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Home Health PPS Update

Author: Blevins, Ida K.

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2008


The long-anticipated update to the Home Health Prospective Payment System (PPS), released in the August 29, 2007, Federal Register, goes into effect January 1, 2008. The final rule encompasses a wide range of changes for home health agencies.
An Overview of the Final Rule
....

Year Ahead in HIM

Author: AHIMA Professional Practice Team

Source: Journal of AHIMA

Publication Date: January 2008


The healthcare industry enters 2008 with a score of hot topics related to health information management. Here are the issues to watch, picked by AHIMA’s professional practice and policy staff.
Presidential Election

Don Asmonga, MBA, director of government relatio....

Advancing Quality Care in 2008

Author: Mangin, Wendy L

Source: Journal of AHIMA

Publication Date: January 2008



Several speakers at AHIMA’s 79th Convention and Exhibit this past October gave me cause to reflect on the HIM professional’s role in the year ahead. Robert Kolodner, MD, head of the Office of the National Coordinator for Health Information Technology, asked the audience to &ldq....

Checking the Radar as the New Year Begins

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: January 2008


As health information managers, our radar screens are as full as those of air traffic controllers at O’Hare Airport. In the cover story that follows, AHIMA’s talented staff select 12 hot topics to watch in 2008, from regulations and standards to emerging e-HIM practices.
From th....

Healthcare's Future Transformation

Author:

Source: Journal of AHIMA

Publication Date: January 2008


Kolodner: National Health IT Agenda Is about Improving Care

Robert Kolodner, MD, has the future of healthcare in his sights. It’s a future in which healthcare delivery is transformed—and health information management is a key part of the process.

Kolodner, who heads th....

2007 Convention Wrap-Up

Author:

Source: Journal of AHIMA

Publication Date: January 2008


AHIMA’s 79th Convention and Exhibit in Philadelphia, PA, was a rousing success. Approximately 4,800 attendees and 200 exhibitors made their way to the City of Brotherly Love to hear from experts on HIM issues and explore the latest products from vendors. Attendees also had a wealth of opportuni....

Calculating the Costs of E-Discovery

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: November 2007



The new electronic discovery rule requires organizations to calculate the costs associated with disclosing information that may not be readily accessible or, in the language of the rule, “reasonably accessible.” Determining those costs requires a thorough inventory of data stor....

Renewing HIM's Commitment to Privacy and Security

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2007


If the thousands of pages of analysis from the RTI reports on privacy and security practices could be boiled down to just one phrase it would be “we’ve only just begun.” As reported in articles throughout this issue, the RTI research confirms that privacy and security regulat....

Privacy in the Spotlight

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007


Varying privacy practices that pose barriers to health information exchange are putting HIM concerns in the national spotlight.
The 35-year-old Minnesota woman’s winter vacation in the neighboring state of Wisconsin was going great, until her ski snapped and the accident happened. B....

Health Data's Second Life

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007




The use of health data for secondary purposes has been increasing, and federal agencies and industry organizations are exploring the need for more guidance.
Data in a health record don’t rest when care is complete and a bill is drawn up. Once treatment and reimbursement ar....

Strengthening Our Capability

Author: Pickard, Bryon

Source: Journal of AHIMA

Publication Date: November 2007


Stepping back to reflect on our professional development helps us understand where we stand and the areas where we might focus for our future. Ask yourselves the questions below and objectively rate yourself on a scale of one to 10.
Do you consider yourself a high-potential employee, stud....

Final Rule for FY 2008 IPPS: MS-DRGs and POA Top List in a Year of Major Change

Author: D'Amato, Cheryl; Garrett, Gail S.; Johnson, Laurie M.

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2007



The final rule for the fiscal year 2008 inpatient prospective payment system (IPPS) went into effect October 1, 2007. The rule includes ICD-9-CM code changes, implementation of the new Medicare severity-adjusted (MS) DRG system, and a number of quality-related changes that affect how Medic....

Breaking Down Privacy and Security Barriers to HIE

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: November 2007


As noted in the article “Confusion Continues over HIPAA Minimum Necessary Standards,” (J AHIMA, Nov-Dec 2007) the state-level research under the HISPC project identified a number of privacy and security barriers to health information exchange (HIE). Several reports came from this p....

Avoiding the Post-Implementation Blues

Author: McCoy, Michael J.

Source: Journal of AHIMA

Publication Date: November 2007


Hospitals and clinics are sometimes too quick to say they’ve got their IT launch covered. Here are tips for avoiding famous last words and unpleasant surprises.
Organizations spend a tremendous amount of time identifying the consultants, vendors, and healthcare IT solutions that best....

