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Coding for Medicare Advantage Plans

Author: Truscott, Tricia

Source: AHIMA Convention

Publication Date: October 02, 2011


The Centers for Medicare and Medicaid Services (CMS) use a reimbursement methodology similar to the DRG system for coverage of Medicare patients enrolled in Medicare Advantage plans through private insurance companies. Using ICD codes from hospital and physician visit....

Clinical Resource Management: Driven by Data

Author: Treloar, R. William

Source: Journal of AHIMA

Publication Date: October 2003

Not only has my role in HIM changed dramatically in the last several years, my title has too: from director of case mix management to director of clinical resource management. And in my department, our role has moved from educating clinicians and staff about Medicare and DRGs to the facilitati....

Building a One-stop Shop for Ideas

Author: Thompson, Nancy A.

Source: Journal of AHIMA

Publication Date: July 2000

If you feel like you've ever reinvented the wheel when changing or improving processes, the Department of Veterans Affairs may have the answer. Read on to learn more about the Virtual Learning Center, an online knowledge base of healthcare solutions.

We all have....

Health Information Management Leaders and the Practice of Leadership through the Lens of Bowen Theory

Author: Thierry Sheridan, Patty; Watzlaf, Valerie J.M.; Fox, Leslie Ann

Source: Perspectives in Health Information Management

Publication Date: April 2016


Even though leadership is one of the most examined topics in the organizational literature, its application in the field of health information management (HIM) has not been studied extensively. This descriptive, mixed-methodology study examined HIM leadership through the....

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