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Working to Make RECs Sustainable

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: November 07, 2011





The regional extension centers—created through federal grants to help small providers and hospitals select, implement, and use health IT—have several years remaining on their contracts. However, they are already considering business models that would make them self....

Progress on ICD-10: Survey Shows Advances with Two Years to Go

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2011


With the ICD-10-CM/PCS deadline less than two years away, results of a recent AHIMA survey show that more organizations are getting their transitions in motion. In total, 85 percent of respondents to the August 2011 survey said that their organizations had begun work on ICD-10 planning and imp....

Transforming Clinical Quality Measures for EHR Use

Author: Kallem, Crystal

Source: Journal of AHIMA

Publication Date: November 2011




NQF Refines eMeasures for Use in EHRs and Meaningful Use Program

The meaningful use incentive program and increasing emphasis on improving healthcare quality have highlighted the need for clinical quality measures that are EHR-compatible. To address this need and advance th....

2011 Convention Wrap-up

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2011


AHIMA held its 83rd Annual Convention and Exhibit October 1–6 in Salt Lake City, UT. Practitioners, educators, students, and exhibitors came together to share ideas, challenges, and solutions and hear about some of healthcare's hottest topics from industry experts.


A full ex....

Fall Preview: A Look at the Season’s Expected Rules

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: November 2011


Perhaps one of the biggest jobs related to implementing the ARRA provisions right now is keeping track of the moving parts. Publication of the act in 2009 was a kind of Big Bang-an explosion of provisions that rocked the healthcare universe. Since then, however, the pieces have traveled at dif....

Standardizing Problem Lists in Physician Practices

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: November 2011


As the healthcare industry moves closer to patient-centered care, one of the most important tools for physicians is a standardized problem list. A well-designed process for capturing patient problems as they are treated and resolved (or not) has dual benefits.

First, the problem lis....

FY 2012 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2011


The final rule for the FY 2012 Hospital Inpatient Prospective Payment System was released August 1, 2011. Changes in the rule went into effect with October 1, 2011, inpatient discharges.
MS-DRG Documentation and Coding Adjustment

The Centers for Medicare and Medicaid Services....

Healthcare Career Path Leads to AHIMA CEO

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2011


Immediately after landing her first HIM job in 1978, Lynne Thomas Gordon became a member of AHIMA. Now, after a 30-year career that has ranged from HIM intern to hospital C-suite administrator, Thomas Gordon, MBA, RHIA, FACHE, feels her entire career has led to her recent appointment as AHIMA....

REC Connection

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: November 01, 2011



The path to meaningful use runs through the HIM department.  Meeting the requirements of the federal EHR incentive program requires the contributions of HIM professionals to redesign documentation workflow, implement new health IT systems, and capture quality measures.


F....

Getting to Stage 1

Author: Spooner, Bill

Source: Journal of AHIMA - website

Publication Date: October 10, 2011




For some healthcare providers, meaningful use is a carrot being offered in reward for implementing an EHR system. For other organizations, however, meaningful use is affirmation that their EHR strategies—often devised before the HITECH Act and meaningful use program—are on the right t....

Legal Considerations in Joining an HIE

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011


The legal issues healthcare organizations must consider when joining a health information exchange (HIE) go far beyond the standard HIPAA-related concerns.

HIEs are rapidly gaining prominence in healthcare, bolstered by federal initiatives like the meaningful use program, which requ....

Certified I10-Ready

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011




To build up competencies in the new code set, AHIMA-credentialed professionals must add ICD-10-CM/PCS continuing education to their credential maintenance through 2013.

The impending coding classification system change from ICD-9 to ICD-10 is the talk of health information....

Telling the HIM Story in Meaningful Use

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2011


The term "meaningful use" is used freely within Washington and throughout the healthcare industry. For HIM professionals it is not a new concept, but the term has proliferated in the last few years with the creation of the ARRA-funded EHR incentive program.

At some point the talk wi....

Meaningful Use: Notes from the Journey

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011



After debate, speculation, and anxiety throughout the industry, the first physicians and hospitals have embarked on stage 1 of the meaningful use program. So far… so good.

