This module provides an overview of the expectations for complete E/M service documentation, including documentation examples for various case presentations.
As you complete this course, take the opportunity to be sure your billing software is set up appropriately—make needed corrections as you go.
This course will help the clinic find the perfect balance between establishing expectations and preserving patient relationships during the collection process.
This course will help the learner understand the key components of HIPAA compliance.
This course outlines the critical first steps of receiving the mail and organizing it into the steps of the system that will help bring order to an otherwise chaotic process.
All financial department team members, office management, and providers should complete this course to implement this proven system.
This course outlines the steps necessary for efficiency and effectiveness and ensures a thriving clinic with less stress.
This course includes thorough training to understand the definition of and documentation of an initial patient visit…in all its incarnations.
This module provides a high-level survey of ROV as it explores the requirements for daily documentation when the patient is in active treatment.
Please be sure to work closely with your coach on completing each of the modules as they are assigned by the specialist. Refrain from skipping content or running ahead.
This course contains training resources, including the materials, forms, and training videos that support your learning as you master the art of auditing for compliance.
This course is both a high-level survey of ROV and a deep dive into the individual details of SOAP.
The course outlines everything from the specifics of Chiropractic Manipulative Treatment (CMT), and what to watch out for if you’re a full-spine adjuster, to the non-traditional modalities used in many practices today, such as dry needling.
This course provides both a bird’s eye view of the rules of E/M coding and specific training on both the use of MDM and time for code selection.
This course will illustrate how to find and report the ICD-10 code that matches the patient’s diagnosis.
This customized course outlines the necessary documentation pieces for an episode of care as well as the documentation requirements for a maintenance visit.
Once a clinic has established a HIPAA program it is important to maintain compliance in the clinic. As the threat landscape to patient data expands the importance of identifying vulnerabilities and addressing them is vital. With this in mind, we highly recommend that each practice develop a pattern of monthly meetings to discuss HIPAA concerns or to pass along friendly reminders. This can be a simple 5-10 minutes a month. By having all team members ‘thinking’ about HIPAA, it lightens the load for the Compliance Officer and builds a compliant culture in the clinic. Everyone should be a team player in safeguarding Protected Health Information (PHI). Sometimes though before a clinic strengthens their HIPAA compliance program through additional training they may want to to stop and assess their current status.
Sometimes we think we got our ducks in a row only to find out the hard way that we don’t even have ducks. At KMC University we never want to see a clinic lose all they worked hard for because of a compliance related violation. As time passes, even an established HIPAA program can get lost in the shuffle of staff changes and other priorities. For those who may have placed HIPAA on the back burner, we recommend the module Evaluate Your HIPAA Compliance Program module. It is designed to help a provider truly assess his/her current HIPAA compliance status by learning what is required and seeing how a clinic may look through the eyes of the Office of Civil Rights (OCR)—the enforcement body of the Department of Health and Human Services (HHS). Even if a provider feels s/he has a HIPAA program in place, we highly recommend a review of this course for a quick check on his/her clinic’s HIPAA health. Protecting patient information is a provider’s moral and legal responsibility.
In addition to monthly reminders, we highly recommend a formal yearly training that includes documentation of completion for each workforce member, including the physicians, and/or owners. In this course you will find a module titled HIPAA Refresher Training. This is designed to provide a quick overview of key components of HIPAA compliance and tips for safeguarding patient information. Keep in mind, due to threats and vulnerabilities and the fact that human error is the biggest risk, we highly recommend additional training in security. This is available through KMC University’s collaboration with Easy Tech Compliance.
At KMC University we like to develop resources on hot topics and in this case areas in which most providers get into hot water. This course not only provides an evaluation module, refresher training, but also training on the rights of the patient, as it pertains to Right of Access and the Information Blocking Rule. The patient’s HIPAA rights is an area that deserves extra attention, even if you have an established HIPAA program. As HITECH, ONC and HHS broaden their regulations and expectations, we will continue to provide additional modules to this course that focus on social media, marketing, and privacy regulations. Check back often for additional modules that can assist the clinic in both building and maintaining a compliant clinic.