Medical Records (CMS CoPs) 2023

Product Id : HLT79
Instructor : Susan Seeley
May 11, 2023 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes


Are you up to date on the recent CMS Conditions of participation (CoPs) changes?  

Medical Records is an extremely important section - with new requirements that were just released.

Failure to comply will cost you. The first hospital that failed to release medical records in a timely manner, in accordance with the new rules, was fined $85,000

Don’t let that happen to you - this program will cover the latest CMS regulations and new guidelines for medical records. This includes top areas of focus, such as: verbal orders, medical history, standing orders, discharge, medication orders, and more.

Join us for this informative 120-minute workshop to maximize compliance and minimize risk, plus: 

Crucial CMS requirements that you may be missing 

  • The most up-to-date information on electronic records and verbal orders 
  • New procedures for discharge recording and information collection 
  • What you need to submit within 7 days to be compliant 
  • CMS Final Discharge Planning Standards and final changes to the Hospital H&P CoPs 

Program Highlights

  • Introduction to the CMS hospital CoPs 
  • Latest CMS Survey memos 
  • Interpretive guidelines for hospitals 
  • Changes to verbal orders, standing orders and H&P update
    • How to keep posted of new changes 
    • Confidentiality and privacy memos 
    • MOON form 
    • IM and detailed notice forms 
    • Transfer form requirements and recent changes 
    •  Final changes to federal drug and alcohol drug 42 CFR Part 2 
    • OCR information on HIPAA on patient access vs authorization 
  • Grievances and incident reports 
  • Medical record service requirements, educational needs and personnel 
  • Legibility and authentication requirements 
  • Informed consent
  • List of procedures for consent requirements 
  • New changes for discharge summaries and processing 
  • Completed medical records  
  • Other sections of CoPs that are important for documentation in the medical record
  • Medication documentation 
  • Pre/ Post Anesthesia assessment and standards 
  • Visitation with changes to advance directives, consent and plan of care 
  • Notification of OPO in deaths 
  • Organ donation documentation 

Question and Answer Session - Hear expert answers to real-world questions!

Who Should Attend:

CEOs, chief operations officers, chief nursing officers, chief legal officers, nurses and medical staff, quality managers, nurse educators, risk managers, compliance officers, chief of health information, pharmacists, social workers, discharge planners, patient safety officers, outpatient director, director of rehab, infection control, directors of radiology.

Speaker Profile:

                                                                                                              Susan Seeley, RN, MSN, NEA-BC

Susan Seeley has over 40 years of experience in the healthcare industry both as a nurse leader and as a clinical consultant with a focus on patient care services and regulatory compliance. As a consultant, Susan is experienced in conducting Centers for Medicare and Medicaid Services (CMS) and Joint Commission (TJC), Accreditation Association for Ambulatory Health Care (AAAHC) Healthcare Facilities Accreditation Program (HFAP) mock surveys and improving client hospitals’ accreditation survey preparedness through on-site education.

She has prepared organizations for continuous survey readiness by implementing ongoing teams to continue regulatory compliance after mock surveys and assists organizations with writing and implementing successful Plans of Corrections for EMTALA and other CMS and Joint Commission survey deficiencies. Susan has also performed assessments of quality programs and reviews of clinical operations, the structure and function of medical staff committees and implementation of peer review quality plans.

Prior to becoming a consultant, Susan spent 19 years as Chief Nursing Officer at Florida rural hospital while working part time for the parent company as a clinical consultant for their 200+ hospitals. In this role, she also had several other departments she was responsible for including Infection Prevention, Pharmacy Services, Nutritional Services and Quality.

Susan earned her Master of Science in Nursing Administration and her Bachelor of Science in Nursing from Barry University in Miami Shores, Florida. She is a Registered Nurse and holds an Advanced Nurse Administrator certification through the American Nurses Association. She is a member of Sigma Theta Tau International Honor Society of Nursing and has been an invited presenter at several panels and seminars, where she has spoken on the topics of nursing practice and the accreditation survey process.

Available Options

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