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Business, Medicine Team Up to Improve Diabetes Care

Author: Pikelny, Irv

Source: Journal of AHIMA

Publication Date: November 2001


Analysis of Medicare data suggests that Chicago-area diabetes care problems are even more severe than those of the nation as a whole, according to the results of a regional quality improvement project. As a result, members of the Midwest Business Group on Health (MBGH), an employer coalition,....

Turning Old Technology into New Systems

Author: Anderson, Ellen Miller

Source: Journal of AHIMA

Publication Date: November 2001


The need for updated technology rarely coincides with enough funds to purchase it. However, disparate technologies can be combined to meet information system needs without a major capital outlay. At Home Care Services, part of Group Health Cooperative (GHC) in Seattle, we created the On Call P....

Are You Vulnerable to Hackers?

Author: Sardinas, Joseph L. Jr.; Muldoon, Jeannine D.

Source: Journal of AHIMA

Publication Date: November 2001


You might think computer hackers’ activities are restricted to viruses and hoaxes. Unfortunately, their repertoire is far larger, which puts your facility’s computer system-and patient privacy-at risk. This article provides a look at how hackers work and the best ways to protect your systems.....

Florida Cancer Data System Turns Data Into Information

Author: Zernich, Gordon

Source: Journal of AHIMA

Publication Date: November 2001


The enactment of the Cancer Registries Amendment Act in 1992 and the passage of similar state laws require healthcare facilities and state and national registries to gather information on certain diseases from patient medical records. The information is also used to identify geographic "ho....

Filtering Our Data to Ease Consumers' Search

Author: Tully, Lorraine

Source: Journal of AHIMA

Publication Date: November 2001


HealthMarket, Inc., is a Norwalk, CT-based company offering “self-directed health plans” to employers and insurers as a new choice in health benefits. Founded in 1999, the company aims to shift healthcare decision making from insurance intermediaries to physicians and patients. As part of its....

Resource We Can't Afford Not to Cultivate

Author: Fuller, Barbara P.

Source: Journal of AHIMA

Publication Date: November 2001




How do we nurture our health information students and new professionals? I was prompted to ask myself this question after reading a recent letter from a new HIM graduate. This graduate was asking for a mentor and help in securing a job with a living wage.

Among other ways,....

2002 DRG Updates Already in Effect

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2001



The 2002 diagnosis related group (DRG) updates went into effect October 1, 2001. With the implementation of these changes to the hospital inpatient DRGs portion of the prospective payment system (PPS), there will be 499 DRGs in 25 Major Diagnostic Categories (MDCs).


Changes t....

Broadening Her Understanding of Healthcare

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: November 2001


Navigating the regulations and standards related to long-term care could make anyone feel like they are lost in a maze. But in her most recent position, Mary Sidelnik, RHIA, has been able to help those interested in long-term care in the state of Texas find their way out.

Sidelnik most....

Managing Complaints in the Modern Hospital

Author: Sobel, David A.

Source: Journal of AHIMA

Publication Date: November 2001


Pam, a critical care nurse at a teaching hospital, logged into her e-mail account and opened the following message: “Just thought you’d like to know that Carol had 104 degrees of fever with chills and she is getting blood cultures, blood work, x-rays, agglutinins for legionella, and influenza.....

ICD-9-CM Codes Ready for 2002

Author: Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2001


For those reporting ICD-9-CM codes for all diagnoses coding, and hospitals reporting ICD-9-CM volume III for procedures, fall is the time to review and implement the changes and revisions for fiscal year 2002.

The ICD-9-CM coding changes for fiscal year 2002 were released in the Augus....

Experts Get Practical With Privacy Rule

Author:

Source: Journal of AHIMA

Publication Date: October 2001


Is your healthcare organization working toward compliance with the HIPAA final privacy rule, or are you procrastinating in hopes that the rule will be changed because the regulation is too costly and burdensome?

