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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....

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 ....

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.
....

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....

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....

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....

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....

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....

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.

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....

Exploring Health Information Exchange Implementation Using Qualitative Assessments of Nursing Home Leaders

Author: Alexander, Gregory L.; Popejoy, Lori; Lyons, Vanessa; Shumate, Sue; Mueller, Jessica; Galambos, Colleen; Vogelsmeier, Amy; Rantz, Marilyn; Flesner, Marcia

Source: Perspectives in Health Information Management

Publication Date: October 2016


Abstract


Objectives: Limited research exists on nursing home information technologies, such as health information exchange (HIE) systems. Capturing the experiences of early HIE adopters provides vital information about how these systems are used. In this study, we conduct a second....

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....

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....

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,....

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....

ICD-9-CM Coding Guidance for LTC Facilities. Appendix B: Reporting and Sequencing Diagnoses on the Health Record and UB-04 Claim Form

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2010


The "ICD-9-CM Official Guidelines for Coding and Reporting" is updated annually, thought it may be changed more frequently. Coders should be familiar with the guidelines and use the most current version.

The guidelines provide the following guidance for principal/first-listed and con....

ICD-9-CM Coding Guidance for LTC Facilities. Appendix C: Regulatory Guidance for Reporting Diagnoses Related to Reimbursement

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2010


In August 2000, the HIPAA Transaction and Code Sets required the use of the ICD-9-CM code set. Subpart J, section §162.1002 Medical data code sets, states the adoption of the following code sets as standard medical data code sets:
ICD-9-CM, volumes 1 and 2 (including the "ICD-9-CM Official....

ICD-9-CM Coding Guidance for LTC Facilities - Retired

Author: AHIMA

Source: AHIMA practice brief

Publication Date: October 2010


Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. LTC facilities assign ICD-9-CM codes to capture a resident's clinical conditions.


ICD-9-CM facilitates the collection and organization of healthcare stat....

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....

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....

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....

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....

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....

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....

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