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ICD-10-CM Updates for Fiscal Year 2020

Author: Watson, Monica M

Source: Journal of AHIMA

Publication Date: October 2019


By Monica Watson, RHIA, CPC, CCS, CCS-P, CPMA, CIC, CRC, CDEO


Coding professionals will be relieved to find fewer changes in the fiscal year (FY) 2020 ICD-10-CM code changes, effective October 1, 2019, than the last several years. The trend in decreasing changes for annual updates....

Fewer Codes for 2020 in ICD-10-PCS

Author: Ward, Maria

Source: Journal of AHIMA

Publication Date: October 2019


By Maria N. Ward, M.Ed., RHIA, CCS, CCS-P


There has been an increase in the number of possible codes in ICD-10-PCS every year since its implementation. With the Fiscal Year (FY) 2020 ICD-10-PCS code changes, effective October 1, 2019, the tides have turned. In the Medical and Surg....

Making the Electronic Case Reporting Transition

Author: Viola, Allison F.

Source: Journal of AHIMA

Publication Date: October 2019

Pushing Paper Aside as eCR Changes HIM’s Quality Practices


By Allison Viola, MBA, RHIA


Public health agencies across the country continue to face new challenges, from surveilling chronic and infectious diseases such as Ebola and Zika, to managing the anticipated &ld....

Taking Action for Health Information

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: October 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


Throughout the year we’ve been talking about AHIMA’s transformation. Our aim with this project has been to keep AHIMA relevant in light of today’s trends and to become an association that better meets the....

President's Message

Author: Watzlaf, Valerie J.M.

Source: Journal of AHIMA

Publication Date: October 2019

Reflecting on a Year to Treasure

By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


I cannot pick just one thing that I am most proud of from this year. I am extremely proud to have worked alongside an amazing board of directors, CEO, and AHIMA staff during my year as President and Ch....

The Future of Coding

Author:

Source: Journal of AHIMA

Publication Date: October 2019

A Report from AHIMA’s Coding Thought Leadership Council


By Anne Zender, MA


What does the future of coding look like? A panel of coding experts and health information management (HIM) professionals met in early June to answer this question and others.


T....

Are We There Yet?

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: October 2019

Evaluating Whether EHRs are Meeting the Needs of Value-Based Care


By Mary Butler


The “meaningful use” Electronic Health Record (EHR) Incentive Program successfully brought the vast majority of healthcare providers into the computer age and transitioned the ind....

Three Ways Analytics Optimizes Health Outcomes

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


Over the summer I was fortunate to participate in several conferences. I was both honored to be involved and enthralled at the expertise of all of the individuals who participated and presented.


Data is powerful. Data litera....

CAC Takes Coding Into the Future

Author: Fahy, Kristi

Source: Journal of AHIMA

Publication Date: September 2019


By Kristi Fahy, RHIA


Technology is the segue to the future. It is the very thing that will transform the landscape of today’s world into one with endless possibilities. In healthcare, that transformation is being accelerated by the transition to electronic health records (EH....

A Time to Be Bold

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


HIM professionals are well aware of the work involved in matching patients to their unique records. Mismatched records can cost us time, lead to frustration, and cause headaches and dissatisfaction for patients and provide....

Appendix D: Qualitative Productivity Tool Example

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


Productivity expectations can be both qualitative and quantitative. Qualitative productivity is measuring the quality of the work being performed. This is typically measured by performing audits of the CDI professional’s work and then assigning a numeric value so it can be measured (see e....

Appendix C: Ongoing Education Plan

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


An annual plan for ongoing education can be developed and started at the beginning of each calendar or fiscal year, or with the annual employee evaluation. The manager of the CDI team or designee can be required to ensure each education topic is offered to the employee during the year. It is im....

Appendix A: Key Points in Developing a CDI Program

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019

Recruitment Best Practices


Create a culture where great employees want to work

Consider the candidate’s cultural compatibility, leadership skills, communication skills, and intellectual ability

Consider all candidate streams when recruiting both internally an....

