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Migrating from Paper to EHRs in Physician Practices. Appendix A: Historical Medical Record/Chart Abstraction Checklist—Primary Care

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: November 2010


This checklist can help physician practices migrate all the appropriate data from an individual patient paper record into the EHR. Each record or data element should be expanded upon with descriptions based on the practice’s definitions, the location of the information in the paper chart,....

ICD-10-CM/PCS Project Management Resources

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2009


This practice brief has been retired. It is made available for historical purposes only.



Transitioning to ICD-10-CM/PCS will be a major undertaking for healthcare organizations. Below are ICD-10-CM/PCS project management resources and templates that organizations can use to h....

Assessing and Improving EHR Data Quality: Model for Implementing an EHR Documentation Improvement Process

Author: AHIMA e-HIM Work Group on Assessing and Improving Healthcare Data Quality in the EHR

Source: Journal of AHIMA

Publication Date: March 2007


Improving data quality in an electronic healthcare environment requires a greater focus on standardized documentation procedures. With an EHR, the need to evaluate and improve healthcare data quality through concurrent assessment, data collection monitoring, and ongoing process improvement requ....

Employee/Student/Volunteer Nondisclosure Agreement

Author: AHIMA

Source: AHIMA sample form

Publication Date: June 02, 2003

Employee/Student/Volunteer Nondisclosure Agreement
[Name of healthcare provider] has a legal and ethical responsibility to safeguard the privacy of all patients and protect the confidentiality of their health information. In the course of my employment/assignment at [name of healthcare provide....

Accounting for Disclosure Cost Analysis Worksheet

Author: Dunn, Rose T

Source: External - used with permission

Publication Date: May 02, 2003

This worksheet has been developed to provide guidance on components to consider in developing the basis for a reasonable, cost-based charge for the Accounting for Disclosure (164.528). This worksheet is not intended to be all inclusive. Users are encouraged to discuss inclusions to this analysis with their facility’s cost accountant.

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