Ensuring Proper Wound Care Service Coding: OIG Highlights Need for Organizations to Assess Wound Care Coding Practices

Author: Bryant, Gloryanne H.

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2007



This year the Office of Inspector General (OIG) issued two reports relating to wound care services and Medicare payments. As the OIG has included wound care services as part of its 2007 work plan, coding and HIM professionals should review each report and re-assess their organization̵....

Health Record Banking: an Emerging PHR Model

Author: Wolter, Julie

Source: Journal of AHIMA

Publication Date: October 2007



Many patients have their personal health information scattered across various practitioners and settings. Personal health records (PHRs) can help patients keep track of all their medical information. There are many different PHR products and models available today.


Cu....

Getting Excited about e-HIM

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2007


Chris Meyers, RHIA, had landed the job of her dreams as an e-HIM® enthusiast. A Phoenix medical network was opening a brand-new hospital and needed someone to help build a complete EHR from the ground up. Meyers jumped at the chance, becoming the administrative director of HIM/patient....

Seizing the Moment

Author: Pickard, Bryon

Source: Journal of AHIMA

Publication Date: October 2007



Happy October! Fall is my favorite time of year. For many of us, the days are becoming cooler, trees are transforming into brilliant colors, and college and university campuses are bustling with activity. We have just passed the autumn equinox when the sun crosses the equator. Days are get....

New Ways to Work

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2007



The demand for competent HIM professionals is at an all-time high. That’s true for traditional employers as well as for organizations that didn’t even employ HIM professionals 20 or even 10 years ago. Remember, about 50 percent of HIM professionals now work for hospitals, down....

Legal EHR FAQs

Author: Burrington-Brown, Jill

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: October 2007


As healthcare organizations implement electronic health records (EHRs), more are re-examining the make-up of their legal health record. They frequently have questions about producing information from EHRs as well as how organizations should begin to define their legal health records.
....

Getting Quality Clinical and Coded Data: How UMHS's CDIP Improved Clinical Coded Data and Clinical Staff Relationships

Author: Blackford, Gwendolyn; Whitehouse, Rosanne

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: October 2007


Obtaining codeable clinical documentation at the point of care in a large teaching facility can be challenging. However, the HIM department at the University of Michigan Health System (UMHS) in Ann Arbor, MI, took on the task, implementing a clinical documentation improvement program (CDI....

Making Sense of Standards: New HL7 Group Seeks to Coordinate a Multitude of Health Data Standard Efforts

Author: Hammond, William Edward; McCourt, Brian

Source: Journal of AHIMA

Publication Date: September 2007


Early efforts to create health data standards were led primarily by vendors, with support from providers. Vendors were right to take the reins on these standards, as most addressed technical issues related to interfacing best-of-breed systems or transmitting transaction data for reimburse....

New Blueprint for HIM Education

Author: Wilhelm, Carol Ann; Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: September 2007


The shift to electronic practice has enlivened the profession and opened doors to new work settings. There remains a critical need for HIM professionals to guide and manage EHR implementations in acute care settings, but the marketplace for HIM graduates is expanding to additional markets such....

Tips for Trainers

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: September 2007


The time had come in the physicians’ meeting to discuss HIM issues, and Wilson was in charge of bringing the room up to speed.

Wilson, then the coding quality manager at Charleston, SC-based Roper St. Francis Healthcare, was new to public speaking and training. For a moment,....

Spotlight on Education and Training

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2007


It’s September, and students are back in school. Therefore the first Journal issue of the fall focuses on education. When we discuss education at AHIMA, we always think in two dimensions: the academic preparation of HIM experts and continuing education for those already in the field. The....

Investing in Your Future

Author: Pickard, Bryon

Source: Journal of AHIMA

Publication Date: September 2007


Generally accepted principles for effective investment typically include asset allocation and portfolio diversification. Investment prospectuses routinely carry warnings that past performance is no guarantee of future results. In other words, better to look ahead and not give too much cre....

What's Your EHR IQ?

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: September 2007



HIM is becoming more automated and electronic every year. The basic skill set of the HIM professional has changed dramatically. The acronyms abound, from HL7 and CCHIT to HIEs. It can be hard to keep up with all the latest developments. Test your EHR IQ by answering the following questions....

