Medical Records Compliance Errors

HIPAA Compliance and Medical Records: 2023 Update

https://www.hipaajournal.com/hipaa-compliance-and-medical-records/

Securing medical records requires more than compliance with the HIPAA Security Rule. Not all medical records are created, received, maintained, or transmitted electronically so it is important Covered Entities (and Business Associates where appropriate) review …

How to Correct Errors in Your Medical Records

https://www.verywellhealth.com/how-to-correct-medical-record-errors-2615506

Failure to do so will result in the wrong information being copied into future medical records or an inability for your medical team to contact you if needed. Any …

Error Reporting and Disclosure - Patient Safety and …

https://www.ncbi.nlm.nih.gov/books/NBK2652/

The investigators found that 58 percent of the theoretical errors were identified as errors, but only 26.7 percent of them would have been reported. 130 However, when nurses …

Top 10 HIPAA Compliance Mistake | HIPAA Exams

https://www.hipaaexams.com/blog/the-top-10-hipaa-compliance-mistakes/

Should we consider non-compliance a medical error?

https://pubmed.ncbi.nlm.nih.gov/12078377/

This paper argues that we can gain significant insight into non-compliance if we apply theories developed to explain human error in organisations. The resultant framework …

Documentation Matters Toolkit | CMS

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education/Documentation

Because providers rely on documentation to communicate important patient information, incomplete and inaccurate documentation can result in unintended and even dangerous patient outcomes. Accurate …

Medical Records Management: Everything You Need to …

https://www.accesscorp.com/blog/medical-records-management-overview/

Maintaining compliance with complex state and federal laws is a complex task, and there’s little room for human error in the medical field. By automating essential and time consuming processes, a centralized …

8 medical coding mistakes that could cost you

https://www.ama-assn.org/practice-management/cpt/8-medical-coding-mistakes-could-cost-you

The AMA has several resources to help you accurately bill procedures and services with the Current Procedural Terminology (CPT) code set and Healthcare Common Procedure Coding System (HCPCS) …

10 Common Electronic Health Records Errors

https://ilchiro.org/10-common-electronic-health-records-errors/

In the following, I have noted the most common issues and errors pertaining to electronic record keeping: 1. No chief complaint or history of present illness (HPI) …

Home - Centers for Medicare & Medicaid Services | CMS

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CERTMedRecDoc-FactSheet-ICN909160.pdf

Home - Centers for Medicare & Medicaid Services | CMS