Quality Assurance (NCQA). (2018). Guidelines for medical record documentation. https:\/\/www.ncqa.org\/wp-content\/uploads\/2018\/07\/20180110_Guidelines_Medical_Record_Documentation.pdf<\/p>\n
Novitas Solutions. (2021). Physician and allowed practitioner certification and recertification of home health. https:\/\/www.novitas-solutions.com\/webcenter\/portal\/MedicareJH\/pagebyid?contentId=00081587<\/p>\n
Samaritan Health Plans. (2021). Medical record documentation standards. https:\/\/providers.samhealthplans.org\/-\/media\/SHP\/Documents\/Providers\/Medical-Record-Documentation-Standards-Guidelines.pdf?la=en&hash=A3C77D83C9B392E1B569F30C50121C5DE72064CD<\/p>\n
Tips for Success:<\/p>\n
Evaluate the purpose of clinical documentation and how it is utilized in achieving quality patient care, ethical reimbursement, and research. <\/p>\n
Written Assignment Requirements:<\/p>\n
For your written assignment, you will utilize your analysis of the research to write a policy and report as outlined in the scenarios above.
\nYour assignment containing your responses to both scenarios, using the headings Scenario 1 and Scenario 2, should be a minimum of 2\u20134 pages in length, submitted as a single Microsoft Word document, double-spaced in 12-pt Times New Roman font.
\nInclude a title page and reference page. Be sure to use APA in-text citations in addition to the reference page to attribute each source.
\nInclude four or more credible resources.
\nYour writing should follow APA format and follow the conventions of Standard English (correct grammar, punctuation, etc.).
\nYour writing should be well ordered, logical, and unified, as well as original and insightful.
\nYour work should display superior content, organization, style, and mechanics<\/p>\n","protected":false},"excerpt":{"rendered":"
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