117 results.
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Writing a Coding Success Story: Best Practices and Beyond
Author: Jeffries, Jane
Source: Journal of AHIMA
Publication Date: July 2001
What are the cornerstones of a thriving coding department? How can you ensure your coding team is built on a foundation of education, compliance, and satisfaction? We spoke with several coding managers to collect solutions and guidance for common coding challenges.
Whats the s....
When Health Information and Fiscal Management Meet
Author: Dunn, Rose T
Source: Journal of AHIMA
Publication Date: January 2001
HIM professionals have skills that can allow them to contribute to the bottom line in many ways. The author describes areas where HIM expertise can make a difference in evaluating an organization's fiscal performance through analysis of services driven by health information.
HI....
What Happened to PEPP?: QIOs Plan for Hospital Payment Monitoring Program
Author: Estrella, Renato
Source: Journal of AHIMA
Publication Date: July 2003
Efforts to boost the quality of care provided to Medicare patients arent new, but CMS latest plan will require additional efforts from hospitals. Learn more about the Hospital Payment Monitoring Program and how Quality Improvement Organizations are here to help.
Wondering wh....
Using Additional Diagnoses to Improve Productivity
Author: Martin, Ginny
Source: CodeWrite
Publication Date: February 2016
ICD-10 has now been in effect for several months and coding professionals have become more familiar with the new codes and guidelines. The initial training and education is complete and ongoing quality reviews are being done to analyze coding accuracy. But what else can this data tell us?....
Understanding HACs and SREs for Quality Reporting and Reimbursement
Author: AHIMA Practice Council for Clinical Terminology and Classification; AHIMA Practice Council for Quality Initiatives and Secondary Data
Source: AHIMA practice brief
Publication Date: September 2009
This practice brief has been retired. It is made available for historical purposes only.
UK's Agenda for Managing Health Information: First Steps to Improving Data Quality
Author: Huston, Janis L.; Brox, Georg A.
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
Introduction to the Information for Health NHS Strategy Document
The National Health Service (NHS) of the United Kingdom (UK) published its Information for Health agenda in 1998 to address such issues as information management, information technology (IT), security, and data quality. In t....
Two Key Metrics in Evaluating the Effectiveness of Hospital Coding Services: Paid Claims Error Rate and Coding Accuracy
Author: Spencer, Carol
Source: AHIMA Convention
Publication Date: September 27, 2010
Measurement, as defined by Webster's Dictionary, is to regulate by a standard, an estimate of what is expected, a basis or standard of comparison, a step planned or taken as a means to an end, to choose or control with cautious restraint. This is accomplished repeatedly and systematically....
Top 10 Metrics to Monitor in the First 30 Days
Author: Haugen, Mary Beth
Source: ICD-TEN Top Emerging News | AHIMA newsletter article
Publication Date: September 2015
Technically speaking, anything could happen once we flip the ICD-10 switch on October 1, 2015. That's why it's important to monitor key performance metrics closely in the first 30 days post-implementation. The days and weeks immediately following go-live will provide critical insigh....
Testimony of the American Health Information Management Association to the Workgroup on Quality of the National Committee on Vital and Health Statistics
Author: Rode, Dan; Siegel, Barbara
Source: AHIMA testimony and comments
Publication Date: September 14, 2004
September 14, 2004
Opening Comments
Chairman Hungate, members of the Workgroup on Quality, ladies and gentlemen, good morning. I am Dan Rode, vice president of policy and government relations for the American Health Information Management Association (AHIMA). Joining me th....
Team Efforts Key to Advocacy Success: HIM Colleagues Can Aid Drive to Consistency of Coding
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: November 2003
Consistency of coding is an issue that will only advance through a team effort. This article will discuss consistency of coding, its importance as an advocacy effort for the Association, and how you can make a difference.
Coding: Two Main Issues
There are essentially two t....
Taking the Measure of Measures: Quality Data Initiatives and the Challenge of Effective and Efficient Data
Author: Hall, Debra; Siegel, Barbara
Source: Journal of AHIMA
Publication Date: February 2005
Tracking case outcomes helps improve care and create efficiency. But without universal reporting standards, the workload for hospitals is heavy and the data lacks uniformity.
There are only so many hours in a day. Take the case of New Jersey hospitals.
The Leapfrog Group rates....
Taking Coding to the Next Level through Clinical Validation
Author: AHIMA Work Group
Source: Journal of AHIMA | AHIMA web extra
Publication Date: January 2014
Health information management (HIM) is a discipline that has rapidly evolved toward roles of increasing complexity and demand in recent years and the coding profession has been one area at the center of this growth. Even though the HIM profession is currently rethinking their coding and clinica....
