Medical Records: Ensuring Compliance with the CMS CoP Requirements
Webinar

Another distance learning opportunity brought to you by MHA

Program Overview

Every hospital in America that accepts Medicare and Medicaid reimbursement must be in compliance with the CMS Conditions of Participation. The final interpretive guidelines were issued on October 17, 2008 with amendment on June 5, 2009. There have been many changes to these since the last publication. Compliance continues to be problematic. Don't be unprepared if the state department of health or CMS shows up for a complaint or validation survey. Joint Commission has also recently changed many of their standards to comply with the CMS CoP requirements.

Note: That Critical Access Hospitals (CAH) have a separate set of hospital CoPs and there are some difference in the medical record section although there is a lot of similarity. CAH hospitals that are in systems should know the differences in the two sets of CoPs and may find the program of interest for that reason.

Program Topics:

• Intro to CMS hospital CoPs
• How to obtain a copy
• How to keep posted of new changes
• AHIMA practice guidelines • HITECH and Breech Notification law 2010
• Verbal orders
• History and physicals
• Grievances
• Incident reports
• Medical record service requirements
• Meidcal record education & personnel
• Content of records
• Standing orders and protocols
• Legibility and authentication requirements
• Informed consent
• Completed medical records

AUDIENCE

CEO, CFO, CMO, CNO, Lab Director, Radiology Director, ED Manager, OR Director, ICU Director, Outpatient Director, Med/Surg Nurse Management, Staff Nursing, JC Coordinator, PI Director, Risk Managers, Safety Officers, HIM, Compliance

FACULTY

Sue Dill Calloway is a nurse attorney and consultant. She was the director of hospital patient safety for The Doctors' Company. She has done many educational programs for nurses, physicians, and other health care providers. Sue has authored over 100 books and numerous articles. She is a frequent speaker and is well known across the country in the area of healthcare law, risk management, and patient safety. The speaker has no real or perceived conflicts of interest that relate to this presentation and there will be no discussion of unlabeled uses of drugs/ devices.

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