Author: Jeffries, Jane; Zender, Anne

Source: Journal of AHIMA

Publication Date: January 2003

After a decade of stable spending, healthcare expenditures are on the rise, according to Gail Wilensky, PhD. If the industry doesn’t reexamine its course, we can expect healthcare spending to leap to 17 or 18 percent of the gross domestic product, an increase of up to 6 percent.

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 2000

Five years ago the first recipients of the Davies awards showed us successes of CPR systems across the country. Where are they now? This article catches up with these CPR leaders.
Is your job exactly the same as it was five years ago? For most HIM professionals, the answer....

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

What are the documentation requirements for Observation Patients?
It is interesting to note that the observation service (OBS) did not originate from the government but by the healthcare marketplace in response to PPS/DRG conditions. When hospitals are not sure whether a patient will meet admi....

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

What guidance is available for determining an organization's definition of "attending physician" or "physician of record"?
The Department of Health, Education, and Welfare adopted the UHDDS (Uniform Hospital Discharge Data Set) as department policy for Medicare and Medicaid patient populations....

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

Where Can I Find the Regulations on Medicare Payment Methodologies Used in Non-acute Care Settings?


http://www.hcfa.gov/medicare/payment.htm is a site that provides links to pages on Medicare payment methodologies. On these pages you will find helpful information on various payment....

Author: American Hospital Directory Inc.

Source: External web site

Publication Date: December 03, 2003

Author: Zangl-Milbrand, Evelyn

Source: Journal of AHIMA

Publication Date: April 2001

When I was hired as the assistant director of the HIM section with the Department of Veterans Affairs, Greater Los Angeles Healthcare System (GLAHS), I faced a major challenge. Congress had recently required the Department of Veteran Affairs (VA) to submit claims to third-party payer....

Author: Cooper, Steve

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2004

Recent legislation included in both the Benefits Improvement and Protection Act (BIPA) and the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 has affected the content and implementation processes for Medicare coverage determinations. This column reviews differenc....

Author: Cook, Jane; D'Amato, Cheryl; Garrett, Gail S.; Ruhnau-Gee, Becky; Hyde, Linda A.; Novak, Natalie

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2009

Present on admission indicators, hospital-acquired conditions, serious reportable events, and “wrong” surgical events are each hot topics. However, they also can be a hot topic together, because a number of these reporting requirements are interrelated. HIM professionals must under....

Author: Spencer, Carol

Source: AHIMA Convention

Publication Date: September 27, 2010

Measurement, as defined by Webster's Dictionary, is to regulate by a standard, an estimate of what is expected, a basis or standard of comparison, a step planned or taken as a means to an end, to choose or control with cautious restraint. This is accomplished repeatedly and systematically....

Author: Redmon, D. Patrick; Bell, Susan

Source: AHIMA Convention

Publication Date: September 25, 2010

This technical paper was prepared for the 2010 AHIMA Convention and Exhibit in Orlando, FL, September 25-30, 2010.
Abstract

This session will explore the growing trend toward adjusting inpatient payment for differences in patient severity. Maryland's all-payer system adopted APR....

Author: Garrett, Gail S.

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2011

The Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 was signed into law on June 25, 2010. One of its provisions revised the three-day payment policy, or the so-called "three-day DRG window."

This article highlights the changes to the three-da....

Author: Majerowicz, Anita; Tracy, Susan

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2010

Traditionally, healthcare has been provided in the physician’s office, hospital, or outpatient clinic. Patient care has been based primarily on face-to-face contact, with the exchange of information via conversation.

However, technology is changing how and where care is delivered. M....

Author: AHIMA; et al.

Source: AHIMA testimony and comments

Publication Date: February 25, 2014

Letter in support for the TELEhealth for MEDicare (TELE-MED) Act of 2013.

Author: Le, Huan N.

Source: Journal of AHIMA

Publication Date: February 2003

Medicare regulations, HIPAA compliance, and the threat of litigation have made it impossible to draft a one-page healthcare contract. Standard language alone now extends to up to four pages. It’s a good idea to hire an attorney for contract negotiations and drafting, but even then, you mi....

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: October 06, 2015

State Operations Manual Appendix C

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: November 02, 1995

PART 1

I.   Introduction II.   Principal Focus of Surveys III.   Survey Process IV.   Components of Active Treatment V.   Task 1 - Sample Selection VI.

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: November 02, 1995

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: December 02, 1994

State Operations Manual

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: December 02, 1993

State Operations Manual
Appendix L - Survey Procedures and Interpretive Guidelines for Ambulatory Surgical Services

Table of Contents
....

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: September 02, 1990

State Operations Manual
Appendix....

Author: U.S. Centers for Medicare & Medicaid Services

Source: Government (U.S.)

Publication Date: December 02, 1999

Author:

Source: AHIMA regulation analysis

Publication Date: December 02, 2004

The final rule establishing a Medicare prospective payment system (PPS) for inpatient psychiatric facilities (IPFs) was published in the November 15, 2004 issue of the Federal Register. This rule becomes effective with cost reporting periods beginning or or after January 1, 2005. This summary c....

Author: Carter, Darren

Source: AHIMA Convention

Publication Date: September 23, 2002

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2011

Effective July 1 the federal government will prohibit Medicaid payments to states for services treating healthcare-acquired conditions. Compliance begins July 1, 2012.

The Centers for Medicare and Medicaid Services published the new policy in a final rule June 6. The changes and the e....