Taking a Closer Look at Physician-based Coding
Author: Kostick, Karen M.
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2002
Since 1997, AHIMA has offered a Certified Coding Specialist--Physician-based credential (CCS-P) for HIM professionals who are employed in the physician setting. In recent interviews, an office manager, coding manager, coding coordinator, and two physician-based consultants shared their coding....
Survey on Coding Quality Measurement: Hospital Inpatient Acute Care
Author:
Source: AHIMA web extra
Publication Date: March 02, 2008
Successful Methodology for improving the quality of clinical data
Author: Slaughter, James; Willner, Sue
Source: Journal of AHIMA
Publication Date: November 1996
Overview
Consensus is growing in the healthcare industry that organizations with fully integrated clinical information systems will become the leaders in a fiercely competitive environment. Kaiser Permanente's Northern California Region (KPNCR) believes that such a system can support the....
Strategizing Clinical Documentation Improvement: Tracking the Right CDI Measures, Data Can Impact Multiple Healthcare Areas
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: July 2013
Clinical documentation requirements are expected to increase as healthcare systems are challenged with complex new audits, ever-changing compliance rules, and a transition to ICD-10-CM/PCS. All of these initiatives will specifically challenge clinical documentation improvement (CDI) profes....
Strategies for Reducing Medical Errors: HIM's Role
Author: Johnson, Sandra K; Rozovsky, Fay A.
Source: Journal of AHIMA
Publication Date: July 2000
Medical errors are a problem of national concern. How can HIM professionals improve documentation and prevent errors? This article offers some risk management strategies.
Medical errors have been a hot topic since the release of last year's Institute of Medicine rep....
Steering Quality Improvement in Healthcare
Author: Schoenfelt, Suzanne
Source: Journal of AHIMA
Publication Date: February 2000
"Quality" is a multi-industry buzzword, but what does it really mean in today's healthcare climate? We asked the experts for their views on the state of quality improvement in healthcare and what lies in store for HIM professionals as QI evolves.
For decades, healthcare has concerned its....
Statement on Consistency of Healthcare Diagnostic and Procedural Coding
Author: AHIMA
Source: AHIMA position statement
Publication Date: December 02, 2007
Approved – December 2007
The AHIMA Position
The collection of accurate and complete coded data is critical to healthcare delivery, research, public reporting, reimbursement, and policy-making. The integrity of coded data and the ability to turn it into functional information re....
Statement on Consistency of Healthcare Diagnostic and Procedural Coding
Author: AHIMA
Source: AHIMA position statement
Publication Date: May 18, 2002
American Health Information Management Association (AHIMA)
AHIMA’s Position
AHIMA believes the collection of accurate and complete coded data is critical to healthcare delivery, research and analysis, reimbursement, and policymaking. The integrity of coded data and the ability to tur....
Sharing Resources for Coding Quality Improvement
Author: Mills, Sharon
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2000
Hospital leaders who truly understand the challenge of achieving high-quality coding and are willing to commit resources to promote continuous quality improvement can be difficult to find. However, four years ago, visionary leaders in a not-for-profit healthcare system recognized that....
Seizing the Moment to Improve the Quality of Health Information Management
Author: Goshen, Naomi; Nachmani, Frances ; Sasson, Nadine ; Itzchak, Tzipi ; Sayfan, J; Kopelman, D; Kolton, L; Vigder, L; Almog, D; Tiosano, T
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
Introduction
The need for accurate and complete records pertaining to operative procedures and diagnoses in surgery wards is almost self-evident. It is so because human life issues are at stake and erroneous and incomplete documentation may harm follow-up treatment as well as research da....
Screening for Colorectal Cancer
Author: Petersen, Darley
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
Background
Colorectal cancer (CRC) remains the second most common cause of cancer death in Western Europe and North America.
Screening for CRC has not worldwide popularity in spite of proven survival benefit in average risk persons. Incidence and mortality, both are worrying in E....
Research Offers First Look at Keys to Compliance Success
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA
Publication Date: January 2003
What makes a corporate compliance program effective? Without clear measures of effectiveness, the answer is murky. But a recent study shows that certain best practices may be keys to success.
The first study assessing the elements of an effective compliance program was highligh....
