Category Archives: Uncategorized

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

Oh, no! Your Document Integrity Audit revealed gaps! Here’s what to do…

“You don’t know what you don’t know” 

So you’re running along thinking all is well with your EHR. Then, you get the itch to have an independent auditor look at your systems, data, and processes. And voila. You discover minor, or worse yet, some major flaws in the data integrity of your EHR that have a ripple effect – anywhere from simple annoying errors, to misdiagnosis, mistreatment, reduced revenues, all the way up to substantial and material legal (civil and possibly criminal) liability. The last thing you should ask yourself is “what are the odds?”.

No need to panic.

With a concerted effort and a strategic approach, finding and diagnosing data gaps is like diagnosing a patient. A treatment is then needed to heal the wounds of the EHR data gaps. The solution is often found in one of these three areas:EHR challenges

  1. Does the EHR system need to be tweaked or users trained to hospital documentation requirements? Read More Here
  2. Physician lapses— Physician training and follow-up with specific examples. Read More Here
  3. Fragmented record due a combination of the above.  Do certain reports need to be transcribed to create a clearer picture of the patient story? Read More Here

iData would enjoy having a conversation with you about how we could address these issues. Feel free to reach out to us and stay tuned for our next Webinar, “Advanced Examples of Data Integrity Issues in the EHR.” This free webinar (CEU’s certificates provided) is scheduled for Wednesday, June 6, at 12 noon (eastern) and is the second installment in a Webinar Series facilitated by Darice Grzybowski, president of H.I.Mentors, and sponsored by iData Medical. To register, see below!



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.

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.

“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.

Medical Documentation Webinar Series | Episode #1 | EHR Document Integrity

Medical Documentation Webinar Series | Episode #1 | EHR Document Integrity

We are glad to host and join Darice Grzybowski of H.I.Mentors present the first 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:

EHR Document Integrity Webinar

EHR Document Integrity Webinar

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 launch the first part of a WEBINAR series beginning with EHR Document & Data
Integrity:

  • What is Document and Data Integrity?
  • Identifying Integrity Issues in your EHR
  • Current EHR/Integrity Issues
  • Impact of Poor Documentation
  • Recommendations to Improve Document Quality

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.

You are Invited to a Better 2018!

First things first: In the coming weeks and months, iData will be hosting a livestream Clinical Documentation Webinar Series about a host of realtime hot-button topics including document integrity, auditing, security and business continuity, and backup vendor configurations. Remember, improvements always translate into uptick in patient satisfaction and revenues. Look for you invite!

Another year behind us, here are some things we’ve seen in 2017:

  1. Inverted White House policies have giving way to ambiguous changes for insurance carriers, benefit allocations, physicians and hospital practices, and patients experience and costs. Several failed attempts to overhaul the Affordable Care Act have left stakeholders scrambling to predict what steps to take next.
  2. The documentation field is almost all digital now, creating increased efficiencies, and giving way to greater opportunity for archiving, data analytics, improved efficiencies and revenue, and sadly, increased digital forensics.
  3. Outsourcing both domestically and off-shore continues to grow substantially year-over-year. Despite HIPAA and international hacking allegations, improved and tightened digital security continues to outpace events like this year’s Nuance malware debacle.
  4. The Nuance Petya malware revealed the width and depth of the cybersecurity vulnerabilities that exist in medical systems and platforms.  Moreover, it revealed that many facilities failed to employ (or even have) a robust Emergency Preparedness and Business Continuity Plans, including those that engage vetted backup vendors without missing a beat.
  5. Litigation and enforcement around EHR and clinical documentation integrity faux pas (misdiagnosis and treatment, errors and data loss, underpayment and outright fraud, and other risky vulnerabilities) has caused an attention spike by just about everyone, including EHR and transcription system design vendors and providers.

So, what does it all mean in 2018? For iData, we see ourselves as part of the solution for healthcare facilities, clinics, and physicians. We’ll keep beating our drum:

  1. Using proven audit systems and nationally-renowned facilitators, our Document Integrity Auditing process gives you clarity about the true vulnerabilities you have and offers you solutions that help you avoid risk, malpractice, litigation, enforcement, all the while ensuring that you maximize revenue. Let us audit your system and help you sleep at night.
  2. Back-up vendor ready posture. We have a substantial team of Transcription QAs, Coders, and document integrity professionals. Our team is respected by dozens of small, medium and very large hospital systems delivering complaint-free documents for over 10 years!
  3. Of our mature work-flow process in the transcription and coding space. Our services offer 99% Accuracy and TAT guarantees! Not words, but action.  How? Our 3-pronged ID3 systems employs intelligent and proactive business practices by means of our Client ID, Workforce ID, and Security ID. Learn more and experience ID3 here.
  4. Our technology systems are HIPAA and ISO-27001-certified and secured. We laugh at viruses, hackers, spyware, and ransomware.
  5. And don’t forget to look for your invitation to our planned Webinar Series!

Contact Kendall Tant, our CEO, today, and discuss with him how we can use the lessons-learned from 2017 and make 2018 the best year yet!

It Begins and Ends with INTEGRITY 

Definition of Integrity: 1) The quality of being honest and having strong moral principles; moral uprightness; 2) the condition of being unified, unimpaired, or sound in construction.

“Integrity” is a lonely word these days.

Needless to say, the news is saturated by events that stem from a lack of “integrity”, a lack of sound judgement, and honest and healthy conduct.  No matter how we feel about these events, no one can disagree that “integrity” has an ever increasing value in our society these days, yet remains elusive for people and businesses alike.

At iData, we strive to provide the best possible products and services for medical documentation including transcription and coding, using the highest codes of conduct, internal and external to our business. This is an essential value that permeates everything we do from keeping our word to you, treating our employees as family, conducting our affairs ethically and legally, and supporting the work-life balance of our team. No less important is our attention to the integrity of our medical documents.

IT ALL BEGINS AND ENDS WITH INTEGRITY.

Contact iData to learn more about how we can employ our corporate culture that values integrity at all levels of the business, and incorporates it into the very things we do: maintain the integrity of your documents! For more information about Document Integrity Auditing, and back-up vendor solutions, check us out at iDataMedical.com.

In Related News:

Medscape Malpractice Report 2017 Finds the Majority of Physicians Sued

Cooperative of American Physicians Publishes Second Edition of ‘Medicine on Trial’ 

Malpractice Claims Involving Electronic Health Records on the Rise

CDI Queries: Why Must They be Compliant?

Best practices for mitigating the risks of EMR eDiscovery

Improving Clinical Data Integrity through EHR Documentation

How Strong Health Data Governance Ensures EHR Data Integrity

Practice Matters—Electronic Medical Records: An EHR System Widely Used by Neurologists Settles a Federal Lawsuit 

Coding, CDI Outsourcing Improve Case Mix, Healthcare Data Integrity