The first physicians and hospitals have embarked on stage 1 of the meaningful use journey; it has been nin....

Coding Neoplasms in ICD-10-CM

Author: Bielby, Judy A

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2011


ICD-10-CM codes provide greater detail than ICD-9-CM codes for reporting neoplasms. In many instances, ICD-10-CM neoplasm codes can provide information on whether a neoplasm occurred in a right-sided or left-sided body part. ICD-10-CM also provides codes for reporting neoplasm sites with great....

AHIMA Announces Lynne Thomas Gordon as CEO

Author: AHIMA

Source: Journal of AHIMA

Publication Date: October 2011


Lynne Thomas Gordon, MBA, RHIA, FACHE, has joined AHIMA as chief executive officer. The association's Board of Directors announced the appointment September 8, and she assumed duties September 29.

Thomas Gordon joins AHIMA after serving as associate vice president for hospital operati....

New ICD-9-CM Diagnosis Codes for FY 2012

Author: Endicott, Melanie

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2011


The new ICD-9-CM diagnosis codes go into effect October 1, 2011. This date marks the last regular annual update to the ICD-9-CM code set before the partial code freeze. On October 1, 2012, there will be only limited code updates to ICD-9-CM to capture new technology and new diseases. There wil....

Problem List Guidance in the EHR

Author: AHIMA Work Group

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2011


Problem lists facilitate continuity of patient care by providing a comprehensive and accessible list of patient problems in one place. Problem lists used within health records are a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifyi....

The EHR’s Impact on Staffing Models

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: September 2011


As facilities transition from paper to electronic records, HIM departments must review job functions and staffing models. EHRs enable automation and ease of access and affect how the HIM department operates.
From Clerical to Qualitative

In an electronic environment paper HIM fu....

ICD-9-CM’s Final Bow

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2011


On October 1, 2011, ICD-9-CM will get its last close- up. That date marks the final regular update for the veteran code set.

In 2012 ICD-9-CM will receive only limited updates to capture new technologies and diseases. Starting October 1, 2013, it will be relegated to bit parts. The....

Time to Lead

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2011



Presenters from AHIMA's 2011 Leadership Academy share their perspectives on what it takes to lead in the current changing healthcare environment.



In the midst of the myriad changes occurring in healthcare today, it is easy to get lost and become a follower. However, ARRA....

Listening for Success

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2011


We often hear what someone is saying without hearing what they actually mean. Good listening skills help us work more effectively, learn more, and improve our relationships with our colleagues.

Whether educating an individual on release of information, discussing proper documentation....

Managing Physician Queries in the EHR

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: July 2011


Federal incentives provided for the meaningful use program under the American Recovery and Reinvestment Act are encouraging hospitals to adopt electronic health records (EHRs). Eighty percent of hospitals are planning to become meaningful users of EHR technologies in 2011, and the healthcare i....

EHRs in the Cloud: Contract Protection for a Rainy Day

Author: Lamar, Marilyn

Source: Journal of AHIMA

Publication Date: July 2011


Cloud computing has been suggested as a cost-effective way to use electronic health records (EHRs), particularly for small providers that may not have an IT staff. Cloud-based EHRs store patient health records and the EHR software on computers operated by the EHR vendor.

The healthc....

ICD-10: the New Teacher's Pet

Author:

Source: Journal of AHIMA

Publication Date: July 2011


The healthcare industry’s transition to ICD-10-CM/PCS will ramp up in August as educators begin teaching ICD-10 as the primary classification system.
An AHIMA-developed timeline for transitioning academic institutions to ICD-10 recommends the new code set be taught as the current classific....

Preparing for the CAC Transition

Author: Bronnert, June

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2011


One of the biggest technology advancements to influence coding since encoding systems is computer-assisted coding. CAC is the "use of computer software that automatically generates a set of medical codes for review, validation, and use based upon clinical documentation provided by healthcare p....

For Coding, a Time of High Priorities

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: July 2011






By nature, coding is a profession full of change. However, these days everything seems to be changing at once—from documentation at the point of care to workflow to code sets to reimbursement methods. And these days, everything seems to be high priority.One thing....

