Confidentiality, Privacy and Security

Information Blocking - CMS Rule

  • 1.  Information Blocking - CMS Rule

    Posted 22 days ago
    With pushing out more patient information into patient portals, as in MyChart with EPIC, we are anticipating an increase in chart amendment requests.  Has anyone anticipated what this might mean?  Meeting the 60 days to respond to an amendment request might become resource-intensive.

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    Karen Wiley
    Director, Him Operations
    Lee Memorial Health System
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  • 2.  RE: Information Blocking - CMS Rule

    Posted 21 days ago
    In a previous role as the Priv & Sec office for an Epic health system, I can confirm for you that our amendment request did increase and it was incredibly difficult to keep up.  Not to mention actually resolve.  It took a 'team' of people to research and resolve.  We met on a regular basis.

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    DeAnn Tucker MHA, RHIA, CHPS, CCS
    Senior Manager | Coker Group
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  • 3.  RE: Information Blocking - CMS Rule

    Posted 20 days ago
    I have automation for managing amendment requests on time, it is a fairly complex workflow, especially since some of the requests actually have multiple requests within them that can be granted or denied. Many of my customers have seen increases over the years and in my opinion more are to come as the new info blocking/API access rules implement

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    Kelly McLendon, RHIA, CHPS
    Managing Director
    CompliancePro Solutions
    kmclendon@complianceprosolutions.com
    321-268-0320
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  • 4.  RE: Information Blocking - CMS Rule

    Posted 9 days ago
    We also anticipate an increase in amendment requests and are looking to implement an electronic amendment request process where patients will be able to submit an e-request through the patient portal. This is similar to our e-request for records not available in the portal. We hope this will streamline the process and ensure requests get to us, HIM, in a timely manner. As Lisa mentioned, we have identified common causes of documentation errors/reasons for amendment requests and are pushing out education to our providers and the organization.
    I'm also curious how the new E&M guidelines will effect the quality of physician office notes. I am hopeful quality will improve as providers can now count the time it takes to document when determining the visit level. Additionally, with the removal of the history and physician exam elements, maybe providers will use templates less. These can be problematic when not carefully reviewed.

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    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health
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  • 5.  RE: Information Blocking - CMS Rule

    Posted 20 days ago
    Hi Karen,
    I don't know that we anticipate an increase. We are saw an increase as more patients started to utilize the patient portal and really review their health records.

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    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital
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  • 6.  RE: Information Blocking - CMS Rule

    Posted 20 days ago
    Not to mention that even if the request to amend is denied...and the patient is educated on the decision and subsequent options...this is going to further stress the HIM process and system when patient submit their written statements of disagreement...and then if the provider decides so also submit a rebuttal statement...lots of extra pieces of paper to put into the designated record set!



    Posted: 7:58 AM AZ time

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    Frank Ruelas
    Compliance Professional
    Arizona
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  • 7.  RE: Information Blocking - CMS Rule

    Posted 20 days ago
    Exactly which is why the process was ripe for automation.

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    Kelly McLendon, RHIA, CHPS
    Managing Director
    CompliancePro Solutions
    kmclendon@complianceprosolutions.com
    321-268-0320
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  • 8.  RE: Information Blocking - CMS Rule

    Posted 19 days ago
    We have seen an increase with patient portal utilization and starting to  see an increase of amendment requests. Our organization is pushing out education to providers about the patient right to request amendment, process and important to review and edit notes as appropriate before signing.  It takes time to investigate these and depending on the type of error and how widespread in the EHR  and it can be challenging to get resolved. I meet weekly with my team who works these type of requests.

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    [Lisa ] [Hunter], RHIT, CHPS
    [HIM Operations Manager ]
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