Medical Records: How to Comply with CMS Hospital CoPs

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
120 minutes
Product Description

Heed these hot-button issues: Verbal orders, standing orders & discharge summaries

CMS data shows that hospital personnel are frequently uniformed about medical record requirements—and therefore represent a serious compliance risk. Every hospital department (yes, you, lab and x-ray) must heed health information management rules. And the Centers for Medicare & Medicaid Services is not going to sit around and wait for you to get hospital conditions of participation (CoPs) right.

In this webinar, learn from CoP compliance expert Sue Dill Calloway, exactly how the feds expect you to meet medical records standards—which are outlined not only by CMS but also by The Joint Commission (TJC), the American Health Information Management Association (AHIMA), and the Health Information Technology for Economic and Clinical Health (HITECH) Act.

Calloway will discuss common deficiency areas, such as: what constitutes informed consent, when to perform a history and physical, and requirements for medication orders and department organization. She’ll also highlight key privacy and confidentiality HIPAA rules; explain how to follow the Breach Notification law; and outline how proposed changes could revise the transfer form, discharge planning evaluation form, and nursing admission assessment form.

You’ll leave this session confident in your understanding of recent CMS hospital CoP changes—and ready to meet the next surveyor who shows up for a compliance or validation audit. Plus, you’ll earn the opportunity to go beyond compliance to improve patient care, enhance data security, and embrace the fully integrated electronic medical record (EMR).

Session Highlights

This comprehensive program will teach you how to:

  • Understand CMS hospital CoPs
  • Prepare for CMS rule changes that could affect medical record standards
  • Create confidential documents & comply with HIPAA
  • Complete beneficiary documents such as the MOON form
  • Fulfill requirements for patient transfer forms
  • Comply with TJC changes to CoPs
  • Adhere to new OCR information about HIPPA
  • Know CoP areas relevant to medical records documentation
  • Integrate a compliant electronic medical record (EMR) system
  • Develop a hospital environment that respects, values, and protects patient data

Who Should Attend

This webinar will assist anyone involved in the implementation of CMS or TJC medical record and documentation standards, including healthcare professionals such as:

  • Health information management staff
  • Senior Leaders including CEO, COO, CNO, CMO etc.
  • Nurses
  • Lab Director
  • Compliance officers
  • CMS regulatory compliance staff
  • In-house legal counsel
  • Nurse directors and managers
  • Quality improvement coordinator
  • Directors of outpatients, radiology, lab, and IT

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of...   More Info
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