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The Consequences of Not Taking HIPAA Seriously | Medical Documentation | iData Medical

The Consequences of Not Taking HIPAA Seriously | Medical Documentation | iData Medical

Privacy. Speech Recognition

In today’s global climate, privacy feels like a thing of the past. Our cell phone numbers, emails, employment and home addresses, credit cards, and so forth are almost daily being compromised by hackers or released due to human error. The effect of this on-going reality is that we’ve become accustomed to the news that the database of yet another Fortune 200 company was infiltrated, and consequently millions of records of American consumers are no longer private. Slowly, this numbing wave of unwelcomed news bleeds (no pun intended) into the medical documentation world.  Organizations unintentionally become victims of tolerating this reality. Few are the intentional violators; but many possess the careless and passive attitudes towards HIPAA compliance. Often, they (we) think “Besides, what are the odds that my business will be compromised?” or “what are the odds that my business will be audited and penalized?”

The odds? They are increasing and not in your favor. AGs across the US are clamping down on violators, regardless of cause, and are issuing heavy fines, both civil penalties, injunctive relief, and in rare cases criminal indictments against individuals and organizations that are not diligent with HIPAA regulations. Just because someone else didn’t comply will never exonerate your lack of vigilance.

Take the case of ATA Consulting and Best Medical Transcription which was fined $200K by the New Jersey Attorney General. While the civil penalties are steep, the material and good will impact to the reputation of the defendant is cataclysmic. ATA Consulting (Best Medical Transcription) shuttered its doors and is no longer permitted to operated in New Jersey. For more on this story, click below to read the news release:

Click here to Read More

VIDEO: Auditing for Data Integrity: Webinar Presented by Sandra Routhier of CloudMed

Click the link below to view the webinar presented by nationally-renowned speaker Sandra Routhier, RHIA, CCS, CDIP, talk about how organizations can go from accurate patient documentation to coded data integrity: auditing for consistency, accurate reimbursement, and more!

To view and download the PDF slide deck, CLICK HERE. By downloading the file, you acknowledge that the presentation slides and file is protected by copyright laws.

Presented by: Sandra Routhier of CloudMed / Revint

Sponsored by: iData Medical

 


ABOUT THE PRESENTER:

Sandra Routhier, RHIA, CCS, CDIP 

AHIMA-Approved ICD-10-CM/PCS Trainer and Ambassador 

Sandy is an HIM & Coding professional with more than 30 years of experience with a strong emphasis on inpatient coding and reimbursement, medical record documentation requirements, HIM operations, electronic records, regulatory and accreditation requirements. Sandy worked in acute care hospitals for 25 years in a variety of roles including inpatient coding and CDI specialist, HIM director, revenue cycle director and information systems director. 

Sandy is the SVP of Auditing Services at CloudMed, a Revint Solution. CloudMed provides a unique full-coverage software and auditing solution to assure the accuracy of coding and documentation on inpatient cases. 

Through AHIMA, Sandy is a Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Documentation Improvement Practitioner (CDIP) and Approved ICD-10-CM/PCS Trainer. 

Find CloudMed at www.cloudmedsolutions.com

 


ABOUT THE SPONSOR:

Now celebrating its 10th year as a medical document management leader, iData Medical specializes in transcription, speech recognition editing, and coding documents. Operating out of their offices in Florida and Maryland, iData’s success hinges on its rigorous focus on document integrity, a product of its trademark iD3 process, its focus on the customer, hiring and managing the best people, and operating its work flow using industry leading security.

iData focuses on creating quality clinical documentation documents and overall medical records (accurate patient’s “story”), performs document integrity audits for small and large facilities, and provides back-up services as part of facility contingency and business continuity plans.

Over the years, iData has partnered with leading professionals, consultants, speakers and industry experts to not only improve its work flow, but promote knowledge in the document integrity realm.