Appendix B: Orientation for New CDI Professionals

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


Orientation for new clinical documentation professionals should include the nuances involved in diagnosis, procedure, inpatient prospective payment systems (IPPS), and outpatient prospective payment systems (OPPS) capture. Some of these topics include concepts such as major diagnostic categorie....

Collaboration is Key to Leading Through Transformation

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


I am so inspired by our leaders all across the country. At last year’s CSA Leadership Symposium it was agreed that AHIMA was in a state of decline and that change was needed. It was an amazing moment—one I will never forget an....

Developing and Defining a Legal Health Record Policy

Author: Zak, Cindy

Source: Journal of AHIMA

Publication Date: August 2019


By Cindy Zak, MS, RHIA, PMP, FAHIMA


Yale New Haven Health (YNHH) began implementing the electronic health record (EHR) across four delivery networks in 2012. As the system moved to the electronic world, it became evident that YNHH needed to address the issue of defining the organi....

New Starts and Transformation Wins

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


September is a time of new starts. At AHIMA, it’s our busiest time of year as we prepare for our annual conference and a host of other fall and winter activities. It’s also a time to look back on the year: two-....

In Search of EHR's Designated Record Set

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: August 2019


By Mary Butler


When Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB, broke her elbow while attending an AHIMA event in Baltimore threeyears ago, she soldiered on through the event but summoned her primary care physician for a telemedicine encounter to determine her treatment. Later, when c....

PHI Hide and Seek: Hidden PHI Carries High Financial Risk

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Ken Reiher, MBA









Ken Reiher, MBA




The Danger of Being Connected

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Ty Greenhalgh, HCISPP


In 2014, the American Recovery and Reinvestment Act required and incented hospitals to demonstrate “meaningful use” of an electronic health record (EHR). Hospitals, desiring to maintain existing Medicaid and Medicare reimbursement levels and av....

Lost Data and Its Implications for Litigation

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: August 2019


By Ron Hedges, JD


Healthcare providers deal with electronic information on a daily basis. Providers must expect that volumes and varieties of electronic information will increase exponentially with, for example, the rise of artificial intelligence in the diagnosis and treatment of....

Reporting Social Determinants of Health

Author: William, Fiala C

Source: Journal of AHIMA

Publication Date: August 2019


By William C. Fiala, BS, MA, CCS-P, CPC, RMA


Capturing socioeconomic data, also referred to as social determinants of health (SDOH), is rapidly becoming a necessary element of documentation. SDOH “are among the most influential factors that determine health outcomes of indiv....

Components of an Effective Inpatient Coding Compliance Program

Author:

Source: Journal of AHIMA

Publication Date: July 2019


By Kathryn DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA, and Mary H. Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA


There are multiple benefits of an effective coding compliance program. An article published in the January 2019 issue of the Journal of AHIMA titled “Components of an Effective O....

Comcast Eyes Home Health Monitoring

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2019


A couple years ago, Saturday Night Live spoofed how senior citizens use automated home assistant products such as Amazon’s Echo by imagining a fictional product called Amazon Echo Silver—a device designed to help forgetful, hard of hearing seniors manage activities like turning up the thermosta....

Definition, History, and Use of the Problem List

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2019


The problem list was first defined and created by Lawrence Weed in the 1960s at a time when care continuity was its primary purpose. Problem lists have become more widely used as a basis for problem-oriented charting, a methodology for clinical documentation embraced by many in the medical esta....

Status Check on CDI Transformation

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: July 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


The Journal’s clinical documentation improvement (CDI) issue gives me an opportunity to provide an update on some of the important work AHIMA has been doing in 2019.


As you know, we’ve been undertaking what w....

APIs and the Privacy, Security Challenge for HIM

Author: Dean, A. Andrews

Source: Journal of AHIMA

Publication Date: July 2019


By A. Andrews Dean, CPHIMS, CHDA, CPHI, CPPM, CPC


The Centers for Medicare and Medicaid Services (CMS) turned many healthcare information technology consultants’ heads in March 2018 when they announced the new MyHealthEData initiative—intended to continue CMS’s goal of digitizing....