Experts say they don't expect HIPAA, and in particular the new privacy r....

On the Line: Professional Practice Solutions

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: October 2001




Q: The nursing department has asked the HIM department for assistance in creating an organized process for thinning inpatient charts. Is there a standardized method that I could suggest?



Q: Are there standards for establishing chart document order either during or....

Managing Exceptions to HIPAA's Patient Access Rule

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: October 2001




The HIPAA final privacy rule requires that covered entities allow individuals to access the medical and billing records maintained about them. However, the rule describes 10 exceptions. Accordingly, healthcare providers must establish a way to identify the medical and billing records....

Recognizing the Value of HIM

Author: Czirr, Karen

Source: Journal of AHIMA

Publication Date: October 2001





HIM professionals make significant contributions to patient care, public health, and a healthcare facility's bottom line. Although the HIM professionals at The Children's Hospital of Philadelphia were busy implementing HIPAA and computer-based patient records, directing data qual....

Enterprise Approach to Risk Management

Author: Mead, Kevin

Source: Journal of AHIMA

Publication Date: October 2001




Risk management has become a key issue while patient safety makes headlines across the country. While accreditation associations already require redesign of vulnerable systems, many are looking for proactive risk assessments as well. Meanwhile, health information technology, designed....

Taking a Lesson From Rosie

Author: Fuller, Barbara P.

Source: Journal of AHIMA

Publication Date: October 2001




"We can do it!" declared the original Rosie the Riveter, an icon of World War II and a feature of AHIMA's current advertising campaign. Rosie symbolizes women's entry into the World War II work force as they filled the manpower gap created by men leaving for war. Rosie was a....

NCVHS Groups Explore CPR, Privacy Rule Possibilities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2001




HIPAA's fifth anniversary was marked by meetings of two key subcommittees of the National Committee on Vital and Health Statistics (NCVHS): the standards (transactions) and security subcommittee and the privacy and confidentiality subcommittee. At the security subcommittee, experts fr....

Early Word on HIPAA Claims Attachments

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2001


If we could look into a crystal ball and see into the future, it would be much easier to prepare for HIPAA, particularly the electronic transaction standards. Because of the rarity of crystal balls these days, we must rely on other predictors at our disposal, such as the white paper issued by t....

URAC Offers Web Site Accreditation

Author:

Source: Journal of AHIMA

Publication Date: October 2001


The American Accreditation HealthCare Commission (URAC) released the nation's first independent accreditation program for health Web sites. The standards are based on ethical principles and designed for the accreditation of consumer-oriented, online health resources. URAC received input f....

Award-winning Approach to HIM

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: October 2001




Imagine working on a project that takes more than 10 years to complete. Sounds a little depressing, right? But what if each step in that project improved patient care, made physicians' lives a little easier, and increased security for patient information? What if your efforts led to a....

Choosing Consultants Without Compromising Compliance

Author: Hammen, Cheryl

Source: Journal of AHIMA

Publication Date: October 2001




Auditing coding and DRG accuracy has become an important component in the daily operation of the HIM department. Many providers are choosing to contract with external coding consultants to perform this task. This can be an appropriate solution as long as the vendor meets the necessary....

CPT "Monopoly" To Be Examined

Author:

Source: Journal of AHIMA

Publication Date: October 2001


Senate Minority Leader Trent Lott (R-MS) has forwarded a letter to HHS Secretary Tommy Thompson criticizing the American Medical Association's "statutory monopoly" on current procedural terminology (CPT) codes. Lott said that Congress will look at the CPT issue when it considers....

Putting Productivity Plans to Work

Author: Dunn, Rose T

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2001




This is the last in a series of three "Coding Notes" articles addressing productivity measurement and incentive plans for coding professionals. The April Journal of AHIMA (vol. 72, no. 4) article discussed the general principles of developing facility-specific productivity m....

