Describe a recent change to CMS regulatory reporting requirements and the role of a health information management (HIM) professional in ensuring an organization is in compliance.
Changes to CMS Regulatory Reporting Requirements and the Role of HIM Professional in Organizational Compliance
Healthcare system is marred with constant changes in rules and regulations. Similarly, the Center for Medicare and Medicaid Services (CMS) often change its rules and regulatory reporting requirements to ensure that patients under Medicare and Medicaid services are given the best and quality health care services possible.
The recent change to CMS regulatory reporting occurred in the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals and the Long-term Care Hospital (LTCH) Prospective Payment System Final Rule. Here, CMS initiated changes to the Promoting Interoperability Programs for Medicare eligible hospitals, dual-eligible hospitals attesting to CMS, and Critical Access Hospitals (CAHs) (CMS, 2020). The Final Rule approved policies to help in continued promotion of the use of certified electronic health record technology (CEHRT), lowering the burden, and enhance patient access and interoperability of health information. CMS requires the qualified settings and CAHs to effectively implement the CEHRT meaningful use to avoid their Medicare payments reduction (CMS, 2020).
It is imperative for every facility to assign a professional to receive the organization’s hospice quality information and ensure compliance with CMS regulations. As such, the organization can task the chief information officers (CIO) with the completion of this responsibility. The CIO has a role of managing the IT departments and also acts as the administrator who can successfully steer the organization in its bid to implement IT to enhance its strategic programs. Essentially, the CIO is tasked with taking charge of all operations of health IT. As such, it is the CIO’s role to ensure that all the facility’s health information is reported to the CMS (Abdolkhani et al., 2019).
Abdolkhani, R., Gray, K., Borda, A., & DeSouza, R. (2019). Patient-generated health data management and quality challenges in remote patient monitoring. JAMIA open, 2(4), 471-478. https://doi.org/10.1093/jamiaopen/ooz036
CMS. (2020). 2019 Program Requirements Medicare. Retrieved from https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2019ProgramRequirementsMedicare
HIM 615 Topic 2 Discussion 2
The health care IT industry faces new challenges based on new health care insurance provider requirements, including evolving guidance from the Center for Medicare and Medicaid Services (CMS). Describe a recent change to CMS regulatory reporting requirements and the role of a health information management (HIM) professional in ensuring an organization is in compliance.