Find iData Medical at www.iDataMedical.com

Auditing for Data Integrity: Webinar Presented by Sandra Routhier of CloudMed

Join nationally-renowned speaker
Sandra Routhier, RHIA, CCS, CDIP, speak about how organizations can go from accurate patient documentation to coded data integrity: auditing for consistency, accurate reimbursement, and more!

YOU DON’T WANT TO MISS THIS!

The fourth installment in iData Medical’s sponsored webinar series, register to attend this free webinar and learn to from Sandy Routhier, SVP of CloudMed, A Revint Solution, about:

  • Why data and document integrity is so important
  • Impact of poor medical record documentation on the financial health of the hospital/health system
  • The current state of the hospital medical record and how we got here
  • Lessons learned and recommendations for improving the quality of hospital record

CEU certificates for 1 hour will be provided upon request after completing the webinar

ABOUT THE PRESENTER:

Sandra Routhier, RHIA, CCS, CDIP 

AHIMA-Approved ICD-10-CM/PCS Trainer and Ambassador 

Sandy is an HIM & Coding professional with more than 30 years of experience with a strong emphasis on inpatient coding and reimbursement, medical record documentation requirements, HIM operations, electronic records, regulatory and accreditation requirements. Sandy worked in acute care hospitals for 25 years in a variety of roles including inpatient coding and CDI specialist, HIM director, revenue cycle director and information systems director. 

Sandy is the SVP of Auditing Services at CloudMed, a Revint Solution. CloudMed provides a unique full-coverage software and auditing solution to assure the accuracy of coding and documentation on inpatient cases. 

Through AHIMA, Sandy is a Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Documentation Improvement Practitioner (CDIP) and Approved ICD-10-CM/PCS Trainer. 

Find CloudMed at www.cloudmedsolutions.com

ABOUT THE SPONSOR:

Now celebrating its 10th year as a medical document management leader, iData Medical specializes in transcription, speech recognition editing, and coding documents. Operating out of their offices in Florida and Maryland, iData’s success hinges on its rigorous focus on document integrity, a product of its trademark iD3 process, its focus on the customer, hiring and managing the best people, and operating its work flow using industry leading security.

iData focuses on creating quality clinical documentation documents and overall medical records (accurate patient’s “story”), performs document integrity audits for small and large facilities, and provides back-up services as part of facility contingency and business continuity plans.

Over the years, iData has partnered with leading professionals, consultants, speakers and industry experts to not only improve its work flow, but promote knowledge in the document integrity realm.

Find iData Medical at www.iDataMedical.com

Auditing for Data Integrity: Webinar Presented by Sandra Routhier of CloudMed

Join nationally-renowned speaker
Sandra Routhier, RHIA, CCS, CDIP, speak about how organizations can go from accurate patient documentation to coded data integrity: auditing for consistency, accurate reimbursement, and more!

YOU DON’T WANT TO MISS THIS!

The fourth installment in iData Medical’s sponsored webinar series, register to attend this free webinar and learn to from Sandy Routhier, SVP of CloudMed, A Revint Solution, about:

  • Why data and document integrity is so important
  • Impact of poor medical record documentation on the financial health of the hospital/health system
  • The current state of the hospital medical record and how we got here
  • Lessons learned and recommendations for improving the quality of hospital record

CEU certificates for 1 hour will be provided upon request after completing the webinar

ABOUT THE PRESENTER:

Sandra Routhier, RHIA, CCS, CDIP 

AHIMA-Approved ICD-10-CM/PCS Trainer and Ambassador 

Sandy is an HIM & Coding professional with more than 30 years of experience with a strong emphasis on inpatient coding and reimbursement, medical record documentation requirements, HIM operations, electronic records, regulatory and accreditation requirements. Sandy worked in acute care hospitals for 25 years in a variety of roles including inpatient coding and CDI specialist, HIM director, revenue cycle director and information systems director. 

