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The CMS regulations and interpretive guidelines for medical records have undergone many changes in the past few years. Our expert will provide a crosswalk to those changes and highlight hot topics in the section, including verbal orders, history and physicals, standing orders, and discharge planning standards. This program will also include proposed changes in the Hospital Improvement Rule, new HIPAA information from the Office of Civil Rights, changes to the Alcohol and Drug Abuse Patient Records Privacy Law, and documentation elements in an electronic medical record.
The Joint Commission has changed many of their standards to comply with the CMS CoPs, and now medical record standards apply to lab and x-ray departments. Make sure to keep up with regulation changes so you'll be prepared for complaint validation surveys from CMS.
Your order includes:
|- Legibility & authentication requirements||- Informed consent & procedure requirements||- NOTICE law|
|- Breech Notification Law||- Changes to HITECH||- Discharge planning standards|
|- AHIMA practice guidelines||- OCR on HIPAA||- TJC changes|
|- Autopsies||- Confidentiality & privacy memo||- Grievances|
|- Incident reports||- The IMPACT Act||- Standing orders & protocols|
|- Author identification||- Tag 454, 457 & 458||- Completed medical records|
|- Staff education||- Medical record content||And there's more!|
Anyone involved with or interested in medical record regulations and standards, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Quality Improvement Staff, Physicians, Nurses (all levels), ICU Nurses, OR Nurses, CCU Nurses, Compliance Officers, Health Information Management Staff, Infection Preventionist, QAPI Staff, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel and Regulatory Affairs Staff.