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CPT Changes for 2001

Author: O'Hara, Karen

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2001




CPT 2001 Professional Edition (CPT® 2001) is complete and should be landing on your desk soon. As an introduction to the new book, this article provides a brief summary of the changes in 2001. A complete listing of the code and guideline changes can be found in CPT Changes 2001:....

New Approach to Chargemaster Management

Author: Richey, John

Source: Journal of AHIMA

Publication Date: January 2001

After examining their CDM management processes, HIM professionals, along with clinical and support departments, redesigned and automated several practice aspects with successful results. (FORE Best Practice, AHIMA Foundation)

OSHA Ergonomics Rule Released

Author:

Source: Journal of AHIMA

Publication Date: January 2001


To the chagrin of business groups and Congressional Republicans, the Occupational Safety and Health Administration (OSHA) has published its controversial ergonomics program final rule. The potential publication of the final rule was a major bargaining tool in discussion of the Departments....

Information Security: It Takes a Community

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: January 2001


The Health Insurance Portability and Accountability Act of 1996 (HIPAA) reinforces what HIM professionals have known for a long time: security training is a prudent and valuable mission for an organization to support. Besides the obvious need for compliance with this new federal mandate, it’s....

HFMA Tackles Hospital Billing Chaos

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: January 2001




Hospital bills are lengthy, often incorrect, and potentially confusing-to no one's surprise. A hospital bill is the result of a long process with numerous participants, beginning at pre-intake and ending with final collections.

Richard L. Clarke, FHFMA, president and CEO o....

NCVHS on Signature Standards: Not Yet

Author:

Source: Journal of AHIMA

Publication Date: January 2001


Government subcommittee hearings on the development of electronic signatures ended inconclusively this fall, with requests for more input and a sense that the necessary technology may not have evolved.

Following the Health Insurance Portability and Accountability Act's (HIPAA)....

On the Line: Professional Practice Solutions

Author: Smith, Cheryl M.

Source: Journal of AHIMA

Publication Date: January 2001


Q: What is the difference between confidential and nonconfidential health information?

Q: Can a healthcare facility release health information for marketing purposes?

Q: What form must a subpoena duces tecum take in order to be valid?

Cheryl Smith is an AHIMA practice....

Knowledge Management: Finding the Golden Nuggets

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: January 2001


We live in the so-called Information Age, but we should actually refer to it as the Data Age. As a nation, we are data rich and information poor.

The dilemma of holding large amounts of valuable data but little useful information is not unique to healthcare. The inability....

Using OIG Guidances for Long-term Success

Author: Foltz, Darline A.

Source: Journal of AHIMA

Publication Date: January 2001


Further, federal regulations and guidelines continue to be issued by Congress, the Health Care Financing Administration, the Office of the Inspector General (OIG), and state survey and Medicare agencies. One of the biggest challenges facing HIM professionals in LTC is keeping up with these cha....

Next Generation of E/M Guidelines

Author: Hill, Emily

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2000


Few non-clinical issues have inspired as much discussion, revision, and anxiety as the evaluation and management (E/M) services and their accompanying documentation guidelines. E/M services have produced a cottage industry focused on ensuring that medical records contain necessary docu....

Worlds Collide: Health Information Meets the Internet

Author: Holland, Julie A.

Source: Journal of AHIMA

Publication Date: November 2000


How can healthcare organizations effectively use the Internet to support care delivery? And what can HIM professionals do to help? This article describes what you can do to help your employer enter the Internet era.
Make no mistake, the Internet is keeping us all racing to stay up to dat....

On the Line: Professional Practice Solutions (11/00)

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: November 2000


Q: My facility wants to adopt or modify an existing abbreviation list rather than develop its own. Where can I locate such a list?

Q: How long is an authorization to release information valid?

Q: Where can I find a medical record audit tool for physician practice....

Guidelines Offer Compliance Steps for Group Practices

Author: Gregg, Cheryl A.

Source: Journal of AHIMA

Publication Date: November 2000


The long-awaited Draft Model Compliance Guidance for Small and Individual Physician Practices was published by the Office of Inspector General (OIG) in early June.1 The OIG received 83 comments from outside sources, including AHIMA, after publishing a request for information and reco....

HHS Releases Final Rules for HIPAA Transactions, Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2000


HIM professionals have new HIPAA challenges to prepare for: this summer, the Department of Health and Human Services (HHS) released the highly anticipated final rule for certain transaction sets and codes.1 The rule was effective on October 16, 2000, and under HIPAA legislation, most....

