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Health Information Management (HIM)
Consulting & ICD-10 Coding Solutions

Resources


COVID-19 

JLU Free Resource ICD-10-CM Coding for COVID-19 (For Home Health and Hospice)

JLU Free Resource ICD-10-CM Coding for COVID-19 (Updated 1/1/21)

New ICD-10-CM code for the 2019 Novel Coronavirus (COVID-19) -  April 1, 2020

ICD-10-CM Official Coding Guidelines for COVID-19 April 1, 2020-September 30, 2020

ICD-10-CM Tabular List of Diseases and Injuries Addenda - April 1, 2020

ICD-10-CM Official Coding Guidelines - Supplement - February 20, 2020 - March 31, 2020

AHIMA Reference PageCovid-19

 

For more information on COVID-19, please visit:  https://www.coronavirus.gov.

 

Home Health

CY - 2024 Final Rule for Home Health

Home Health Agency Center (CMS)

Care Compare

 


 

Quality Initiatives in Home Health

CMS: Overview Quality Initiatives

Quality Measures

OBQI: Outcome Based Quality Improvement

OBQM: Outcome Based Quality Monitoring

PBQI

 


 

OASIS

OASIS Home Page

OASIS User Manual

NPUAP

WOCN

 


 

Hospice

FY 2023 Final Rule

Hospice (CMS)

Hospice Information Set

Hospice Quality Reporting

Quality Measures

Care Compare


 

Coding

ICD-10 Official Coding Guidelines

 

 


 

Massachusetts Record Retention Charges

MASSACHUSETTS COST CONTAINMENT LAW (chapter 305 of the Acts of 2008)

Important changes the law provides for include:

  1. the revision of the legal medical record to include paper or hard copy records, records created in various electronic and digital mediums as well as those hard copy records that are converted to a digital media
  2. reduction of retention of medical records from 30 years to 20 years (impacting hospitals and ambulatory surgical centers, records may be destroyed 20 years after the discharge or final treatment of the patient)
  3. a notification process for the DPH and patients regarding the destruction of records

 


 

Massachusetts Medical Record Copying Fee

Home Health Conditions of Participation - §484.110(e) Standard: Retrieval of clinical records.

A patient’s clinical record (whether hard copy or electronic form) must be made available to a patient, free of charge, upon request at the next home visit, or within 4 business days (whichever comes first).

 

MA State Requirement - For the period, effective October 1, 2019, we have determined that the rate using these indices has increased by 2.002%, which would result in a maximum state-based rate for copying fees as follows:

$25.01 base charge for clerical and other administrative expenses related to complying with the request for making a copy of the record; · 

$0.84 per-page charge for the first 100 pages copied; and · $0.43 per-page charge for each page in excess of 100 pages. https://www.mahima.org/wp-content/uploads/MHA_Medical-Record-Copying-Fee_2018.pdf

 

Federal Requirement  - a healthcare provider, or a business associate operating on its behalf, may charge an individual a reasonable, cost-based fee that covers certain labor, supply, and postage costs incurred in connection with copying the protected health information (PHI) requested by the individual (or creating a summary or explanation of the information, if the individual agrees). The fee must be calculated in one of the following manners: (1) by calculating actual allowable costs to fulfill each request; (2) by using a schedule of costs based on average allowable labor costs to fulfill standard requests; or (3) in the case of requests for an electronic copy of PHI maintained electronically, a flat fee not to exceed $6.50 (including all labor, supplies, and postage). The provider, or its business associate, must inform the individual of the approximate fees in advance. In addition, because the fee may vary based on the form and format and manner of access requested or agreed to by the individual, the provider must, at the time such details are being negotiated or arranged, inform the individual of any fees that may be assessed as a result of the form, format and manner requested (or agreed to) by the individual.