Sandy is the SVP of Auditing Services at CloudMed, a Revint Solution. CloudMed provides a unique full-coverage software and auditing solution to assure the accuracy of coding and documentation on inpatient cases. 

Through AHIMA, Sandy is a Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Documentation Improvement Practitioner (CDIP) and Approved ICD-10-CM/PCS Trainer. 

Find CloudMed at www.cloudmedsolutions.com

ABOUT THE SPONSOR:

Now celebrating its 10th year as a medical document management leader, iData Medical specializes in transcription, speech recognition editing, and coding documents. Operating out of their offices in Florida and Maryland, iData’s success hinges on its rigorous focus on document integrity, a product of its trademark iD3 process, its focus on the customer, hiring and managing the best people, and operating its work flow using industry leading security.

iData focuses on creating quality clinical documentation documents and overall medical records (accurate patient’s “story”), performs document integrity audits for small and large facilities, and provides back-up services as part of facility contingency and business continuity plans.

Over the years, iData has partnered with leading professionals, consultants, speakers and industry experts to not only improve its work flow, but promote knowledge in the document integrity realm.

Find iData Medical at www.iDataMedical.com

Video Playback and Presentation Slides | Practical Discussion of the Legal, Clinical, and Ethical Foundations | Data and Document Integrity Series | Live Webinar Episode #3

Video Playback and Presentation Slides | Practical Discussion of the Legal, Clinical, and Ethical Foundations | Data and Document Integrity Series | Live Webinar Episode #3

We were again glad to host another informative webinar we we joined Dr. Reed Gelzer of Trustworthy EHR discuss “Practical Discussion of the Legal, Clinical, and Ethical Foundations”.  It is our hope that these instructional videos will enable you and your organization improve the quality, reliability, and delivery of critical documents that are intended to tell the patient’s story. If you like this video or the video series, please connect with us on LinkedIn and follow us on Facebook.

The Powerpoint Presentation is also available by clicking HERE

Play video below:

 

Dr. Reed Gelzer | Expert Profile | Influencer on Document and Data Integrity in the EHR

Dr. Reed Gelzer | Expert Profile | Influencer on Document and Data Integrity in the EHR

iData Medical has been privileged to have a strong and growing relationship with one of the Nation’s subject matter experts in the field of EHR Document and Data Integrity. You could say that Dr. Reed Gelzer, MD, MPH, has really had two careers. The first, as a physician, and the second as someone who is passionately focused on Document and Data Integrity. His focus on the latter is currently on improving quality and patient safety, and reducing malpractice risk and potential false or fraudulent claims allegations.

Dr. Gelzer is an author, influencer, leader, consultant, and regular speaker about subjects that look at American legal traditions, medical records excellence, the related critical role of Integrity Specialists and the legal ramifications of document and data integrity considerations related to the EHR.

Click here to Read More

Practical Discussion of the Legal, Clinical, and Ethical Foundations | Data and Document Integrity Series | Live Webinar Episode #3

Join nationally-renowned author and speaker
Dr. Reed Gelzer, MD, MPH, speak about achieving documentation integrity by having a practical discussion about legal, clinical, and ethical foundations.

YOU DON’T WANT TO MISS THIS!

Dr. Gelzer is a nationally recognized leader and speaker on the topic of electronic health record management and document integrity.

Attend to learn actionable steps for improving productivity, mitigating risk, increase overlooked revenue, and minimize your legal exposure in areas you may not even know exist. Dr. Gelzer will speak to these issues and include recommendation for improving your clinical documentation in the electronic health record. Appropriate audience include HIM & CDI professionals, Risk/ Compliance/ Quality Managers, Clinicians, IT Professionals, CIOs, and Legal Experts.