Building a Better CPT

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: November 2000


The Health Insurance Portability and Accountability Act (HIPAA) presents numerous challenges to HIM processes and systems. Not least among these areas is coding. Among the concerns is whether the CPT system will be sufficient to meet the demands of HIPAA. The American Med....

ICD-9-CM Code Revision for 2001

Author: Prophet, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2000


Effective October 1, 2000, 100 new ICD-9-CM diagnosis codes and nine new ICD-9-CM procedure codes have been implemented. Because there were no ICD-9-CM revisions last year, these new codes are the result of two years’ worth of revisions. Coding professionals should familiarize themselves with....

Are Report Cards Measuring Up?

Author: Spath, Patrice L.

Source: Journal of AHIMA

Publication Date: November 2000


Healthcare report cards have been in existence for more than 10 years. Have their efforts
to measure and compare performance made a difference? This article looks at the state
of the art.
In the late 1960s, researchers in Maine decided to study the use of healthcare services....

Envisioning the Personal Medical Record

Author: Odom-Wesley, Barbara

Source: Journal of AHIMA

Publication Date: November 2000


Increasingly, patients are becoming interested in maintaining their own personal health records. What should these records contain? A panel of experts offers their recommendations.
When was the last time you or a member of your family moved, changed doctors, or saw a specia....

Measuring Performance and Improving Care

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: November 2000


More than a few HIM professionals might look forward to a Joint Commission survey the way they would a visit to the dentist, but Sharon Sprenger, RHIA, would like to change this attitude.

"People perhaps forget that most of the people working at the Joint Commission h....

Growing the HIM Body of Knowledge

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 2000


I am very excited about the contributions from this issue's feature authors. Each article is a strong new entrant to the body of professional knowledge about HIM. As we end 2000, AHIMA is ramping up its efforts to systematize the body of knowledge (BoK) for HIM so that it is a dynamic....

AHIMA Releases E-health Tenets

Author:

Source: Journal of AHIMA

Publication Date: November 2000


In August 2000, AHIMA released a set of fundamental principles and operating tenets for placing consumer health records on the Internet. An excerpted version of these tenets follows. The document can be found in its entirety on AHIMA's Web site at www.ahima.org/hot.topics/ [web page no....

Value of Project Management Expertise

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: November 2000



Over the past 25 years, I've had the opportunity to facilitate a number of projects. For the most part, I considered managing them challenging, rewarding, and fun. However, as health enterprises grow more complex, organizations attempt to interface more and more software, and managers a....

Just Sign Here: Managing Informed Consent

Author: Dennis, Jill Callahan

Source: Journal of AHIMA

Publication Date: November 2000


There’s more to ensuring the validity of a patient’s consent than getting a signature. Is your organization making sure that patients are successfully informed about treatments and procedures? Here’s what HIM professionals need to know about this communication process.
Getting a patient....

On the Line: Professional Practice Solutions (10/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000


Q: Can an emergency room exam serve as an inpatient history and physical?

Q: What is the retention period for billing records, such as explanations of benefits, charge slips, invoices, etc.?

Michelle Dougherty is an HIM practice manager at AHIMA. She can be reache....

Productivity Report Streamlines Management

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: October 2000



Twenty years ago, HIM department leaders often directed one or more departments within a facility or on one campus. It was rare to find them managing at multiple sites. Today, however, it is not unusual to find HIM professionals managing HIM and/or other departments throughout entire....

HCFA Addresses Inpatient Payments, SNFs

Author:

Source: Journal of AHIMA

Publication Date: October 2000


HCFA's recently published interim final rule concerning the "Provisions of the Balanced Budget Refinement Act of 1999; Hospital Inpatient Payments and Rates and Costs of Graduate Medical Education" will provide a 2.3 percent increase in payment rates for most acute care hospital....

HIM Roads Less Traveled

Author: Hogan, Michele

Source: Journal of AHIMA

Publication Date: October 2000


Increasingly, HIM professionals are taking unique roads in their professional lives—into other care settings and into boardrooms, classrooms, and more. How have their work lives changed? Four who chose less traveled roads tell their stories here.

When poet Robert Fr....

