HIM 453 - Compliance, Ethics, and Information Protection

• Identify laws and regulations applicable to health related information management.
• Apply legal concepts and principles to the practice of health information management.
• Analyze privacy, security, and confidentiality policies and procedures for internal and external use, including the exchange of health information.
• Recommend elements included in the design of audit trails and a data quality monitoring program.
• Collaborate in the design and implementation of risk assessment, contingency planning, and data recovery procedures.
• Analyze the security and privacy implications of mobile health technologies.
• Develop employee educational programs in privacy, security, and confidentiality.
• Create policies and procedures to manage access and disclosure of personal health information.
• Protect electronic health information through confidentiality and security measures, policies and procedures.
• Appraise current laws and standards related to health information initiatives.
• Determine processes for compliance with current laws and standards related to health information initiatives and revenue.
• Construct and maintain processes, policies, and procedures to ensure the accuracy of coded data based on established guidelines.
• Manage coding audits.
• Identify severity of illness and its impact on healthcare payment systems.
• Determine policies and procedures to monitor for trends in abuse or fraud.
• Implement provider querying techniques to resolve coding discrepancies.
• Create methods to manage Present on Admission, hospital acquired conditions, and other CDI components.

 

Credits: 3