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:
Review and interpret the HIPAA guidelines regarding patient amendments as well 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://statelaws.findlaw.com/
Develop an institutional policy for ensuring data security, integrity and quality of health information. Your policy should include the following:
Timelines for responding to a requested patient amendment or Release of Information (ROI) request.
Procedural compliance with HIPAA relating to the patient amendment and ROI processes.
Your policy should be created as a 1-2-page MS Word document.
Scenario 2: You have been tasked with recommending strategies to maintain compliance of health record content across the health system. In order to accomplish this, you must do the following:
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.
Behavioral Health Documentation Requirements
Documentation Requirements for Acute Care
National Committee for Quality Assurance Documentation Requirements
Home Health Documentation Requirements
Reimbursement
CDI and Research
Evaluate the importance of compliance with documentation guidelines across the health system as they relate to patient care, reimbursement, quality improvement, and research.
Based on your interpretation and evaluation of the documentation guidelines provided, create a 1-2 page report for your facility’s 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 which is important in meeting the compliance standards across the health system.
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