Data Infrastructure in the Works

Author:

Source: Journal of AHIMA

Publication Date: October 2000


The National Committee on Vital and Health Statistics (NCVHS) workgroup on the national health information infrastructure (NHII) released an interim report on its work toward a dialogue that focuses on leveraging technology innovation and communications to provide opportunities for healt....

First Look Within

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: October 2000


I borrow this column's title from a thought-provoking new book, Change the World, by Robert E. Quinn. Sound pretty lofty? Perhaps, until you read the subtitle: How Ordinary People Can Accomplish Extraordinary Results.

Quinn, a professor of organizational behavior and human....

Managing the Furry (or Feathered) Patient Record

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: October 2000


Every day, Margaret Neterer, RHIA, handles documentation for some seemingly unusual patients—cats, dogs, birds, or turtles, for example.

But Neterer, who is manager of the clinical information service at the small animal hospital at Michigan State University's College o....

New Home Care PPS Brings Major Changes

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000


The home care industry will undergo a significant shift in reimbursement methodology when HCFA implements a new prospective payment system (PPS) for Medicare claims on October 1, 2000. Under the new system, a Medicare beneficiary receiving covered home care services will be reimbursed for a 6....

Making a Difference with Health Information

Author: Harlacher, Mahlon

Source: Journal of AHIMA

Publication Date: October 2000


Health information management grows increasingly complex and reliant on information technology every year. HIM professionals have become critical players in the healthcare arena, and it's time to showcase these contributions. In celebration of National Health Information and Technology....

XML Furthers CPR Goals

Author: Pothen, Daniel J.; Parmanto, Bambang

Source: Journal of AHIMA

Publication Date: October 2000


Many healthcare facilities have instituted Internet-based healthcare computing applications to better manage and communicate health information.1 Realizing the power and potential of the Internet, various health information system vendors are developing Web-based applications. The advent of th....

Career Management, Not Transition

Author: Barrett, John P.

Source: Journal of AHIMA

Publication Date: October 2000





Managing your career means more than just changing jobs. It's a process that you can plan and control. Find out the steps to shaping your professional future in this article.

Considering all the ways the workplace has changed in recent years, there's....

Speech Recognition Propels Transcription Revolution

Author: Schwager, Rob

Source: Journal of AHIMA

Publication Date: October 2000


Speech recognition technology continues to develop. Now, with additional enhancements, the latest models offer solutions for entire enterprises. The author rounds up the latest developments.
Most healthcare organizations and clinicians today have automated some portion of their health in....

Committee Works Toward Viable Data Sources

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2000


The availability of patient health data continues to be a hotly debated topic on Capital Hill. Noting that the "lack of complete and comprehensive PMRI (patient medical record information) is a major constraint on the ability of our healthcare delivery system to enhance quality, i....

HCFA Publishes Final Home Health PPS Rule

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: September 2000


The Health Care Financing Administration (HCFA) published the final rule for the prospective payment system (PPS) for home health agencies in July. This rule, which takes effect October 1, 2000, replaces the retrospective reasonable-cost-based system used to pay for home health service....

Medicare Data Study Spotlights Coding Errors

Author: Cottrell, Carlton

Source: Journal of AHIMA

Publication Date: September 2000



Coding quality for Medicare claims is an area of constant concern. Coding errors can have far-reaching effects in the healthcare universe, and coders are experiencing increased scrutiny from both regulators and hospitals looking to control costs. As a follow-up to results of a Medica....

Moving Gradually Toward a Paperless World

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: September 2000


HIM professionals may not be totally ready for a paperless environment—but then again, neither is anyone else.
Linda Fischer Smith remembers well the days (after all, they were just a couple of years ago) when she and her colleagues in the health information management area at Kais....

Access Audit Trails: En Route to Security

Author: Halpert, Aviva M.

Source: Journal of AHIMA

Publication Date: September 2000


An electronic access audit trail can be an effective security tool if the right conditions are in place. In this article, learn how to ensure that your organization has the right technology, procedures, mechanisms, and plans to implement an audit trail.
Working with healthcare informatio....

Following the Electronic Trail

Author:

Source: Journal of AHIMA

Publication Date: September 2000


How can you protect patient information while maintaining immediate access for qualified employees? HIM professionals across the country are taking leadership roles in developing and managing audit trails for computerized health information. Here are a few of their success storie....

