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Journal Q&A (5/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 1998


Q: I am currently employed by an organization that is implementing a long term care demonstration program for the frail elderly. I am in charge of the database for the demonstration. I'm writing policies and procedures for release of information and confidentiality and would like t....

Maximizing Data Quality of the Minimum Data Set

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: June 1998


HIM professionals who work in long term care settings are well acquainted with the Minimum Data Set 2.0 (MDS). Since 1990, it has been part of the standardized assessments that nursing homes participating in the Medicare and Medicaid programs must complete. Starting this summer, updated submis....

Long Term Care Meets Information Challenges

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 1998



As the Net surfers of today become the long term care consumers of tomorrow, the long term care industry faces new challenges. Patients and their families are growing increasingly interested in information that will help them make more informed decisions about healthcare. A....

Journal Q&A (10/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 02, 1998


Q: Where can I find information about a system that will allow for the electronic transmission of Minimum Data Set (MDS) information?

A: One of the Health Care Financing Administration's (HCFA's) proposals relating to the MDS 2.0 resident assessment process requires lo....

CPR in Long Term Care

Author: Schoenfelt, Suzanne

Source: Journal of AHIMA

Publication Date: February 1999


Throughout the healthcare industry, the computer-based patient record (CPR) is in various stages of development. This article assesses the progress long term care facilities are making in moving toward the CPR. The article also suggests some ways HIM professionals can devel....

AHIMA Census Results: Focus on Compliance

Author: Lorence, Daniel P.

Source: Journal of AHIMA

Publication Date: April 1999



The Office of the Inspector General (OIG) has instituted compliance guidelines for medical laboratories, hospitals, and home healthcare agencies. Within this framework, these guidelines provide at least some compliance direction for individual providers and group practices ....

Post-acute PPS: Changing the Way We Code

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: June 1999


HIM professionals in post-acute care are reinventing their roles to accommodate the new coding demands of a prospective payment system. Here are some of the developments that are creating new interest in coding issues for post-acute settings.
Three major forces -- the prospective payment....

PPS + New Technology = Growing Pains

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: September 1999


It's been a little more than a year since the prospective payment system (PPS) came into play in skilled nursing facilities. The post-acute PPS, initiated by the federal government under the 1997 Balanced Budget Act, was set in place to reduce the federal government's healthcare expend....

HCFA Eyes Nursing Homes

Author:

Source: Journal of AHIMA

Publication Date: March 2000


HCFA Administrator Nancy-Ann DeParle announced immediate actions developed by the Clinton administration to ensure quality care in nursing homes. According to the announcement, HCFA has: instructed states to impose immediate sanctions, such as fines, against nursing homes in more situatio....

Long Term Care's Prospects for Accreditation

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2000


Typically, long term care facilities in the United States are not accredited by the Joint Commission. Whether current trends may change this picture, as facilities look for ways to distinguish themselves from their peers, remains to be seen.

While only a small p....

Home Care Poised for Greater Demand

Author: Halamandaris, Val J.

Source: Journal of AHIMA

Publication Date: May 2000


During the late 1980s and early 1990s, home health care was the fastest growing healthcare segment in the United States. Although Medicare cutbacks enacted under the Balanced Budget Act of 1997 have left many home health providers struggling to survive under restricted reimbursements,....

OIG Issues Nursing Compliance Guidance

Author:

Source: Journal of AHIMA

Publication Date: May 2000


The Department of Health and Human Services Office of the Inspector General (HHS-OIG) has published the OIG Compliance Program Guidance for Nursing Facilities. Published in the Federal Register on March 16, 2000, the document contains seven fundamental elements for an effective complia....

New Directions for Long Term Care

Author: Anderson, Rhonda L.

Source: Journal of AHIMA

Publication Date: June 2000


Compliance has always been with us, from the days of routine chart audits and care evaluation processes. But today HIM professionals in long term care find themselves facing the challenges of compliance as never before.

In recent years, the Office of Inspector General (OIG) has inc....

Compliance Across the Continuum: What Works

Author:

Source: Journal of AHIMA

Publication Date: June 2000


Reducing fraud and abuse.
Making operations run more smoothly.
Improving services.
Keeping a lid on costs.

Compliance programs aim to do all of these things. And with expertise in coding, reimbursement, and regulatory matters, HIM professionals are natural members of....

Setting the Standard in Assisted Living

Author:

Source: Journal of AHIMA

Publication Date: July 2000


Have you found yourself in the position of developing or reviewing health information and documentation policies for an assisted living facility? If so, you know that it is not easy to find resources or standards for this growing industry. However, both the Joint Commission on Accredit....

Journal Q&A (9/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2000

Q: I have the opportunity to consult for a long-term care facility, though I have never worked in long-term care. What resources should I have?
A: Although there are fundamental HIM practices that apply across different practice settings, it is important to recognize that when you m....