Sponsored by iData Medical, Dr. Gelzer presents his findings and recommendations as another part of a webinar series on document and data integrity. Here are some of the topics Dr. Gelzer will cover:

  • American legal traditions, Medical Records Excellence, your critical role as Integrity Specialists
  • Doing it right and doing it well: Reliability, Accuracy, and Authenticity
  • Examples of EHR “vulnerabilities” that harm patients, clinicians, and the clinical enterprise
  • What can you do?

ABOUT THE PRESENTER:

Dr. Reed Gelzer, MD, MPH, is Health IT Policy, and EHR Specialist. After 14 years in clinical practice and EHR support, Dr. Gelzer currently also serves HL7 EHR Standards development (Facilitator, HL7 EHR Systems Records Management and Evidentiary Support), the American Bar Association’s Health Law section, Sedona Conference WG on digital records retention and production, and Federal Agencies and patient care organizations, helping various stakeholders avoid and mitigate for legal exposure stemming for poor EHR data and document integrity. Gelzer published How to Evaluate Electronic Health Record Systems in 2008, and began his consulting company Trustworthy EHR in 2013.

Dr. Gelzer invites and actively seeks opportunities and partners to accelerate the systematic, methodical, reliability-focused uptake of modern, standards-compliant Health IT in clinical practice and Public Health settings by supporting informed decision-making on Information Management policies, procedures, vetting and implementation tools, and their thoughtful application for patient health.

Additional Specialties and Interest Areas of Dr. Gelzer include:

  • Functional analysis of EHRs
  • Clinical documentation improvement
  • Task and data flow mapping within complex EHR Systems
  • Professional workload capture and resource management analysis
  • Functional analysis of EHRs
  • Medical-legal risk attributes for EHR Systems
  • Release of Information Analysis
  • Technology Assisted Review (TAR) of EHR-sourced Information (ESI)
  • Evidentiary attributes of EHRs

ABOUT THE SPONSOR:

Now celebrating its 10th year as a medical document management leader, iData Medical specializes in transcription, speech recognition editing, and coding documents. Operating out of their offices in Florida and Maryland, iData’s success hinges on its rigorous focus on document integrity, a product of its trademark iD3 process, its focus on the customer, hiring and managing the best people, and operating its work flow using industry leading security.

iData focuses on creating quality clinical documentation documents and overall medical records (accurate patient’s “story”), performs document integrity audits for small and large facilities, and provides back-up services as part of facility contingency and business continuity plans.

Over the years, iData has partnered with leading professionals, consultants, speakers and industry experts to not only improve its work flow, but promote knowledge in the document integrity realm.

Find iData Medical at www.iDataMedical.com

Medical Documentation Webinar Series | Episode #2 | Examples of Data Integrity Issues in the EHR

Medical Documentation Webinar Series | Episode #2 | Examples of Data Integrity Issues in the EHR

We are glad to host and join Darice Grzybowski of H.I.Mentors present the 2nd installment of a webinar series on medical documentation. It is our hope that these instructional video will enable you and your organization improve the quality, reliability, and delivery of critical documents that are intended to tell the patient’s story. If you like this video/series, please connect with us on LinkedIn and Facebook, and visit H.I.Mentors at www.himentors.com.

The Powerpoint Presentation is also available by clicking HERE

Play video below:

“Whoops -Did I Say That?” Examples of Documentation Integrity Issues in the EHR – iData Medical’s Webinar Series Continues

“Whoops -Did I Say That?” Examples of Documentation Integrity Issues in the EHR – iData Medical’s Webinar Series Continues

It is often said that “Seeing is believing”. We can appreciate that idiom every day as we go about our personal and professional lives. In the Medical Documentation world, this is no less true about what integrity means, particularly “document integrity” especially as it relates to the EHR and the overall patient story.  Consider the documentation issues and problems that emerge for transcriptionists, coders, physicians, insurance, hospital staff, and yes, even the patients. So wouldn’t be nice to see and hear about how to avoid these problems in the first place?