Clinton Signs E-signatures into Law

Author:

Source: Journal of AHIMA

Publication Date: September 2000


President Clinton signed the 'Electronic Signatures in Global and National Commerce' Act that provides electronic signatures the same weight as those in pen and ink. The provisions are currently limited to commercial transactions and become effective on October 1, 2000. When effective,....

On the Line: Professional Practice Solutions (9/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: September 2000


Q: Is it legal to allow physicians within a group practice to authenticate records for each other?

Q: I have the opportunity to consult for a long-term care facility, though I have never worked in long-term care. What resources should I have?

Michelle Dougherty i....

Ten Steps to Selecting a Document Imaging Vendor

Author: Lofton, Sandra

Source: Journal of AHIMA

Publication Date: September 2000


On the road toward an electronic medical record, many organizations will need to evaluate and select document imaging systems. Because of the time and expense involved in these types of implementations, it is critical that the vendor selected be the right one for the organization. The process....

Establishing an HIM Clerk Orientation Program

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: September 2000




Once you have hired the right candidate for your vacant position, it's time to orient and train. When I had access to a plethora of qualified candidates, managed a department with infrequent turnover, and employed credentialed staff who were all cross-trained to handle other positions....

AHIMA Conference Probes E-health Questions

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: September 2000


Ten years ago, few of us envisioned the explosion of the Internet. Neither did we anticipate that the Internet would permeate our lives and change a myriad of daily routines.

Today, with every magazine, business, and think tank trying to envision what further ch....

Catching Up with PEPP

Author: Bryant, Gloryanne H.; Fletcher, Robin

Source: Journal of AHIMA

Publication Date: September 2000


A year ago, the Journal of AHIMA reported on the newly created Payment Error Prevention Program (PEPP), which went into effect in August 1999. What has happened since then?
Best Billing Practices

PEPP was created to reduce Medicare prospective payment system (PPS) ....

Mentor to Remember

Author: Skurka, Margaret A.

Source: Journal of AHIMA

Publication Date: September 2000


The old Army recruiting slogan "Be all that you can be" comes to mind this month as I challenge you to serve as an effective mentor or professional role model for a new HIM professional. With the untimely death of my mentor and program director Rita Finnegan, RHIA, CCS, this....

Where in the World Is ICD-10?

Author: Brouch, Kathy L.

Source: Journal of AHIMA

Publication Date: September 2000




Where and how is ICD-10 being used? Learn how countries all over the world have adapted to the newest version of this coding system and how coders in the US can prepare for an eventual transition.


Are you ready for ICD-10? If you're a coder in the United State....

Toward a National Health Information Infrastructure

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2000


I recently attended a symposium at the National Academy of Sciences celebrating the 50th anniversary of the National Committee on Vital and Health Statistics (NCVHS). The NCVHS is the Department of Health and Human Services' statutory public advisory body on health data, privacy, and ....

Where Are They Now? CPR Leaders Assess Their Progress

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 2000


Five years ago the first recipients of the Davies awards showed us successes of CPR systems across the country. Where are they now? This article catches up with these CPR leaders.
Is your job exactly the same as it was five years ago? For most HIM professionals, the answer....

Desperately Seeking the CPR in Long-Term Care

Author: Bolton, Zoe

Source: Journal of AHIMA

Publication Date: September 2000


With the explosion of technology in other areas of healthcare, long-term care specialists may find themselves feeling a bit left behind. Why isn't the computer-based patient record more prevalent in long-term care? While the industry is taking some first steps, there are still some sizeable ro....

Harnessing Technology for Success

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: September 2000


Kelly McLendon, RHIA, is working hard to make your job easier. As director of Chart Manager Domain at Eclipsys Corp., an information solutions company based in Delray Beach, FL, McLendon oversees HIM, clinical data management, and document management products that are designed to incre....

Setting the Standard in Assisted Living

Author:

Source: Journal of AHIMA

Publication Date: July 2000


Have you found yourself in the position of developing or reviewing health information and documentation policies for an assisted living facility? If so, you know that it is not easy to find resources or standards for this growing industry. However, both the Joint Commission on Accredit....

Making a Proactive Transition to APCs

Author: Willett, Lyn

Source: Journal of AHIMA

Publication Date: July 2000


There's no doubt APCs are going to change the way your facility operates, but do you know how? By taking a look at your existing systems, you'll get a better idea of how to prepare for changes. This article spotlights specific functions to consider and optimize for the new outpatient prospect....

