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On the Line: Professional Practice Solutions

Author: Carpenter, Jennifer E.

Source: Journal of AHIMA

Publication Date: May 1998


Q: I am currently employed by an organization that is implementing a long term care demonstration program for the frail elderly. I am in charge of the database for the demonstration. I'm writing policies and procedures for release of information and confidentiality and would like to ha....

Development of the ICD-10 Procedure Coding System (ICD-10-PCS)

Author: Averill, Richard F.; Mullin, Robert L.; Steinbeck, Barbara A.; Goldfield, Norbert I; Grant, Thelma M.

Source: Journal of AHIMA

Publication Date: May 1998


The ICD-10 Procedure Coding System (ICD-10-PCS) has been developed as a replacement for Volume 3 of ICD-9-CM. This article will describe the development and structure of ICD-10-PCS‹as well as describe the modifications that have been made to the system as a result of extensive review and test....

Nursing Data, Classification Systems, and Quality Indicators: What Every HIM Professional Needs to Know

Author: Henry, Suzanne Bakken; Warren, Judith J.; Zielstorff, Rita D.

Source: Journal of AHIMA

Publication Date: May 1998

by Suzanne Bakken Henry, RN, DNSc, FAAN, Judith J. Warren, RN, PhD, FAAN, and Rita D. Zielstorff, RN, MS, FAAN

The nursing profession has developed a number of classification systems. What can HIM professionals learn from the processes and results? This article presents an overview of the....

To Sign or Not to Sign Verbal Orders

Author: Clark, Susan

Source: Journal of AHIMA

Publication Date: May 1998


The value of obtaining physician signatures on verbal orders after the patient's discharge from care is a concept that has been debated for several years. Typically, state regulations require that verbal orders be signed or authenticated. In some states a specific time frame—such....

Testing ICD-10-PCS

Author: Brooks, Patricia E.

Source: Journal of AHIMA

Publication Date: May 1998



HCFA conducted a formal test of ICD-10-PCS (procedure coding system) in order to determine if it would be a practical replacement for the current ICD-9-CM, Procedures. This coding system was developed after an open competition contract was awarded to 3M/HIS. In order to avoid any con....

No Uncertain Terms

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: May 1998


HIM professionals think of classification systems such as ICD-9-CM as tools for everyday use. But these familiar systems are evolving and changing rapidly—as Donna Pickett, RRA, is well aware.

Pickett is medical systems administrator for the Office of Data Standards, ....

Managed Care: The Dominant Paradigm in US Healthcare

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: April 1998


What does "managed care" really represent -- and what effect has managed care had on the healthcare market? The author describes how managed care came to be a critical market force, offers a snapshot of its proliferation, and examines its effects on the traditional payment system.
It's....

Managing Care, Managing Change, Managing Information

Author: Dunham, Larry

Source: Journal of AHIMA

Publication Date: April 1998


Under managed care, information is often required on a longitudinal—not an episodic—basis. As a result, we need to rethink our approach to data storage and use. The author identifies ways to look at the demand for data in a managed care environment and shows how process as....

Forging New Relationships: HIM and Managed Care

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: April 1998


HIM professionals are blazing a trail in managed care in many roles. This article samples the perspectives of five practitioners, offering a glimpse of their work, their backgrounds, and the skills and experiences that have helped them manage their careers.
Managed care is....

Framework for Understanding HIM in Managed Care

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: April 1998


The fundamental questions faced by HIM professionals in breaking into managed care are: "How is it different from institution-based HIM practice?" and "What do I need to know and learn to succeed?"

AHIMA's practice leadership staff is exploring these ques....

On the Line: Professional Practice Solutions

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: April 1998


Q: I have a deposition scheduled for next week. The issue at hand is whether a preprinted manufacturer's instruction sheet on how to use a piece of medical equipment should be a part of the medical record. Our position is that it should not be included because it does not reflect wha....

OIG Releases Compliance Program Guidelines for Hospitals

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: April 1998


On February 11, 1998, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) released its Compliance Program Guidance for Hospitals. This document is intended to assist hospitals in developing corporate compliance programs that assure the establishment of e....