It's No Secret: Privacy Training is Here

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: September 2001




Thanks to HIPAA, HIM professionals have an exciting career opportunity before them. The final privacy rule requires that covered providers, health plans, and healthcare clearinghouses designate a privacy officer to oversee the development and implementation of privacy policies and pro....

Measuring Up to IM Standards a Team Effort

Author: Hilterbrand, Cynthia

Source: Journal of AHIMA

Publication Date: September 2001




Ensuring compliance to the Joint Commission IM standards across a multi-facility system requires more than a handbook-it takes a team effort, communication, and education for all staff. Here's how one system has tackled this task.
For HIM professionals preparing for a Joint Com....

E-assistance for Coding Professionals

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2001




Is the Web a part of your work day? Make sure it is. From purchasing products to distance learning to online coding, coding professionals can find all kinds of resources online to meet their needs.

A Look at the Future

In a recent survey, health system CEOs were ask....

Meeting HIM Needs Through Advocacy Efforts

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: September 2001




One of the major benefits of association membership is the opportunity to participate in advocacy efforts on national and local levels. At AHIMA, volunteer leaders, members, and staff work in a variety of ways to promote certain policies and standards within the healthcare industry an....

Growth in Every Direction

Author: Fuller, Barbara P.

Source: Journal of AHIMA

Publication Date: September 2001




Growth is almost always a positive term. It is a term we like to hear associated with things like our salaries, our portfolios, our savings, the stock market, and, of course, our children.

Today's environment often requires that growth be measured quantitatively. It is not di....

Do You Need an ASP ASAP?

Author: Sheridan, Colin

Source: Journal of AHIMA

Publication Date: September 2001

Is your organization looking at the possibility of using an application service provider (ASP)? If so, here are some things you should know about making that decision, selecting a provider, and negotiating a contract.
Is your organization working to improve its financial position by reducing e....

Blue-ribbon Approach to Compliance

Author: Meaney, Mark E.

Source: Journal of AHIMA

Publication Date: September 2001

The seeds of today’s compliance movement were first sown 60 years ago in a one-car shed in Palo Alto, CA. With a mere $538 in start-up capital, Bill Hewlett and David Packard launched a high-tech revolution and created a bellwether of the modern economy when they founded Hewlett-Packard (HP).
....

Getting More Personal

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: September 2001


Personal health records online are flourishing, but every setup is different. Here’s a look at how organizations and patients are managing personal health records.
Last spring Eugene Ernest “Ernie” Somera found out that he had elevated blood sugars, a sign that he was slid....

Informatics in Managed Care: HIM Adds Value to Data

Author: Stratton, Scott D.

Source: Journal of AHIMA

Publication Date: September 2001

The third installment of the Journal of AHIMA’s special series on managed care focuses on informatics-methods that add value to data, turning it into useful information. How do informatics and managed care fit together, and what is HIM’s role in this picture?

The HIM professional’s knowl....

Developing Cyberseals of Approval

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: September 2001




According to a recent study by marketing technology company Cyber Dialogue, consumer demand for healthcare content has reached an estimated 36.7 million adults. The study projects that by 2005, 88.5 million adults will use the Internet to find health information, shop for health produ....

It's All About Privacy

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 2001




When users of the Medscape or CBS HealthWatch Web sites have questions or concerns about their privacy, they can send e-mail to an address like privacy@medscapeinc.com. At the message's receiving end is likely to be Lynne Shoemaker, RHIA.

"I'm a clearinghouse for questio....

Opportunities in E-health

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: September 2001

At this very moment, a number of HIM professionals are exercising their skills in the e-health arena. Opportunities abound, however, for others who would like to take the lead and enter the burgeoning field of e-health.
Defining E-health

Before we discuss these opportunities, however....

Knowing Where to Look: an Overview of Search Engines

Author: Sweet, David A.