Reporting Codes Accurately
Author: Giannangelo, Kathy
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2005
Coding professionals routinely review records and, when appropriate, query physicians to clarify a condition. Once the specifics are known, ICD-9-CM is used to determine the appropriate codes to record a patient’s diagnosis and report the healthcare claim. Coding professionals know that....
Reducing Outpatient Billed as Inpatient Errors
Author: Malone, Sue M.
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2008
From 2006 to 2007, the Colorado Foundation for Medical Care (CFMC), the quality improvement organization (QIO) for Colorado, led a project to reduce the outpatient billed as inpatient billing error rate in five area hospitals. This article discusses the findings from the project, as well as be....
Re-abstraction Studies to Assess Data Quality for Use in the Development of a Grouping Methodology
Author: Mitchell, Sandra; Bartoli, Holly
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
Purpose
The purpose of this paper is to provide an overview of the data quality re-abstraction studies that have been conducted in Canada. These studies provide a baseline of reliability for clinical administrative data submitted to the Discharge Abstract Database (DAD). Canada began a s....
Quest for Quality and Comparability in the National Healthcare Database: Announcing A Payer’s Guide to Health Care Data Quality and Integrity
Author: AHIMA Coding Policy and Strategy Committee
Source: Journal of AHIMA - Coding Notes
Publication Date: September 1996
As the computer-based patient record slowly becomes a reality, the need has never been greater for a national cooperative effort to recognize and apply uniform terminology and coding guidelines for both the clinical community and fiscal intermediaries. AHIMA’s Coding Policy and Strategy Commit....
Quality Data for a Healthy Nation
Author: AHIMA
Source: AHIMA presentation | AHIMA recognition week resources
Publication Date: September 01, 2005
Quality Data Critical to Healthcare Decision-Making
Author: Nicholson, Ruby E.; Penney, David R.
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
The health information professional is consistently monitoring coding, documentation, and data quality to insure reimbursement and compliance with healthcare standards. As healthcare costs rise, consumer needs increase, and new consumer needs emerge, it is important for the healthcare industry....
Quality Data and Documentation for EHRs in Physician Practice
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: August 2008
This practice brief has been retired. It is made available for historical purposes only.
Preparing for ICD-10- CM/PCS Implementation: Impact on Productivity and Quality
Author: Stanfill, Mary H; Hsieh, Kang Lin; Beal, Kathleen; Fenton, Susan H.
Source: Perspectives in Health Information Management
Publication Date: July 2014
Abstract
Coding productivity is expected to drop significantly during the lead-up to and in the initial stages of ICD-10-CM/PCS implementation, now expected to be delayed until October 1, 2015. This study examined the differences in coding productivity between ICD-9-CM and ICD-10-....
Power of Persuasion: Proven Strategies Inspire Physicians to Improve Documentation
Author: Russo, Ruthann
Source: Journal of AHIMA
Publication Date: July 2003
Tired of haranguing physicians about the importance of clinical documentation? Our experts strategies will improve documentation and make physicians happy, too.
Clinical documentation is the foundation for the codes that serve as links between patient care and payment, individu....
Performance Improvement for Documentation
Author: Labak, Carol
Source: Journal of AHIMA
Publication Date: October 1998
We've all seen it before: that look of bewilderment on a physician's face when a discussion about documentation arises. While this is not the first incidence of this discussion between the physician and the health information manager, neither is it the first time the HIM professional ....
PEPPER Reports: a Looking Glass into Inpatient Coding
Author: Wilson, Donna D
Source: CodeWrite | AHIMA newsletter article
Publication Date: July 2014
Do you ever wonder how your Medicare coding quality compares to other hospitals in your state, jurisdiction, or even the nation? The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a free tool developed by the TMF Health Quality Institute, under contract with the Ce....
PEPP: Collaborating to Improve Quality
Author: Poole, Laurie
Source: Journal of AHIMA
Publication Date: April 2001
By collecting and analyzing information about Medicare payment errors, PEPP initiatives are making a contribution to healthcare quality efforts nationwide. Here's how one organization takes a collaborative approach to improving quality.
State Payment Error Prevention Programs (....
Payer's Guide to Healthcare Diagnostic and Procedural Data Quality, 2001 Edition
Author: AHIMA Coding Policy and Strategy Committee
Source: AHIMA
Publication Date: 2001
The Payer's Guide to Healthcare Data Quality and Integrity was assembled to introduce you to the issues of data quality and to serve as a helpful resource. This guide is designed to help build a bridge between the payer community and the health information management professionals in....
