A key quality of care benefit of an EHR is its ability to create, send out and track the provider’s orders and then electronically review and route the results of those orders into the patient’s record. Due to many national efforts, HL7 standard language is used to create these interfaces. When the interfaces communicate back and forth with your EMR, results can be provided to the clinician for review prior to posting into the patient record. Some specialties receive as much as 70 percent of health care information from outside sources, including information from hospitals, labs, diagnostic imaging centers, payers, referring physicians, patients and pharmacies. The most common interfaces to…
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How Should We Run Background Checks on Our Staff?
Clearance and Background Checks is an addressable standard under HIPAA’s Security Rule, which means that your organization may authorize a background check for any new employee or existing workforce member who engages in activities that cause the Security Official to question clearances. As part of your compliance activities, you already determined the risks your workforce presents to your practice, and you assigned one person to own/manage this risk As part of your clearance procedures, determine which of the following you will do: » Require a written application for employment. » Require written proof of citizenship or resident alien status. » Confirm prior employment history. » Request professional/personal references and contact…
Categories Health IT and HITECHLeave a commentUS House of Representatives Passes SCHIP
After earlier Senate passage, the US House of Representatives passed the State Children’s Health Insurance Program (SCHIP) Wednesday afternoon, and President Obama signed a reauthorized SCHIP into law a few hours later. SCHIP is expected to cover additional millions of uninsured children in coming years, funded by an increase in tobacco taxes. This law provides an opportunity to spur implementation of health information technology in pediatric practices by tying a requirement in the HITECH legislation presently before the Senate that pediatricians begin at a date in the near future (say January 2011) to electronically upload clinical records for newborn and infant SCHIP beneficiaries to a secure centralized database in each…
Categories Health IT and HITECHLeave a commentWhat EMR System is Best for My Practice?
Your most important question in purchasing an EMR is to ask the vendor how many specialties your size and using your practice management system have purchased this software. EMR vendors know who would be a good customer. Some vendors, for example, are better suited for a practice of 25 to 75 physicians. Others specialize in the 3 to 8 physician groups, while others provide a solution for just one specialty. You can quickly learn whether the vendor is a good fit for you by asking them to respond to a one-page Request for Information (RFI). Send the RFI to your top five vendors and ask them to respond within 30…
Categories Health IT and HITECHLeave a commentShould Our Practice Hire an IT Person to Assist With our HIT Transition?
Vendors will provide you with a list of implementation activities for which you are responsible to complete on time. During the next 24 months as more physicians participate in reimbursement incentives, it will be critical for you to stay on schedule, or even ahead of schedule and keep your go-live date in the queue. The rule of thumb is based on the principle of threes. If there are three or fewer physicians in your practice, you should hire a part time consultant to coach an internal person through the implementation process. After your implementation, the consultant can hand off the day-to-day IT management to an internal person who also should…
Categories Health IT and HITECHLeave a commentSenate Appropriations Committee S.336 & HITECH Report
US SENATE APPROPRIATIONS COMMITTEE Senate Bill S.336 Report Recommendations for Discretionary Appropriations and Mandatory Appropriations to Assist in the Economic Recovery of and Reinvestment in America AGENCY: Appropriations Committee, US Senate, 111th Congress. ACTION: Report. Download (Requires Acrobat Reader)
Categories American Recovery and Reinvestment ActLeave a commentTesting 5010 with Trading Partners
When the 5010 final rule becomes effective on March 17, 2009, health plans can begin testing with willing trading partners the 5010 standard transactions alongside the current 4010/4010A1 transactions standards. The improvements in the 5010 version 835 Health Care Payment and Remittance Advice transaction (835) for all claim types may benefit both health plans and healthcare providers. “Correct implementation of the X12 835 will reduce phone calls to health plans, reduce appeals due to incomplete information, eliminate unnecessary customer support, and reduce the cost of sending and processing paper remittance advices” [74 Federal Register 3298]. Remember, use of the 5010 version 835 transaction standard “in advance of the mandatory compliance…
Categories 5010Leave a commentSenate Appropriations Committee S.336 & HITECH Provisions
US SENATE APPROPRIATIONS COMMITTEE Senate Bill S.336 Recommendations for Discretionary Appropriations and Mandatory Appropriations to Assist in the Economic Recovery of and Reinvestment in America AGENCY: Appropriations Committee, US Senate, 111th Congress. ACTION: Bill. Download (Requires Acrobat Reader)
Categories American Recovery and Reinvestment ActLeave a commentWhy ICD-10?
There were four main reasons that the federal government moved to ICD-10 as a code set standard: (1) ICD-9 dates to 1979 and its functionality has been “exhausted” and does not reflect “new and changing medical advancements”; (2) Parts of the ICD-9-CM were full, which required putting codes in “topically unrelated chapters,” burdensome for healthcare providers in a move toward more efficiency; (3) Insufficient detail opportunities: “[I]n an age of electronic health records, it does not make sense to use a coding system that lacks specificity and does not lend itself well to updates…Emerging health care technologies, new and advanced terminologies, and the need for interoperability amid the increase in…
Categories Transactions & Code SetsLeave a commentClassification Coding Systems
ICD-10 diagnosis and procedure codes are “classification coding systems” useful for conducting administrative transactions. SNOMED-CT® (Systematized Nomenclature of Medicine–Clinical Terms) is a “clinically complex terminology standard” designed for the primary documentation of clinical care that will enhance interoperability with electronic health record (EHR) systems. According to the preamble of the proposed ICD-10 rule published on August 22, 2008, “The benefits of using SNOMED-CT® increase if it is linked to a classification system such as ICD-10-CM and ICD-10-PCS for the purpose of generating health information that is necessary for statistical analysis and reimbursement. The use of both SNOMED-CT® and ICD-10-CM and ICD-10-PCS brings value to the development of interoperable electronic health…
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