Ten Questions for CAC Vendors

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: July 2011



An increasing number of healthcare facilities are turning to computer-assisted coding (CAC) to streamline workflows and help reduce coding workloads. Others are giving the technology a close look for the first time.


“Interest in the technology has grown significantly ov....

Transcription and Data Capture in the EHR

Author: Dooling, Julie A

Source: Journal of AHIMA

Publication Date: June 2011


Transcription has always played an important role in HIM, but today it is taking on a new role in supporting the meaningful use program. Organizations are looking to leverage their transcription technology to capture structured data within their electronic health records (EHRs), a requirement....

Three-Day Window Updates

Author: Garrett, Gail S.

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2011


The Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 was signed into law on June 25, 2010. One of its provisions revised the three-day payment policy, or the so-called "three-day DRG window."

This article highlights the changes to the three-da....

Growing ICD-10: Seedling Transition Programs Take Root

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: June 2011


There are two basic approaches to the ICD-10 transition: (1) a late, mad scramble to get systems converted before the deadline; or (2) an intentional cultivation that uses the transition to improve business processes, documentation, and clinical care. Three organizations offer a picture of the....

Reading the Fine Print on ICD-10 Conversions: Even Highly Automated Conversions Require Review

Author: Butler, Rhonda R.; Mills, Ronald E; Averill, Richard F.

Source: Journal of AHIMA

Publication Date: June 2011


Automation is a major help in converting to the ICD-10 code set, but it is not a magical solution. In fact, skipping a human review of converted systems exposes an organization to legal and financial risk.

People who are secondary users of coded medical records-who see only the resul....

A Possible Delay for Stage 2

Author: Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: June 2011


This spring, as the first providers began attesting to their performance in stage 1 of the meaningful use program, the rest of the industry seemed too absorbed with the program's next phase to take much notice.

Through the spring a subgroup of the Health IT Policy Committee was prepa....

Embracing the ICD-10 Transition

Author: Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: June 2011


Now is the time to embrace ICD-10 adoption and plan for your personal success and the future state within your organization. Healthcare organizations are depending on the HIM profession to do the heavy lifting and prepare the industry for ICD-10.

We will never walk this path again. T....

Changes Ahead in Data Standards

Author: Giannangelo, Kathy

Source: Journal of AHIMA

Publication Date: June 2011


HIM professionals are most familiar with the data standards mandated through HIPAA. However, the data standard adoption process is also now part of the requirements for EHR technology in the meaningful use program.

Understanding the data standards adoption process under HIPAA and th....

Getting the Best from Your ICD-10 Vendor

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: May 2011



May 10, 2011


Payers and providers must work their way through the transition to ICD-10-CM/PCS only once, and by the end, few will likely choose to do it again. System vendors and consultants, however, will have been through many, many implementations before it’s all over.

Portraits of Progress in ICD-10

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: May 04, 2011





Since it was planted 30 years ago, the ICD-9 code set has grown roots deep into the healthcare system. Within individual organizations and enterprises, those roots can reach into nearly every department and function.


Upgrading to ICD-10 thus requires....

HIE Patient Consent Model Options

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: May 2011


Health information exchanges (HIEs) continue to expand across the nation as organizations prepare to meet the stage 1 meaningful use criteria. A 2010 eHealth Initiative survey found that there are currently 73 operational HIE initiatives, up from 57 in 2009.

During this rapid advanc....

Privacy Rights Never Die: And Sometimes Complications Linger On

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2011


The laws surrounding release of a deceased patient's records can lead to complex and frustrating situations in the HIM department. Just who has access rights depends on federal law, state law, and individual circumstances, illustrated by the two scenarios below.

Last summer the Office....

Opting for Opt Out: How One HIE Manages Patient Consent

Author: Bass, Deb

Source: Journal of AHIMA

Publication Date: May 2011



Every health information exchange must determine how it will gain consent from patients to share their information. The Nebraska Health Information Initiative chose opt out and with good communication and management has maintained a high rate of patient participation.

Even afte....

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