Compliance in healthcare is the active, ongoing process to ensure that legal, ethical, and professional standards are met and communicated throughout the entire healthcare organization. Compliance is integral to virtually every area of healthcare, including coding and billing, patient privacy, and patient safety. Coding compliance focuses specifically on efforts to prevent, detect, and resolve activity that could lead to fraud, waste, and abuse. This is accomplished through accurate coding, proper reimbursement and data integrity.
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Queries are an essential communication tool for compliance, reimbursement, and quality improvement. Mastering the Query Process provides basic explanations, carefully selected examples, and clear and concise guidance for coding professionals on the tools and techniques used to create effective and compliant queries. -
ROI: Subpoenas and Court Orders, by Darin Challacombe, Ph.D., SHRM-CP, a recognized authority on the intricacies of release of information, provides the essential information necessary to distinguish between subpoenas and court orders and how to fulfill them appropriately while protecting both patient information and the organization. -
ROI: Sensitive Information and Patient Representatives, by Darin Challacombe, Ph.D., SHRM-CP, a recognized authority on the intricacies of release of information, identifies the five types of sensitive information defined by HHS and provides guidance on issues related to patient representatives.
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ROI: Health Plan Requests introduces the various types of health plan requests, the purpose of each request type, the documentation typically required, and the appropriate steps for responding. Course author, Darin Challacombe, Ph.D., SHRM-CP, a recognized authority on the intricacies of release of information, explains when a request can be processed immediately and when additional approval or review is necessary, supporting consistent, accurate, and compliant decision‑making.
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Compliance: Risks in the Electronic Health Record addresses the challenges related to use of electronic health records (EHR) and provides best practices to mitigate both compliance and clinical risks. Nationally-recognized coding authority, Kim Huey, MJ, CHC, CPC-M, CPC, CCS-P, PCS, CPCO, COC, walks you through what you need to know to ensure your EHR is compliant with administrative and legal requirements.
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Release of Information (ROI) training for healthcare professionals tasked with protecting patient privacy while ensuring accurate and timely release of information. With both foundational and advanced content in an online, three-course bundle, ROI: Complete Release of Information ensures your organization remains compliant and responsive while supporting growth and expertise of staff in a rapidly evolving field.