AWC Summit Addressing Universal HIM Issues

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: July 2019



By Lisa A. Eramo, MA


Telling an accurate and complete patient story through clinical documentation is a goal that transcends cultures and geographic boundaries. It’s also the primary theme at the 2019 AHIMA World Congress (AWC) Healthcare Information Summit that will take pla....

Computer-Assisted Coding Reality Check

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: June 2019


By Mary Butler


As text messaging has come to replace telephone calls as the primary means of interpersonal communication, apps such as SwiftKey have popped up to help those with less than nimble thumbs. SwiftKey and other “intelligent keyboards” quickly learn a user&rs....

Third-Party Data Disclosure Risk Management for Healthcare Organizations

Author: Carlson, April M; Goldman, Daniel JD; Milnes, Burke MPA; Otte, Kimberly JD; Schacht, Morgan JD

Source: Journal of AHIMA

Publication Date: June 2019


By April Carlson, MBA, HCISSP, CFE; Daniel Goldman, JD; Burke Milnes, MPA; Kimberly Otte, JD; and Morgan Schacht, JD


Hoping to balance the competing demands to share information while also protecting it, Mayo Clinic has developed a process to review disclosures of data that is ris....

Coding Respiratory Failure

Author: Leisch, Monica RHIA, CDIP, CCS

Source: Journal of AHIMA

Publication Date: June 2019


By Monica Leisch, RHIA, CDIP, CCS


Consider the following scenario: a patient is admitted through the emergency department (ED) with acute shortness of breath. The ED notes and history and physical document acute respiratory failure. Blood gases show an oxygen level of 75, pCO2 lev....

Paper Workaround Defeats EHRs’ Purpose

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2019


In research findings that should surprise very few health information management (HIM) professionals, attending physicians and the colleagues they conduct morning rounds with think electronic health records (EHRs) aren’t well suited for rounding in patient rooms. Their disdain for this now perv....

Once More, Coding at the Crossroads

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: June 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


The phrase “interesting times” suggests both opportunity and anxiety. These are especially “interesting times” for those of us in coding.


On the one hand, one research organization recently forecast that the....

Using CC/MCC Capture Rates as a Key Performance Indicator

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2019


The goal of this Practice Brief is to provide an explanation of the complication/comorbid condition and major complication/comorbid condition (CC/MCC) capture rate, review the calculation, and introduce the uses of this key performance indicator (KPI) by different functions of the mid-revenue c....

Curiosity Killed the Career

Author: Davis, Nancy

Source: Journal of AHIMA

Publication Date: June 2019


By Nancy Davis, MS, RHIA, CHPS


While serving as a system privacy officer for a Wisconsin-based healthcare system, the author of this article met regularly with the organization’s president to review privacy and security compliance. This time was spent reviewing breaches that membe....

How an AHIMA Credential is Born

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: June 2019


By Mary Butler


When you see a list of letters after a health information management (HIM) professional’s last name, it’s sometimes too easy to take for granted all the long, hard hours that went into earning and creating those acronyms. For both the credential earner and the certi....

Teaching Tune Up

Author: Lower, Christi L

Source: Journal of AHIMA

Publication Date: May 2019

How the New HIM Curricula Will Change Education, Future Employees


By Christi Lower, PhD, RHIA, FAHIMA


The health information management (HIM) professional’s career pathway has changed as technology continues to impact providers’ ability to acquire, harness, and harvest he....

Investing in Apprentices Pays Dividends for Employers

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: May 2019


By Lisa A. Eramo, MA


When Mary B. Parks, JD, RHIA, CCS, director of health information at St. Joseph’s/Candler in Savannah, GA was charged with replacing inpatient contract coders with in-house staff, she did what most directors do. She dove into a candidate search in the hope of....

Teaching Tune-Up

Author: Lower, Christi L

Source: Journal of AHIMA

Publication Date: May 2019

How the New HIM Curricula Will Change Education, Future Employees


By Christi Lower, PhD, RHIA, FAHIMA


The health information management (HIM) professional’s career pathway has changed as technology continues to impact providers’ ability to acquire, harness, and harvest he....

