WEBINAR: Medical Records: CMS Hospital CoPs
Medical Records: Compliance With Centers for Medicare and Medicaid Services (CMS) Hospital CoPs and Proposed Changes
Course Curriculum
This program will cover in detail the Centers for Medicare and Medicaid Services (CMS) regulations and interpretive guidelines for medical records. This is an extremely important section and includes hot issues like verbal orders, history and physicals, organization of the department, standing orders, discharge summaries, medication orders, and more. It will include the proposed changes in 2019 under the Hospital Improvement Rule, containing changes to outpatient medical records, the rights of patients, and documentation changes. Our speaker will also cover some information on HIPAA from the Office of Civil Rights and discuss the important proposed changes to the CMS discharge planning standards and the number of things that will need to be documented in the medical record.
It is important to ensure that the required CMS documentation elements are contained in the electronic medical record (EMR) as hospitals move toward a completely integrated EMR. These should also be reflected in the hospital P&Ps. The number of deficiencies in each of the CMS medical records sections will be discussed.
Learning Objectives
1. Identify the CMS informed consent requirements.
2. Describe when a history and physical must be completed and what is required by CMS and
the Joint Commission.
3. Discuss the CMS and TJC have standards on verbal orders.
4. Identify the CMS standards for preprinted orders, standing orders and protocols
Speaker
Sue Dill Calloway has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education & Consulting. She was previously the chief learning officer for the Emergency Medicine Patient Safety Foundation.
Additionally, Calloway has authored over 100 books and numerous articles.