Continuing with our live Webinar Series, iData is again proud to sponsor Darice Grzybowski, of H.I.Mentors, as she help us tackle the issue of Document Integrity by giving us specific examples of common document problems that diminish the value, and compromises the integrity of the EHR. The webinar, entitled “Whoops, Did I Say That” will also help us take steps to avoid, and if necessary correct, common EHR document integrity problems.

Join us on Wednesday, June 6, at 12 noon (eastern time zone) as Grzybowski drills deeper into the subject of medical document integrity. Mark your calendars!


Join nationally-renowned author and speaker
Darice Grzybowski, MA, RHIA, FAHIMA – President H.I.Mentors, talk about EHR Document Integrity

YOU DON’T WANT TO MISS THIS!

Grzybowski is a nationally recognized leader, author, and speaker on the topic of electronic health record management and document integrity.

Attend to learn actionable steps for improving productivity, risk mitigation, and revenue by improving your clinical documentation in the electronic health record. Appropriate audience include HIM & CDI professionals, Risk/ Compliance/ Quality Managers, Clinicians, IT Professionals, and Legal Experts.

Sponsored by iData Medical, Darice will facilitate the second part of a webinar series.

 

ABOUT THE PRESENTER:

Darice M. Grzybowski, MA, RHIA, FAHIMA, President and Founder, H.I.Mentors, since 2005 and is a certified AHIMA Approved ICD-10-CM and ICD-10-PCS Trainer and Ambassador. Visit H.I.Mentors at www.HIMentors.com

Darice has spoken at numerous conferences, professional associations, government and corporate meetings over the past 30 years. Topics have included; HIM best practices, electronic health records, clinical documentation improvement, workflow performance data analytics, strategic marketing, and revenue cycle process improvement.

Previous engagements have included presentations at regional and national HIMSS, AHIMA, HFMA conventions, as well as other major conferences and international meetings. Darice has also presented in online interviews, webinars and numerous vendor users group meetings and is an Adjunct Assistant Professor at the University of Illinois at Chicago in the School of Biomedical and Health Information Sciences.

ABOUT THE SPONSOR:

Find iData Medical at www.iDataMedical.com

Now celebrating its 10th year as a medical document management leader, iData Medical specializes in transcription, speech recognition editing, and coding documents. Operating out of their offices in Florida and Maryland, iData’s success hinges on its rigorous focus on document integrity, a product of its trademark iD3 process, its focus on the customer, hiring and managing the best people, and operating its work flow using industry leading security.

iData focuses on creating quality clinical documentation documents and overall medical records (accurate patient’s “story”), performs document integrity audits for small and large facilities, and provides back-up services as part of facility contingency and business continuity plans.

Over the years, iData has partnered with leading professionals, consultants, speakers and industry experts to not only improve its work flow, but promote knowledge in the document integrity realm.

Webinar – Advanced Examples of Data Integrity Issues in the EHR

Webinar Series Continues – Advanced Examples of Data Integrity Issues in the EHR

It is often said that “Seeing is believing”. We can appreciate that idiom every day as we go about our personal and professional lives. In the Medical Documentation world, this is no less true about what integrity means, particularly “document integrity” especially as it relates to the EHR and the overall patient story.  Consider the documentation issues and problems that emerge for transcriptionists, coders, physicians, insurance, hospital staff, and yes, even the patients. So wouldn’t be nice to see and hear about how to avoid these problems in the first place?

Continuing with our live Webinar Series, iData is again proud to sponsor Darice Grzybowski, of H.I.Mentors, as she helps us tackle the issue of Document Integrity by giving us specific examples of common document problems that diminish the value, and compromises the integrity of the EHR. The webinar, entitled “Advanced Examples of Data Integrity Issues in the EHR” will also help us take steps to avoid, and if necessary correct, common EHR document integrity problems.

Join us on Wednesday, June 6, at 12 noon (eastern time zone) as Grzybowski drills deeper into the subject of medical document integrity. Mark your calendars!

Click here to Read More