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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....

Patient’s Role in Ensuring Legal EHR Data Integrity

Author: Kohn, Deborah

Source: Journal of AHIMA

Publication Date: May 2011


For nearly 40 years I have served as an HIM and health IT professional, but for my entire life I have been a healthcare patient. My understanding of the processes that create medical records has helped me identify system and human mistakes in my own records. Consequently, I know well that the....

The Circulatory System and ICD-10-CM/PCS

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2011


Many coding professionals will need to learn new terminology and brush up on their anatomy and physiology (A&P) knowledge to prepare for the ICD-10-CM/PCS transition. Although it is still too early for intense training on the new code sets, now is the time for coding professionals to gain....

Staying Alert on Sleep Medicine Coding

Author: Kostick, Karen M.

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2011


The field of sleep medicine is rapidly expanding, and its coding and reimbursement are attracting more attention from federal and state governments, public health organizations, scientists, payers, auditors, the transportation industry, and healthcare consumers. Emerging topics in the area of....

Encryption Basics

Author: Stine, Kevin; Dang, Quynh

Source: Journal of AHIMA

Publication Date: May 2011


Healthcare and health IT professionals are entrusted with protecting the privacy and confidentiality of patient data. To provide this protection, these professionals frequently look to commonly accepted technologies and methodologies to safeguard the data while at rest and in transit. One tech....

Risks and Rewards of ACOs

Author: Martin, Timothy D

Source: Journal of AHIMA - website

Publication Date: April 2011





The Affordable Care Act of 2010 calls for the Centers for Medicare and Medicaid Services to create a Medicare “shared savings” program, which will encourage the development of accountable care organizations. ACOs will be eligible to receive additional payments if t....

Top Documentation Issues for ICD-10

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 2011



Apr 18, 2011

ICD-10-CM/PCS offers organizations better data about their patient populations and the services they provide them. The code set’s greater specificity allows coding professionals to more accurately reflect the details of physician documentation.

However, an....

Tips for Successful Training

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 13, 2011





Without a doubt, the transition to ICD-10-CM/PCS will impact patient care and revenue. Whether that impact is positive or negative, however, comes down to the quality of the training that organizations provide their clinical and coding staff.


Omar Ros....

First Lessons

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 13, 2011





In April 2010 the Georgetown University Consulting Team conducted a series of interviews with six hospital networks that had gotten an early start on their ICD-10 transitions. Researchers asked the hospitals about their approaches, priorities, and early experiences....

CY 2011 Changes to the Hospital OPPS

Author: Karban, Karen M

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2011


The final rule for the calendar year 2011 Hospital Outpatient Prospective Payment System (OPPS) was released November 24, 2010. Changes in the rule went into effect with January 1, 2011, outpatient hospital-based services.

The changes to OPPS continue to reflect packaging adjustments....

Data Governance—HIM’s Sweet Spot

Author: Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: April 2011


HIM's primary ethical obligation is to protect patient privacy and confidential information, which includes oversight of information disclosure; health information systems and health records; and the quality of information. Both paper and electronic health records contain personal and private....

Advancing Secondary Data Uses through Data Standards: HL7 Project Advances the “Collect Once, Use Many Times” Paradigm

Author: Kallem, Crystal; Richesson, Rachel; DuLong, Donna; Sison, Luigi; Van Dyke, Patricia; Mon, Donald T.

Source: Journal of AHIMA

Publication Date: April 2011


Organizations must consider a multitude of data standards and reporting requirements when capturing and aggregating healthcare data. These standards and requirements are vast in scope and complex to implement.

To help address these challenges, healthcare desperately needs clearly de....

The End of the Record As We Know It

Author: AHIMA

Source: Journal of AHIMA

Publication Date: April 2011


The vinyl record is gone from music, and the paper record is exiting healthcare. But the music keeps coming-in fact, more of it, in smaller and smaller pieces. What does the future hold for that touchstone of health information management-the record?

Not that long ago, the music indu....

Cloud Computing 101

Author: Dinh, Angela K.

Source: Journal of AHIMA

Publication Date: April 2011


In the past several years cloud computing has gained substantial recognition. However, it is still a relatively new concept for those in the healthcare industry.

Before adopting cloud-based services or applications, organizations need to understand how cloud computing works, the typ....

Low-Tech Threats in a High-Tech World

Author: Rollins, Genna

Source: Journal of AHIMA - website

Publication Date: April 2011



Despite the rise of health IT, healthcare providers still face daily privacy and security risks of the mundane variety—paper records are misplaced, improperly disclosed, or released without confidential information redacted. No matter the opportunities and risks that technology bring....

Electronic Copy versus Electronic Access

Author: Emery, Steven; McDavid, Jan P

Source: Journal of AHIMA

Publication Date: March 2011


Registration for the meaningful use program opened in January, and many HIM professionals and chief information officers are preparing their organizations to meet stage 1 meaningful use criteria. Two of the objectives directly affect an organization's release of information (ROI) process. Part....

Managing Privacy in a Social Media World

Author: Dowling, Alan F.

Source: Journal of AHIMA

Publication Date: March 2011


Social media has had a profound impact on recent events, both political and personal. In healthcare, social media is presenting HIM professionals with a quandary about how best to manage information privacy.

More and more people from all walks of life are using social media outlets s....