Payers Guide Articles
Author: AHIMA
Source: AHIMA bibliography
Publication Date: 2001
The Quest for Quality and Comparability in the National Healthcare Database: Announcing A Payer’s Guide to Health Care Data Quality and Integrity
by AHIMA’s Coding Policy and Strategy Committee
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
by Sue Prop....
Ongoing Coding Reviews: Ways to Ensure Quality
Author: Thompson, Nell S.; Koch, Doreen
Source: Journal of AHIMA
Publication Date: January 1999
As compliance becomes an increasingly hot topic, how can a facility ensure its coding quality? Here are some ways that HIM departments can improve the quality of coding on a daily basis.
Coding practices are continually evolving, and this evolution has brough....
OIG Medicare Review Offers Pointers for Compliance Programs
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 2002
With the lowest error rate to date and less money being reimbursed for improper payments, the Office of Inspector Generals (OIG) 2001 review of Medicare fee-for-service claims has become a model from which to build compliance programs. The review, which was the sixth such review conducte....
Nursing Data, Classification Systems, and Quality Indicators: What Every HIM Professional Needs to Know
Author: Henry, Suzanne Bakken; Warren, Judith J.; Zielstorff, Rita D.
Source: Journal of AHIMA
Publication Date: May 1998
by Suzanne Bakken Henry, RN, DNSc, FAAN, Judith J. Warren, RN, PhD, FAAN, and Rita D. Zielstorff, RN, MS, FAAN
The nursing profession has developed a number of classification systems. What can HIM professionals learn from the processes and results? This article presents an overview of the....
New Focus on Process and Measure: Raising Data Quality with a Standard Coding Workflow and Benchmarks
Author: Wilson, Donna D; Hampton-Bagshaw, Kim; Jorwic, Therese M; Bishop, Jean; Giustina, Elizabeth
Source: Journal of AHIMA
Publication Date: March 2008
Establishing a standard coding workflow that incorporates continuous improvement and creating performance benchmarks is key to improving the quality of coded data.
HIM professionals who assign codes or manage coded data take responsibility for translating clinical....
Monitoring Improper Medicare Payments: New CMS Programs Build on OIG Methods to Report Errors
Author: Scichilone, Rita A
Source: Journal of AHIMA
Publication Date: May 2003
The Office of Inspector General (OIG) issued its last improper Medicare fee-for-service payment error rate report in January. Does this mean that all claims problems have been fixed? Have healthcare providers finally become 100 percent compliant?
Unfortunately, the answer is n....
Model for International Comparative Studies Using Routine Hospital Morbidity Data
Author: Jones, Lauren M.; Reid, Beth A.; Aisbett, Chris W.
Source: IFHRO Congress | AHIMA Convention
Publication Date: October 15, 2004
Abstract
The problem addressed in this paper is the difficulty of assessing across nations the impact of different policies on health outcomes without a reliable way of comparing routine hospital morbidity data. This paper presents the findings of a study that evaluated the accessibility and....
Mitigating Coding Risks in the EHR: Physician Coders More Valuable With EHR Implementation
Author: Huey, Kim
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2013
Though it may seem contrary to popular opinion, electronic health record (EHR) products will make providers' coders more necessary and valuable than ever. Physicians who trust only EHR and computer-assisted coding software to choose the codes they bill, without any training or oversight, a....
Medicare Program: Prospective Payment System for Long-Term Care Hospitals: Proposed Annual Payment Rate Updates and Policy Changes
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: April 30, 2003
April 30, 2003
Thomas A. Scully
Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Attention: CMS-1472-P
P.O. Box 8010
Baltimore, Maryland 21244-1850
RE: Medicare Program: Prospective Payment System for Long-....
Medicare Data Study Spotlights Coding Errors
Author: Cottrell, Carlton
Source: Journal of AHIMA
Publication Date: September 2000
Coding quality for Medicare claims is an area of constant concern. Coding errors can have far-reaching effects in the healthcare universe, and coders are experiencing increased scrutiny from both regulators and hospitals looking to control costs. As a follow-up to results of a Medica....
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....
Managing DNFB: It's More Than Just Coding
Author: Staub, Mary; Orenstein, Anita; Gillett, Del Rae
Source: AHIMA Convention
Publication Date: October 15, 2004
Introduction
All healthcare facilities throughout the country struggle in today's competitive market place to keep cash flow at an appropriate and acceptable level. There are many facilities that struggle to make pay roll on a bi-weekly basis. Although Intermountain Healthcare (IHC) has....
Managing an Effective Query Process
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2008
The content in this practice brief has been retired. It is made available for historical purposes only. More recent information is available here.
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