Source: Journal of AHIMA

Publication Date: September 2001


"The next best thing to knowing something is knowing where to find it,” said eighteenth-century English lexicographer Samuel Johnson. This axiom is as true today as it was in Dr. Johnson’s time; perhaps more so, due to the ever-growing store of knowledge on the Internet.

Search....

Solving the E/M Conundrum: a Special Report

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: July 2001


Evaluation and Management (E/M) codes, introduced in 1992 for reporting physician visit services, are linked to a number of perplexing questions for coders. In different settings, they are used differently and with varying sets of criteria. Given the numerous coding and compliance issues relate....

Crossing the Terrain Between You and Your Goals

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: July 2001




As you look into the future of your career anticipating praise and frequent promotions, keep in mind your own contributions to personal success. Although AHIMA is working to expand HIM professionals' career horizons, one of the major forces behind this effort must come from you-in th....

Update on Joint Commission Core Measures

Author: Smith, Cheryl M.

Source: Journal of AHIMA

Publication Date: July 2001




When the Joint Commission on Accreditation of Healthcare Organizations initiated its ORYX project in 1997, its objective in collecting performance measurement data was to provide a more data-driven accreditation process. Hospitals were among the first Joint Commission-accredited heal....

Danger, Danger: Compliance Documentation as a Weapon

Author: Snell, Roy

Source: Journal of AHIMA

Publication Date: July 2001




Remember that old TV show, "Lost In Space"? It was about a group of people lost in space with their "pet" robot. Whenever the robot got a hunch that there was trouble coming, he would make odd noises, spin his head around, and flail his arms. He would cap off this....

E/M Options in the Outpatient Arena

Author: Jones, Lolita M.

Source: Journal of AHIMA

Publication Date: July 2001


Under the Medicare ambulatory payment classification (APC) system, hospitals must establish criteria for mapping the medical care rendered in the emergency department and hospital-based outpatient settings to appropriate CPT medical visit codes. Do you know how to establish a sound rationale f....

Can You Manage Managed Care?

Author: Willner, Sue

Source: Journal of AHIMA

Publication Date: July 2001


HIM professionals’ data management skills make them a hot property in many settings, but none more so than managed care. In this second installment of the Journal of AHIMA’s special series on managed care, the author describes the ways managed care organizations use data and how HIM....

Navigating the Physician Services Maze

Author: Skurka, Margaret A.

Source: Journal of AHIMA

Publication Date: July 2001


As HIM professionals know, accurate and complete documentation is critical for providing care and supporting reimbursement. This is particularly true-and yet particularly problematic-in the area of E/M coding. Medical practices report and are paid for their services using E/M coding, yet there....

Know Your APCs: Data Analysis Made Simple

Author: Stegman, Melinda

Source: Journal of AHIMA

Publication Date: July 2001



You’ve adapted processes to the APC system, but do you really understand the financial impact of APCs on your organization? The author shows you how to analyze your billing data to assess the impact of APCs on your facility’s bottom line.



Since the implement....

Image Marketing: Be Part of the Solution

Author: Fuller, Barbara P.

Source: Journal of AHIMA

Publication Date: July 2001




When asked to describe your role as an HIM professional, how do you respond? Do you answer enthusiastically and with a clear and succinct description of your responsibilities? Do you convey how important you are to the overall operation of your workplace? Do you mention something cur....

AHIMA Testifies in Support of ICD-10

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: July 2001


The "replacement [of ICD-9-CM, Volume 3] with a new procedural coding system for inpatient services is absolutely necessary and ICD-10-PCS meets the criteria for such a replacement system," said Linda Kloss, MA, RHIA, AHIMA's executive vice president and CEO. Kloss also argued that &q....

SNOMED Takes the Next Step

Author: Kudla, Karen M.; Blakemore, Margo

Source: Journal of AHIMA

Publication Date: July 2001


Healthcare terminologies SNOMED and the Read Codes have been around for a long time. Now, a new terminology combining the two promises to take the industry one step closer to realizing the vision of an electronic patient record. Here’s a sneak peek at SNOMED® CT.
As technology e....