Groups Offer E-health Ethics Smorgasboard

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: July 2000


E-health experts nationally are hard at work developing guidelines for this rapidly growing industry. Recently, three sets of guidelines were issued—by an advisory committee to the Federal Trade Commission, by the Internet Healthcare Coalition (IHC), and by a group of information....

Dot-com Coder

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: July 2000


For many people, working with artificial intelligence may sound like something out of a science fiction movie. But for Amy Davis, RHIA, it's just part of the job.

Davis is coding specialist and knowledge engineer at DocCode.com, a company based in Jacksonville, FL. Davis's....

Practice Solutions for Today

Author:

Source: Journal of AHIMA

Publication Date: July 2000


Editor's note: APCs, risk management, knowledge management...all of these are practice issues that will affect the way HIM professionals work in the future. But practice solutions exist right now in our day-to-day work environments as well. Here are a few successful practice sol....

Surviving and Thriving During Contract Negotiations

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: July 2000


Employer economies, staffing shortages, and advances in technology lead to the demand for outsourced functions, and there are a plethora of vendors happy to meet your facility's needs. Yet negotiating an outsourcing contract can be an intimidating proposition. Managers spearhead change interna....

Putting the Brakes on Medical Errors

Author:

Source: Journal of AHIMA

Publication Date: July 2000


Senators Edward Kennedy (D-MA), James Jeffords (R-VT), William Frist (R-TN), and Christopher Dodd (D-CT) are continuing to draft legislation that will curb medical errors and, at press time, was expected to be presented in June. Insiders indicated that the bill will likely focus on expan....

On the Line: Professional Practice Solutions (7/00)

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: July 2000


Q: My state's laws say that health information may be made available to researchers who provide written evidence of approval of their projects by an institutional review board (IRB). What is an IRB?

Q: Where should informed consent forms for research and research-related ....

Coding for APCs: Case Studies

Author: Scichilone, Rita A

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2000


When APC implementation begins on August 1, HIM professionals can expect increased complexity when coding outpatient encounters. Examining case studies in selected areas subject to APC payment may help coding professionals better understand the APC reporting process. Although coding guidelines....

Documentation Errors Result in Medicare Overpayment

Author: Hammen, Cheryl

Source: Journal of AHIMA

Publication Date: July 2000



The objective of the Office of the Inspector General's (OIG) fiscal year 1999 audit was to determine whether medical fee-for-service claims complied with Medicare rules and regulations. The OIG examined claims for accurate documentation and coding, medical necessity, and to ensure that c....

Building a One-stop Shop for Ideas

Author: Thompson, Nancy A.

Source: Journal of AHIMA

Publication Date: July 2000




If you feel like you've ever reinvented the wheel when changing or improving processes, the Department of Veterans Affairs may have the answer. Read on to learn more about the Virtual Learning Center, an online knowledge base of healthcare solutions.



We all have....

Compliance Efforts Lead to Process Improvements

Author: Swope, Shana

Source: Journal of AHIMA

Publication Date: June 2000




After Medicare regulations and the accompanying paperwork threatened to overwhelm an outpatient rehabilitation center, staff took steps to simplify the recertification process. The result was improved efficiency plus increased commitment to the electronic medical record. He....

Four Critical Steps to Choosing an Auditor

Author: Knutson, Julie

Source: Journal of AHIMA

Publication Date: June 2000


In this compliance-driven age, many organizations are seeking the services of outside firms or "auditors" to conduct record reviews. But the proper selection process is often short-circuited by time considerations. Given the cost of audits, however, even if you'....

"Dog Tags" Make Data Storage Easier

Author: Beck, Catherine A.

Source: Journal of AHIMA

Publication Date: June 2000


One of the newest ways to store medical records isn't available to most HIM departments. For military personnel, the Personal Information Carrier (PIC) or "digital dog tag" is a computer storage medium that can hold some or all of a service member's medical record. Roughly th....

IHC Eyes E-health Code of Ethics

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: June 2000


The privacy of personal information on the Internet is a hot topic nationwide. Is an e-health code of ethics in order? AHIMA and several other organizations are offering guidance this spring to the industry's first attempt at one.

Together with the American Medical Informa....

Standards Organizations Plan Collaboration

Author:

Source: Journal of AHIMA

Publication Date: June 2000


In March, the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards and Security reached an agreement with six standard-setting organizations. The six organizations include the Accredited Standards Committee X12, Dental Content Committee, Health Level Seven,....

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