Desperately Seeking the CPR in Long-Term Care

Author: Bolton, Zoe

Source: Journal of AHIMA

Publication Date: September 2000


With the explosion of technology in other areas of healthcare, long-term care specialists may find themselves feeling a bit left behind. Why isn't the computer-based patient record more prevalent in long-term care? While the industry is taking some first steps, there are still some sizeable ro....

Using OIG Guidances for Long-term Success

Author: Foltz, Darline A.

Source: Journal of AHIMA

Publication Date: January 2001


Further, federal regulations and guidelines continue to be issued by Congress, the Health Care Financing Administration, the Office of the Inspector General (OIG), and state survey and Medicare agencies. One of the biggest challenges facing HIM professionals in LTC is keeping up with these cha....

HCFA, Joint Commission Show Some Restraint

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: May 2001


Hospitals and Behavioral Healthcare Settings

The 2001 Joint Commission standards on restraint and seclusion (TX.7.1 through TX.7.1.16) apply to all accredited behavioral healthcare facilities such as psychiatric units in general hospitals, free-standing psychiatric hospitals, and re....

AHIMA Offers Tips, Tools for Auditing in Long-term Care

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2001


Once upon a time, the role of the medical records department in a long-term care (LTC) facility was to file and assemble discharge records. Those days are long gone. Today, it is critical for HIM practitioners to focus on the content and quality of the documentation in the medical record.
....

Addressing HIPAA Across the Continuum

Author:

Source: Journal of AHIMA

Publication Date: February 2002


HIPAA is an issue in hospitals across the nation, but what about other kinds of facilities—such as long-term care, behavioral health, or home care organizations? They, too, need to address HIPAA. We asked three HIM professionals who work in these settings to briefly address how HIPAA is ch....

New PPS Proposed for LTC Hospitals

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: July 2002


In the past 10 years, the number of new long-term care hospitals (LTCHs) in the United States has tripled. Because of this growth, LTCHs are the newest post-acute settings to face a change in the reimbursement system.


While there are only about 270 LTCHs in the United States, t....

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

Where Can I Find Coding Guidelines for Use in Long Term Care or for Skilled Nursing Facility Reporting?

The official coding guidelines (see earlier question regarding who has the official guidelines for code assignment) are applicable in long term care. These guidelines have been develope....

Preventing Risk in Long-term Care: Lessons Learned

Author: Wright, Amy

Source: Journal of AHIMA

Publication Date: January 2003


“If you or a loved one has been the victim of nursing home abuse, please call for a free consultation.” This refrain is familiar to Floridians and is quickly moving to other states where laws allow large punitive or damage awards for malpractice lawsuits.


Long-term c....

Taking the Initiative with Nursing Home Quality

Author: Mitchell, Sue

Source: Journal of AHIMA

Publication Date: March 2003


When the Department of Health and Human Services (HHS) issued its highlights of 2002, the listing of significant accomplishments included the department’s efforts to improve quality of care. Discussion of quality improvement efforts focused on the department’s initiatives in measurin....

Validating MDS and OASIS Data with DAVE

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2004


In January 2004 the Center for Medicare and Medicaid Services (CMS) launched a new initiative to improve the accuracy and reliability of Minimum Data Set (MDS) data in long-term care. The Data Assessment and Verification program (DAVE) is a collaborative effort between multiple CMS program ar....

Coding Dementia

Author: Laakso, Roz

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2004


Dementia is defined as “a deterioration of intellectual function and other cognitive skills, leading to a decline in the ability to perform activities of daily living.”1 Alzheimer’s disease is an age-related, irreversible brain disorder that occurs gradually and results in me....

EHR Development Steps in Long-term Care

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: January 2005


In the past year there has been a whirlwind of activity around the electronic health record (EHR). Hospitals and physician offices are in the forefront of planning for EHR development at the national level. However, long-term care (LTC) is often mentioned as the third area of priority. This ar....

Practice Toolkit: Long-term Care Research

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2005


Research in long-term care (LTC) settings is critical to improving the quality of care and outcomes for residents. One challenge is keeping abreast of relevant studies. This column will focus on the International Severity Information Systems and Institute for Clinical Outcomes Research (ISIS/I....

Practice Toolkit: Medicare Billing in Long-term Care

Author: Sims, Michelle

Source: Journal of AHIMA

Publication Date: June 2005


In order to accurately bill for long-term care, an organization must achieve consistency between the minimum data set (MDS) and the UB-92. The first step is to ensure compliance with the completion of the MDS. It is helpful to have a system that identifies the assessment reference date span an....

Emerging EHR in Long Term Care

Author: Johnson, Debbie; Dougherty, Michelle

Source: AHIMA Convention

Publication Date: October 21, 2005

Introduction and History

The electronic health record (EHR) is slowly, but surely, emerging in the long term care (LTC) industry, which as a whole, has traditionally lagged a significant distance behind other healthcare settings in the application of electronic records. Efforts in the EHR....

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