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How MACRA Changes HIM

Author: Marron-Stearns, Michael

Source: Journal of AHIMA

Publication Date: March 2017



The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is widely viewed as one of the most significant and complex changes to Part B Medicare reimbursement in several decades. The Centers for Medicare and Medicaid Services (CMS) created the Quality Payment Program (QPP) that incl....

Role of HIM in MACRA

Author: Primeau, Debra

Source: Journal of AHIMA - website

Publication Date: December 01, 2016




As providers gear up to meet reporting requirements under the Medicare Access and CHIP Reauthorization Act’s (MACRA’s) new Quality Payment Program (QPP), health information management (HIM) stands to play a prominent role in the transition to value-based care.


Success un....

Could the Pharmaceutical Industry Benefit from Full-Scale Adoption of Radio-Frequency Identification (RFID) Technology with New Regulations?

Author: Coustasse, Alberto; Kimble, Craig A; Stanton, Robert B; Naylor, Mariah

Source: Perspectives in Health Information Management

Publication Date: October 2016


Abstract


Healthcare regulators are directing attention to the pharmaceutical supply chain with the passage of the Drug Quality and Security Act (DQSA) and the Drug Supply Chain Security Act (DSCSA). Adoption of Radio-Frequency Identification (RFID) technology has the ability to im....

IPPS — Final Rule Fiscal Year 2016

Author: Wilson, Donna D

Source: CodeWrite

Publication Date: October 2015



Like clockwork, the Centers for Medicare and Medicaid Services (CMS) published the Inpatient Prospective Payment System (IPPS) final rule in the August 17, 2015 Federal Register. These changes to the regulations apply to approximately 3,400 acute care hospitals and will go into effect Octo....

Privacy Holes in the 'Hidden Healthcare System': Students' PHI-laden Education Records that are Stored and Shared Electronically Don’t Have the Same Safeguards as most EHRs

Author: DuBravec, Daniel A; Daigle, Matt

Source: Journal of AHIMA

Publication Date: June 2015



With student safety and privacy an increasing parental concern, school administrators nationwide are sitting on a powder keg of potential backlash because of a gray area of student privacy protections that Julia Lear, senior advisor for the Center of Health and Health Care in Schools at G....

Reasons for Deficiencies in Health Information Laws in Iran

Author: Moghaddasi, Hamid; Hosseini, Azamol-sadat; Sajjadi, Samad; Nikookalam, Maryam

Source: Perspectives in Health Information Management

Publication Date: April 2014


Abstract


Introduction: Laws, regulations, and guidelines are necessary external stimuli that influence the management of health data. They serve as external mechanisms for the reinforcement and quality improvement of health information. Despite their inevitable significance, such....

Personal Genomic Information Management and Personalized Medicine: Challenges, Current Solutions, and Roles of HIM Professionals

Author: Alzu'bi, Amal; Zhou, Leming; Watzlaf, Valerie J.M.

Source: Perspectives in Health Information Management

Publication Date: April 2014


Abstract


In recent years, the term personalized medicine has received more and more attention in the field of healthcare. The increasing use of this term is closely related to the astonishing advancement in DNA sequencing technologies and other high-throughput biotechnologies. A l....

HITECH Frequently Asked Privacy, Security Questions: Part 3

Author: Rose, Angela Dinh; Greene, Adam H

Source: Journal of AHIMA | AHIMA Q and A

Publication Date: March 2014

This article concludes a three-part series discussing the most commonly asked questions regarding compliance requirements surrounding the final HITECH Omnibus Rule, released in January 2013. It highlights the updated requirements and provides answers to questions regarding decedent protected health information (PHI), the release of immunization records to schools, and the enhanced request for restrictions requirements.

Modifications to ICD-10-CM/PCS Under Review

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: February 2014

The ICD-9-CM Coordination and Maintenance (C&M) Committee, a public forum on ICD-9-CM and ICD-10-CM/PCS code updates, met in September 2013. Meetings of this committee are co-chaired by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS). Coding proposals are presented at these meetings and the public is given the opportunity to comment. No final decisions regarding the adoption of code proposals are made at the meetings, but are made by the director of NCHS and the administrator of CMS.

Federal Register Online

Author:

Source: Federal Register

Publication Date: 2014

The Federal Register is the official daily publication for rules, proposed rules, and notices of Federal agencies and organizations, as well as executive orders and other presidential documents.

Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules Under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules; Final Rule

Author: U.S. Office for Civil Rights

Source: U.S. Department of Health & Human Services | U.S. Office for Civil Rights

Publication Date: January 2013

Rule modifies HIPAA by implementing statutory amendments under HITECH to strengthen the privacy and security protection for individuals’ health information; modifies the Breach Notification Rule under the HITECH Act, modifes the HIPAA Privacy Rule to strengthen the privacy protections for genetic information and makes certain other modifications to the HIPAA Privacy, Security, Breach Notification, and Enforcement Rules (the HIPAA Rules) to improve their workability and effectiveness and to increase flexibility for and decrease burden on regulated entities.

FY 2012 ICD-10-PCS Updates

Author: Rihanek, Theresa

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2012


Limited updates were made to ICD-10-PCS for fiscal year 2012 as set forth under the partial code freeze established by the ICD-9-CM Coordination and Maintenance Committee.1 The freeze is intended to aid the transition to the new code set by limiting updates for 2012 and 2013 to essential chan....

Fall Preview: A Look at the Season’s Expected Rules

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: November 2011


Perhaps one of the biggest jobs related to implementing the ARRA provisions right now is keeping track of the moving parts. Publication of the act in 2009 was a kind of Big Bang-an explosion of provisions that rocked the healthcare universe. Since then, however, the pieces have traveled at dif....

Risks and Rewards of ACOs

Author: Martin, Timothy D

Source: Journal of AHIMA - website

Publication Date: April 2011





The Affordable Care Act of 2010 calls for the Centers for Medicare and Medicaid Services to create a Medicare “shared savings” program, which will encourage the development of accountable care organizations. ACOs will be eligible to receive additional payments if t....

2010 Convention Wrap-up

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2010


AHIMA held its 82nd Annual Convention and Exhibit September 25–29 in Orlando, FL. Attendance this year reached a high water mark that matches the best-attended conventions from previous years such as Seattle and Philadelphia. More than 5,000 practitioners, educators, students, and exhibit....

ICD-9-CM Coding Guidance for LTC Facilities. Appendix C: Regulatory Guidance for Reporting Diagnoses Related to Reimbursement

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2010


In August 2000, the HIPAA Transaction and Code Sets required the use of the ICD-9-CM code set. Subpart J, section §162.1002 Medical data code sets, states the adoption of the following code sets as standard medical data code sets:
ICD-9-CM, volumes 1 and 2 (including the "ICD-9-CM Official....

From "Incident-To" to Locum Tenens: How to Ensure Compliance with Federal Regulations Get Paid and Keep It with Alternative Practitioners

Author: Heibel, Kimberly; Spohn, Sheryl

Source: AHIMA Convention

Publication Date: September 26, 2010

Objectives:

Understand how to maneuver the complex guidelines for midlevel practitioners in a hospital setting and maintain compliance of temporary practitioners in an office and hospital setting.
PAs/NPs-How to Get the Most Out of Services in the Office?
State Laws: Definition....

Summer Reading: Skimming the New ARRA-HITECH Regulations

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: September 2010


In July the Department of Health and Human Services (HHS) ended the waiting game for the HITECH privacy and security regulations, the meaningful use final rule, and the final rule on standards and certification.

HIM professionals and their organizations, anxious to familiarize thems....

ARRA Timeline

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2010


ARRA arrived with a bang in February 2009, but the regulations enabling the law's healthcare provisions have inched forward since then. Much of the responsibility for drafting regulation fell to the Department of Health and Human Services, which had a tall order to fill within deadlines mandate....

A First Peek at the Privacy Regulations

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2010


The office for Civil Rights got a late start on the HITECH privacy regulations (due last February), and it's clear from the draft rule it released in July that the office still has almost as many questions as answers on how to enact the HITECH provisions. However, the release does offer a good....

Overview of AHIMA’s Comments on Certification Standards

Author: AHIMA

Source: AHIMA report

Publication Date: March 10, 2010



Mar 10, 2010 10:29 pm


AHIMA Meaningful Use White Paper Series

Paper no. 9


Preceding papers in this series have reviewed the requirements in the notice of proposed rulemaking on meaningful use, published by the Centers for Medicare and Medicaid Services....

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