HIPAA Violation? Sue Me

Author: AHIMA

Source: Journal of AHIMA

Publication Date: March 2011


This is a true story that occurred recently in Indiana. Failing to collect payment for treatment, a medical group sent a patient to collections. In providing the unpaid bills to the collections attorney, practice staff failed to redact sensitive information. When the attorney filed the bills wi....

HIPAA Violation? Sue Me

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: March 01, 2011



This is a true story that occurred recently in Indiana. Failing to collect payment for treatment, a medical group sent a patient to collections. In providing the unpaid bills to the collections attorney, practice staff failed to redact sensitive information. When the attorney filed the bil....

For Vendors, "Patient-Centered" Not a Problem for Now

Author:

Source: Journal of AHIMA - website

Publication Date: February 18, 2011



That nudging occurs in several of the measures related to engaging patients and their families in their healthcare. The measures are primarily met by providing patients with easier access to information about their health.


Despite the shifting focus to patient needs, EHR vend....

Learning and Using ICD-10-PCS

Author: Steindel, Steven J

Source: Journal of AHIMA - website

Publication Date: February 09, 2011



On October 1, 2013, healthcare providers must begin reporting HIPAA claims using the ICD-10 counterparts to the current ICD-9 code sets. In presenting these code sets two points come to the forefront: the code structure has changed and the number of codes has drastically increased. This ar....

CPT Update 2011

Author: Smith, Gail I.; Endicott, Melanie

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2011


Each year CPT adds codes to reflect new procedures and surgical techniques. For example, new codes were added in the surgical section to identify procedures performed using balloon catheters.

In addition, CPT continues to make editorial changes and add coding guidelines within the t....

Embracing Patient-Centered Care and Its Roles

Author: Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: February 2011


Patient-centered care focuses on delivering healthcare in a manner that works best for patients. In a patient-centered approach, providers partner with patients and their family members to identify and satisfy the full range of patient needs and preferences.

Organizations practicing....

The Year That Was and the Year to Be

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: February 2011


The second session of the 111th Congress began with the Democrats in firm control of the House and Senate. Working from their position of power enabled the Democrats to pass healthcare reform.

Although Congress was mired in contentious debates, AHIMA still advocated for its public po....

Meaningful Use and Clinical Documentation

Author: Benson, Sean

Source: Journal of AHIMA

Publication Date: February 2011


Little direct attention has been paid to clinical documentation in the context of meaningful use. Discussion and debate instead focused on electronic health records (EHRs), computerized physician order entry, and other health IT systems.

However, the electronic capture and exchange....

Leading the e-HIM Transformation

Author: Cassidy, Bonnie S.

Source: Journal of AHIMA

Publication Date: January 2011


Today, employers are counting on us to achieve great success in adopting health IT, creating strategy, managing implementations with new workflows, and demonstrating meaningful use while properly planning for the monumental transition to ICD-10.

These are the most revitalizing times....

The Year Ahead

Author: Dowling, Alan F.

Source: Journal of AHIMA

Publication Date: January 2011


Welcome to 2011, a year in which opportunities abound!

This is a year in which we are likely to see increased collisions between preconceived notions and innovative concepts, between optimistic projections and implementation realities.

This year many individuals from a var....

Sorting out Advance Directives

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: January 2011


Important differences exist in advance directives. Only some grant access to another person's medical records, and that can change with time.

After 50 years of marriage, Rosa Taylor-Payne noticed even the slightest change in her husband, Marvell Payne. So she started to worry when he....

Taking ICD-10-CM in Parts

Author: Steindel, Steven J

Source: Journal of AHIMA - website

Publication Date: January 01, 2011




On October 1, 2013, healthcare providers will start reporting HIPAA claims using the ICD-10 counterparts to the current ICD-9 code sets. The vastly expanded code space of ICD-10-CM should prove familiar to most ICD-9-CM users and very approachable for new learners. With the exception....

Streamlining Patient and Physician Communication: IT Systems and Internet Offer Paths for Effective Communication for Patient Care

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: November 2010


Many organizations still struggle with ongoing and timely clinical communication among physicians and between physicians and their patients. Physician-to-physician communication for ongoing patient care is especially complex. It requires identifying all physicians involved in the care of a pat....

2010 Convention Wrap-up

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2010


AHIMA held its 82nd Annual Convention and Exhibit September 25–29 in Orlando, FL. Attendance this year reached a high water mark that matches the best-attended conventions from previous years such as Seattle and Philadelphia. More than 5,000 practitioners, educators, students, and exhibit....

Analyzing Clinical Quality Measures for Meaningful Use

Author: Kallem, Crystal

Source: Journal of AHIMA

Publication Date: November 2010


One of the top health policy outcome priorities associated with meaningful use is to improve the quality and efficiency of care for Medicare and Medicaid populations. Eligible hospitals and providers that seek to apply for stage 1 meaningful use incentives will be required to capture and repor....

FY 2011 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2010


The final rule for the FY 2011 Hospital Inpatient Prospective Payment System was released July 30, 2010. Changes in the rule went into effect with October 1, 2010, inpatient discharges.

The changes to MS-DRGs and the complication and comorbidity (CC) and major complication and comorb....

Overview of the ESRD PPS

Author: Nelson, Tanai S

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2010


In August the Centers for Medicare and Medicaid Services established a new prospective payment system (PPS) for end-stage renal disease (ESRD) facilities. The ESRD PPS will provide a single payment to ESRD facilities for renal dialysis services and other items and services related to home dial....

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