190 results.
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Wilensky: Major Changes Ahead for Healthcare, But HIM Future is Bright
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 doesnt 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.
Where Are They Now? CPR Leaders Assess Their Progress
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....
Web FAQ
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....
Web FAQ
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....
Web FAQ
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....
Variation in Coding of Evaluation and Management (E&M) Services by Hospital Emergency Departments
Author: American Hospital Directory Inc.
Source: External web site
Publication Date: December 03, 2003
VA Program Bridges Skills Gap, Improves Performance
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....
Understanding New Medicare Coverage Determinations
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....
Understanding National Coverage Policies: Navigating the Maze of HACs, Serious Reportable Events, and Wrong Surgical Sites
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....
Two Key Metrics in Evaluating the Effectiveness of Hospital Coding Services: Paid Claims Error Rate and Coding Accuracy
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....
Trends in Severity-Adjusted Reimbursement for Inpatient Care: Implications for Hospitals, Payers, and Patients
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....
Three-Day Window Updates
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....
Telemedicine: Bridging Gaps in Healthcare Delivery
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....
TELEhealth for MEDicare (TELE-MED) Act Group Support Letter
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.
Teach Your Attorney Healthcare Contracting
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. Its a good idea to hire an attorney for contract negotiations and drafting, but even then, you mi....
Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: October 06, 2015
State Operations Manual Appendix C
Survey Procedures and Interpretive Guidelines for Intermediate Care Facilities for Persons with Mental Retardation
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.
Survey Procedures and Interpretive Guidelines for Intermediate Care Facilities for Persons with Mental Retardation
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: November 02, 1995
Survey Procedures and Interpretive Guidelines for Hospices
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: December 02, 1994
State Operations Manual
Survey Procedures and Interpretive Guidelines for Ambulatory Surgical Services
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
....
Surveyor Procedures for Pharmaceutical Service Requirements in Long-Term Care...
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: September 02, 1990
State Operations Manual
Appendix....
Survey and Enforcement Process for SNF's and NF's
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: December 02, 1999
Summary of Final Rule for Medicare Prospective Payment System for Inpatient Psychiatric Facilities
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....
Strategies for Medicare Medical Necessity
Author: Carter, Darren
Source: AHIMA Convention
Publication Date: September 23, 2002
Stop Payment: CMS Prohibits Medicaid Payments on “Healthcare-Acquired Conditions”
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....
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