When Bedside Manner is Conveyed Through a Screen

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2019


If medicine is also an art and not just a science—as physicians who argue that each patient requires a different approach assert—then it’s hard to understand the rationale that led a California hospital to deliver end-of-life treatment plans via telemedicine “robots.”1


As several....

Connecting Coded Data to Data Analytics

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: May 2019


By Lou Ann Wiedemann, MS, RHIA, CDIP, CHDA, FAHIMA


What do population health, disease management, predictive modeling, and surgical case indices have in common? They are all a part of bridging coded data to real-time data analytics. Coding professionals have a long history of tran....

Taking the Next Step Toward the Future

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: May 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


In a recent article in the New Yorker, historian Jill Lepore puts predictions about the future of work—and how it may be changed by automation and artificial intelligence—into perspective. While stoking these fears can con....

Health Information Management and Litigation: How the Two Meet

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2019


Editor’s Note: This Practice Brief supersedes the November-December 2013 “E-Discovery Litigation and Regulatory Investigation Response Planning: Crucial Components of Your Organization’s Information and Data Governance Processes” and October 2005 “Legal Process and Electronic Health Record....

Transforming Healthcare through API Governance

Author: Primeau, Debra

Source: Journal of AHIMA

Publication Date: May 2019


By Debi Primeau, MA, RHIA, FAHIMA


These days, digital information is gold. This is especially true in healthcare, where organizations use health information strategically to improve efficiency, reduce costs, and enhance the safety and quality of patient care. Health information ma....

Digital Health: Promise, Perils, and Perspective

Author: Crabb, Stephanie

Source: Journal of AHIMA

Publication Date: May 2019


By Stephanie Crabb, MA


The age of digital transformation across many industry sectors is in full swing. While healthcare often paces behind others when it comes to technology innovation and adoption, this is not the case with digital health—start-ups in this sector raised a record....

What to Do (and Not Do) When Changing HIM Vendors

Author: Rose, Angela Dinh

Source: Journal of AHIMA

Publication Date: April 2019



By Angela Rose, MHA, RHIA, CHPS, FAHIMA


The outsourcing of health information management (HIM) functions is not a new concept in the healthcare industry. Coding, clinical documentation improvement (CDI), transcription, electronic heath record (EHR) systems, and release of inf....

The State of CDI

Author: Combs, Tammy

Source: Journal of AHIMA

Publication Date: April 2019

Analysis of AHIMA’s New Clinical Documentation Improvement Industry Survey


By Tammy Combs, RN, MSN, CCS, CDIP, CCDS


The AHIMA Clinical Documentation Improvement Practice Council (CDIPC) is a group of clinical documentation improvement (CDI) experts that meet once a....

Cybersecurity and Understanding Cyber Risk

Author: Dolezel, Diane

Source: Journal of AHIMA

Publication Date: April 2019


By Diane Dolezel, EdD, RHIA, CHDA


Healthcare organizations are at risk for data breaches as the number of healthcare data breaches continues to rise annually despite efforts to slow the upward trend. Since 2009, there were over 2,000 data breaches reported to the Department of Hea....

It Takes Leadership to Reimagine HIM

Author: Watzlaf, Valerie J.M.

Source: Journal of AHIMA

Publication Date: April 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


As leaders in the HIM profession, we must strive to reimagine our future and embrace the change that will accompany it. Looking back over the HIM Reimagined (HIMR) recommendations, I see areas where we have already made progress—and other....

Tackling the Modern Privacy Challenge

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: April 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


We’re seeing a powerful case for the profession to keep privacy and security high on its priority list as we drive forward to a more modernized HIM practice. It’s an area that continues to evolve and challenge us.

Hacked! What to Do Following a Cyberattack

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: March 2019




By Mary Butler


Steve Giles, chief information officer (CIO) at Hollywood Presbyterian Medical Center, says the experience of his organization’s 2016 high-profile ransomware attack was among the top three most terrible events he has lived through in his professional and p....

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