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IRF PPS Coding Challenges

Author: Trela, Patricia

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: May 2007


Inpatient rehabilitation facility (IRF) coding can be a challenge due to the Medicare Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), which was implemented in 2002 to cover patients paid under Medicare Part A. IRF PPS requires completion of the IRF-Patient Assessment In....

Choosing the Right Coding Credential

Author: Buck, Stacie L

Source: AHIMA community resource

Publication Date: January 02, 2007


As the demand for qualified coders has increased, so has the number of coding programs and coding certifications available to coding professionals seeking to demonstrate their coding proficiency. The business of offering credentials is indeed a lucrative one with many organizations competing....

FY 2007 IPPS Overview: Comprehensive Changes in Effect for Inpatient Prospective Payment System

Author: Johnson, Laurie M.; Garrett, Gail S.

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2006


The Inpatient Prospective Payment System (IPPS) final rule for fiscal year 2007 will prove challenging for inpatient providers. The rule (published in the August 18 Federal Register and available at www.access.gpo.gov/su_docs/fedreg/a060818c.html) includes some of the most comprehensive changes....

Opening Pandora's Box: Pure Coding vs. Charge Master Driven Coding--a Case Study at Duke University Health System

Author: Stone, Fabian; Egan, Jeanne M.; LeBoutillier, Richard; Blackwelder, Dean

Source: AHIMA Convention

Publication Date: October 31, 2006

Opening Pandora’s Box: Pure Coding vs. Charge Master Driven Coding
A Case Study at Duke University Health System
Fabian Stone, MBA, MHA, Duke University Hospital
Jeanne Egan, MBA, RHIA, CHP, CCA, BearingPoint
Richard LeBoutillier, MPA, CPHQ, BearingPoint
Dean Blackwel....

Effective and Efficient Public Health Reporting Using ICD-10-CM and ICD-10-PCS

Author: Watzlaf, Valerie J.M.; Garvin, Jennifer Hornung; Moeini, Sohrab; Firouzan, Patricia Anania

Source: AHIMA Convention

Publication Date: October 31, 2006

Effective Public Health Reporting Using ICD-10-CM
Valerie JM Watzlaf, PhD, FAHIMA, RHIA, Jennifer Hornung Garvin, PhD, FAHIMA, RHIA, CTR, CCS, CPHQ, Sohrab Moeini, BSIS, and Patti Firouzan, MSIS, RHIA
Impact
Introduction

The emergence of ICD-10-CM brings anticipation about....

Using Intrinsic and Extrinsic Metrics to Evaluate Accuracy and Facilitation in Computer-Assisted Coding

Author: Resnik, Philip; Niv, Michael; Nossal, Michael; Schnitzer, Gregory L.; Stoner, Jean; Kapit, Andrew; Toren, Richard

Source: AHIMA Computer-Assisted Coding Meeting

Publication Date: September 06, 2006

Computer-assisted coding (CAC) evaluation can be viewed from two related but distinct perspectives: accurately identifying codes, and more generally facilitating the process of human coding and information flow within and among healthcare organizations. The first perspective calls for intrinsic metrics, grounded in comparison with a gold standard. The second perspective calls for extrinsic techniques, grounded in the real-world task. We discuss this distinction and present an experimental evaluation of CAC using both intrinsic and extrinsic measures.

Assessing Coder Change Rates as an Evaluation Metric

Author: Stoner, Jean; Nossal, Michael; Resnik, Philip; Kapit, Andrew; Toren, Richard

Source: AHIMA Computer-Assisted Coding Meeting | Perspectives in Health Information Management

Publication Date: September 2006

In a typical model for computer-assisted coding, the system automatically identifies codes, which are then improved by a human review coder in order to more closely approach the codes that would be assigned to the note by an idealized "gold standard" coder. Assuming such a model, a natural method for evaluating system accuracy might be the coder change rate—specifically, the percentage of notes approved by a coder without modification in a day-to -day business setting. In this paper we look more carefully at change rates as a measure of coding accuracy.

Coders Wanted, Experience Required

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: September 2006


A recent AHIMA survey confirms a critical need for qualified clinical coding professionals. It also reveals the high value employers place on experience and credentials.

Opportunities abound for skilled coders throughout the US-particularly in the Southwest-but candidates need demon....

Recipe for Information-based Healthcare

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2006


Creating an information-based health system is like following a recipe. First, include essential ingredients, such as accurate and complete clinical documentation organized in architectures that enable access and interoperability. Then add protocols, terminologies, and classification systems to....

Perfect Time for Documentation Improvement

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: July 2006




When new IT systems come online, the time couldn’t be better to assess and improve clinical documentation.

Electronic health record system implementations offer a perfect opportunity to assess and improve an organization’s clinical documentation. The renewed attention is ne....

Testimony of Gloryanne Bryant to the Health Subcommittee of the Committee on Ways and Means, U.S. House of Representatives

Author: Bryant, Gloryanne H.

Source: AHIMA testimony and comments

Publication Date: April 06, 2006


April 6, 2006

Chairman Johnson, Congressman Stark, members of the Health Subcommittee, ladies and gentlemen, good afternoon. I am Gloryanne Bryant, corporate director for coding and Health Information Management (HIM) compliance with Catholic Healthcare West (CHW). I speak to you tod....

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