Tackling Backlogs and Hurdles

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: July 2001




Not only did Kim Schwartz, RHIA, tackle a payment backlog of more than two years, she did it entirely on her own, without a predecessor or peers to guide her.

Schwartz is the insurance coordinator for the athletic training department at Iowa State University in Ames, IA. Th....

On The Line: Professional Practice Solutions

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: July 2001


Q: It's difficult to research and write organizational policies because of the myriad external forces governing the same healthcare issues. Do you have guidelines to help ensure we don't miss any mandates?

Q: How does a healthcare organization deal with conflicting directives betwee....

Keeping Her Wits During HIPAA Hysteria

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: June 2001




Donna Bowers, JD, RHIA, knows that implementing HIPAA is an imposing assignment. But she's keeping her cool.

"Everyone needs to calm down about HIPAA," says Bowers, who is vice president of Baylor University Medical Center and responsible for HIPAA implementation systemwid....

Winding Road to the Privacy Rule

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: June 2001




We have a privacy rule. After years of effort from AHIMA members, the first national privacy standards were allowed to go into effect by Department of Health and Human Services (HHS) Secretary Tommy G. Thompson, with pressure from the White House.

It's time for HIM professi....

Team Talks: An Eye to the Future

Author: Fuller, Barbara P.

Source: Journal of AHIMA

Publication Date: June 2001




This winter's Team Talks gave members a glimpse of an exciting new member benefit: Communities of Practice (CoP). When members saw a demonstration of CoP in action, there was a universally enthusiastic response about the opportunities this new feature will provide. Currently in beta....

Harnessing the Power of E-mail

Author: Gray, Chris

Source: Journal of AHIMA

Publication Date: June 2001





Without e-mail, Holly Ballam’s duties as privacy officer and physician liaison director for Beth Israel Deaconess Hospital in Boston, MA, would be nearly impossible to manage. Working from home on maternity leave, Ballam, an RHIA, is responsible for suspending physicians wh....

Radiology Moves to the CPR

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: June 2001




As HIM professionals move toward paperless health records, our colleagues in radiology are making the transition to filmless records.

Those in predominantly paper-based ambulatory care environments know how challenging it is to make sure each patient record contains all th....

On the Line: Professional Practice Solutions

Author: Smith, Cheryl M.

Source: Journal of AHIMA

Publication Date: June 2001



Q: Are there new Joint Commission hospital standards that address patient safety?


Q: What are the Joint Commission definitions of a sentinel event and root cause analysis?


Q: Where can I find information on completion of the medical record statistics form to det....

Another Career Avenue for HIM: Coding Compliance

Author: Lemire, Diane

Source: Journal of AHIMA

Publication Date: June 2001




If you're armed with a background in coding and management, a position in coding compliance may be an exciting next step in your HIM career. When I applied for coding compliance manager positions, many positions had been open for a year because facilities could not find individuals w....

Distance Learning: Getting Closer all the Time

Author: Lane, Laura

Source: Journal of AHIMA

Publication Date: June 2001




In recent years, distance learning has become an increasingly viable option, and HIM students have benefitted. How does this new way of learning work, and is it working for students? Some instructors and students tell their success stories.
Five years ago, the concept of dista....

Members Test Drive Communities of Practice

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: June 2001




Your facility needs a procedure for reducing the number of delinquent records. Feel like reinventing the wheel? Probably not. After AHIMA's annual convention in October, you'll be able to log into AHIMA's Communities of Practice (CoP) to learn how other HIM professionals have tackled....

Coding Under the HIPAA Umbrella

Author: Russo, Ruthann

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2001





Although coding professionals are not ultimately responsible for ensuring appropriate release of patient-protected information, it is important that they understand that coded data is not only one of the most desired pieces of information in the patient’s record, it is also the....

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