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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....

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....

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....

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....

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....

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 ....

ICD-10-CM Coding Guidance for Long-Term Care Facilities

Author: Liebner, Carole S; Lowery, Amanda L; Maccariella-Hafey, Patricia C; Usher, Joan L; Ward, Maria; Young, Carol

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: March 2015


Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. Come October 1, 2015, LTC facilities will assign ICD-10-CM codes to capture a resident's clinical conditions.


ICD-10-CM facilitates the collection and....

RAC Primer for LTC Facilities

Author: Leonard, Mary Ann

Source: Journal of AHIMA

Publication Date: January 2010



Last year the Centers for Medicare and Medicaid Services (CMS) began rolling out the Recovery Audit Contractor (RAC) program to all 50 states and all providers, including long-term care facilities. HIM professionals working in LTC facilities need to understand the basics of the program in....

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....

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....

On the Leading Edge in Long-term Care

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: April 2008


Margie White started out as a nursing assistant in acute care. A brochure for AHIMA’s independent study program introduced her to HIM. She completed the program and applied for a job as medical record clerk in a long-term care facility.

And she kept going. White earned her RHI....

Survey of State Health Information Exchanges Regarding Inclusion of Continuity of Care Documents for Long-Term Post-Acute Care (LTPAC) Patient Assessment

Author: Hassol, Andrea; Goodman, Laura; Younkin, Jim; Honicker, Mary; Chaundy, Kimberly; Walker, James M

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


Objectives: This study aimed to measure awareness and interest among state health information exchanges (HIEs) in a tool that translates long-term post-acute care (LTPAC) patient assessment information to a Continuity of Care Document (CCD) format for sharing; whether any....

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,....

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....

EHR Payment Incentives for Providers Ineligible for Payment Incentives and Other Funding Study

Author: Dougherty, Michelle; Williams, Margaret; Millenson, Michael; Harvell, Jennie

Source: AHIMA report | U.S. Department of Health & Human Services | U.S. DHHS. Assistant Secretary for Planning and Evaluation

Publication Date: June 2013

Report to Congress on the extent to which and manner in which payment incentives should be made available to health care providers receiving minimal or no payment incentives or other funding under HITECH.

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....

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....

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....

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....

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