Putting the Action in HIM: AHIMA Introduces the ACE Challenge

Author:

Source: Journal of AHIMA

Publication Date: July 2007


Times of enormous change require change agents: people with the vision, expertise, and leadership skills necessary to lead transformation.

AHIMA is calling all HIM change agents to create ACE, the Action Community for e-HIM® Excellence. The program launches this month and is desig....

Clinical Documentation Specialists

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2007


Clinical documentation improvement programs are growing, moving some HIM professionals to the clinic floor.
With sharp eyes, clinical documentation specialist Sharnetha White calmly combs through a patient’s chart. She isn’t fazed by the organized chaos that surround....

Accuracy Imperative: New Stakes for Coded Data

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2007


The requirements for coding accuracy have always been high, even before coding became the basis for reimbursement. HIM professionals have championed improvements to medical record documentation and classification systems essential to accurate coding, and the profession has also led the wa....

Keeping up with the HIM Transformation

Author: Pickard, Bryon

Source: Journal of AHIMA

Publication Date: July 2007


The first six months of my presidency have been a whirlwind of activity, and I have already logged a surplus of frequent flyer miles.

Earlier this year, during one of multiple trips to Washington, DC, I attended a meeting of the American Health Information Community, the na....

Mobile Device Use, Reuse, and Disposal

Author: Southerton, Laurie

Source: Journal of AHIMA

Publication Date: June 2007


The healthcare industry increasingly communicates via technology. Mobile devices are becoming prevalent in many organizations to the point where many staff find it difficult to work without them.

The HIPAA privacy and security rules require the private and secure handling of patient....

EHR Progress: Reaching the Tipping Point?

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: June 2007


There are many forecasts about how long it will take for EHRs to be the norm across healthcare. There is talk of a tipping point where penetration and momentum are great enough to move the rest of the industry. But just when will EHRs truly be mainstream technologies, and what are the stages f....

Refocusing on Confidentiality and Security

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: June 2007


Health information confidentiality and security are hot topics again this year. Like other HIM issues, confidentiality and security are integrated into many other issues. This article reviews some of the activities that have occurred this year and previews what lies ahead.

Genetic No....

Privacy Architecture and e-Consent

Author: Connor, Kathleen

Source: Journal of AHIMA

Publication Date: June 2007


As the US prepares to implement a nationwide health information network (NHIN), one issue that repeatedly surfaces is how to appropriately protect the privacy and security of electronic health information. Of particular concern is how such a system can accommodate the various legal restriction....

Speaking up for HIM

Author: Pickard, Bryon

Source: Journal of AHIMA

Publication Date: June 2007


Ask 10 different policy makers the question “How can we improve patient safety and healthcare quality?” and you will likely hear 10 very different responses. Now consider the 535 representatives and senators who make up the 110th US Congress, the thousands of state and local legisl....

Pilot Debrief: Lessons Learned Assisting Physician Practices Adopt Health IT

Author: Fergusson, Kevin; Archer, Nancy; Donnelly, Sharon; Okerson, Barbara; Parker, Charles; Weir, John

Source: Journal of AHIMA

Publication Date: June 2007


The pilot behind today’s nationwide DOQ-IT project offers early lessons on both the characteristics and assistance that help physician offices succeed with health IT.
Physician adoption of health IT has become a major policy priority in the United States. But despite the drive to g....

Charting the Legal Health Record

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: May 2007


Tracking what should or shouldn’t be included in a healthcare organization’s legal health record can be a dizzying process without ample organization. The increasing mix of digital information with traditional paper records makes good organization all the more essential.

HIM pr....

IRF PPS Coding Challenges

Author: Trela, Patricia

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: May 2007


Inpatient rehabilitation facility (IRF) coding can be a challenge due to the Medicare Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), which was implemented in 2002 to cover patients paid under Medicare Part A. IRF PPS requires completion of the IRF-Patient Assessment In....

Transforming Healthcare

Author: Pickard, Bryon

Source: Journal of AHIMA

Publication Date: May 2007



We live in extraordinary times. New technologies are increasingly becoming an indispensable part of everyday life. The Internet, expanding cell phone capabilities, and new mobile devices enable people to not only stay connected, but also carry out almost any task imaginable. The possibilit....

Bridging the Gap from Student to Employee

Author: Parker, Susan; Peterson, Patt

Source: Journal of AHIMA

Publication Date: May 2007


Transitioning from college to the work force in the HIM field can be a difficult process. Many employers mandate a minimum two years experience for open positions, and well-trained but inexperienced new graduates continue to search for opportunities to enter the HIM profession. Interviews with....

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