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NEW:  Effective July 1, 2016, CMS will require modifier -JW on claims for discarded drug or biological amounts not administered to patient and must document this information within the record.  Click here to read more 

NEW:  Enacted August 6, 2015, the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act) requires hospitals and Critical Access Hospitals (CAH) to provide notification to individuals receiving observation services as outpatients for more than 24 hours.  Read more on the CMS webite by clicking here (about half way down the page).  Click here for the zip file of a sample Medicare Outpatient Observation Notice (MOON) and the instructions.

NEW:  The increasing demand for quality coded data submitted on our claims is critical to support the risk adjusted payment models.  Under CMS’s new reimbursement model, The Medicare Access and CHIP Reauthorization Act of 2015 (aka MACRA) it will be even more critical. This new “quality payment program” goes into effect in 2019.  Think you can wait to get ready?  Think again.  The performance period begins 01.01.17 and providers will get their first feedback report in July 2017.  Click here for the NPRM from CMS for more information.

Upcoming workshop  Click here to read more

AHIMA Engage - Peer Engagement online community Click here to start interacting with your peers by logging in with your AHIMA credentials 

AHIMA E-Alert May 26, 2016 Click here to review

AHIMA Special E-Alert May 13, 2016 Click here to review

AHIMA Resources April 2016 Click here to review

AHIMA Members Edge April 2016  Click here to review 

AHIMA Certification Connection April 2016 Click here to review



Topic: UPDATE: OCR Guidance--Clarification of Permissible Fees for HIPAA Right of Access

UPDATE: Clarification of Permissible Fees for HIPAA Right of Access

On May 24, 2016, in response to concerns received after release of the guidance, OCR provided further clarification about the amount an individual may be charged for a copy of their protected health information (PHI). Specifically, OCR clarified in a new FAQ that $6.50 is not the maximum amount that can be charged for all individual requests for a copy of PHI under the right of access. Rather, charging a flat fee not to exceed $6.50 is an option available to those entities that do not want to go through the process of calculating actual or average costs for requests for electronic copies of PHI maintained electronically as permitted by the Privacy Rule. Entities may choose the fee calculation method that is most appropriate for their circumstances, within the boundaries of what is permissible under the Privacy Rule.

The new FAQ may be found at: New Clarification - Up to $6.50 Flat Rate Option.

In April, AHIMA sent a letter to OCR expressing its concerns over the fee methodology proposed in its guidance.

Lauren Riplinger
Senior Director, Federal Relations

Your URGENT ATTENTION IS NEEDED- Raise the cigarette tax NOW to save health care**



Health care in Oklahoma is on life support, and time is running out. The clear solution is to rebalance Medicaid and raise the cigarette tax by $1.50 per pack.

Legislators have only about two weeks to avert the crisis before catastrophic medical provider rate cuts become inevitable.

If the proposed 25 percent provider rate cuts kick in:

  • 4 out of 5 Oklahoma hospitals will not deliver babies.
  • 9 out of 10 Oklahoma nursing homes will be forced to shut down.
  • More than a dozen Oklahoma hospitals will close within one year.

We cannot let this disaster happen. Recent polling reveals 74 percent of Oklahomans support raising the cigarette tax, which will provide critical state funding for Medicaid, improve health outcomes and save the state money.

It is crucial that the Legislature hear from all of us!  Contact your legislators TODAY and tell them to VOTE to raise the cigarette tax NOW. Click this link to find your legislator and call (800) 522-8502.

Click here for a flyer with more information. Please print the flyer and hang it in hallways, clinics and hospitals, or email it to your coworkers.

It’s crunch time. We need your help to save health care in Oklahoma. Together, we must make Oklahoma better, before it is too late.

Craig W. Jones, FACHE
Oklahoma Hospital Association
4000 Lincoln Blvd.
Oklahoma City, OK 73105


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