Power of Networking

Author: Stewart, Margaret

Source: Journal of AHIMA

Publication Date: March 1998


As I look at my year as president of AHIMA, and all that I want to accomplish, my feeling is that I do not want to waste one day as I fulfill my commitments. One of my driving passions and goals is to enhance the position, respect, and perceived value of the HIM professional in the mar....

Taking Chances, Moving Forward

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: March 1998


Kathleen H. Stanfield, RRA, was so nervous when she first took on her current job as health information systems coordinator at the Austin Diagnostic Medical Center (ADMC) in Texas that she felt physically ill. "It was like closing my eyes and jumping into a fire," she says of....

Stevens-Johnson Syndrome

Author: Prophet, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: March 1998


The term "erythema multiforme" was first used by von Hebra in 1866 to describe a disease characterized by symmetrically distributed, pleomorphic, evolving cutaneous lesions, located primarily on the extremities, and by a proclivity for recurrence. In 1922, Stevens and Johnson....

Protection of Personal Data -- The European View

Author: Mathews, Steve

Source: Journal of AHIMA

Publication Date: March 1998


A new series of laws are being passed to control the processing of personal information -- including medical information -- inside the European Commonwealth. The author gives an overview of the European view of personal information and examines the implications for healthcare professionals bo....

On the Line: Professional Practice Solutions

Author: Fuller, Sandra R.

Source: Journal of AHIMA

Publication Date: March 1998


Q: Cellular phones are very popular and are a convenient way to increase communication. Should we place any restrictions on the use of cellular phones to discuss patient information?

Q: In light of last year's changes to the Joint Commission's standard on delinquent records, h....

Information Security--A Database View

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: March 1998



HIM professionals agree that applying the principles of information security is important in a hospital setting. But as Sharon Johnson, RRA, knows, those principles can be applied in many situations--including settings under construction. Since spring 1997, Johnson has been ....

New Standards Focus on Information Security

Author: Hanken, Mary Alice

Source: Journal of AHIMA

Publication Date: March 1998


The federal legislation for the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the need in healthcare for security of confidential data have come together to heighten the interest in security standards for electronic health information systems. Th....

On The Line: Professional Practice Solutions...

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: February 1998


Q: I have been asked to head up a committee assigned the task of selecting the hardware and software applications that are to become the platform for our organization's computerized medical record (CPR). Our committee is composed of representatives of all the "end users" of the CPR. The vastne....

Future of HIM: An Operational View

Author: Braden, James

Source: Journal of AHIMA

Publication Date: February 1998


What will HIM processes, departments, and the patient record look like 10 years from now? The author offers a view of HIM operations at an academic medical center with an eye for operational, organizational, and functional structure.
The health information management profession has been....

From Plan to Performance: Implementing Change

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: February 1998


Healthcare restructuring is happening everywhere these days—and Barbara Siegel, ART, knows this firsthand. She has helped to implement a hospitalwide reorganization that has affected nearly all of the facility's 3000 employees.

Siegel, director of medical records at T....

Sentinel Event Procedures Undergo Scrutiny

Author: Fuller, Sandra R.

Source: Journal of AHIMA

Publication Date: February 1998


Substantial changes were made to the Joint Commission on Accreditation of Healthcare Organizations' Sentinel Event Procedures at the November 1997 Board of Commissioners meeting. With an implementation date scheduled for April 1, 1998, all Joint Commission accredited healthcare organiz....

Conscious Transformational Change in HIM Services

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: February 1998


The inevitability of HIM service restructuring is one of the fundamental tenets underlying AHIMA's Vision 2006. To thrive in an environment of dramatic healthcare industry restructuring and information technology explosion means that HIM services must change and we must learn to lead ....

Organizational Restructuring: One HIM Team's Approach

Author: Smith, Carol F.

Source: Journal of AHIMA

Publication Date: February 1998


Organizational restructuring offers a number of challenges -- and opportunities -- to employees. This article describes how members of one organization's HIM staff participated in a systemwide restructuring process, from planning to implementation to assessment of results.
Today's era o....

Data Mining: A Whole New World

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: January 1998


We are drowning in data and starving for knowledge," said J. Michael Hardin, PhD, during his "Data Mining" presentation during AHIMA's National Convention. Hardin, of the Departments of Health Services Administration, Biostatistics, and Computer Science at the University....

Fraud and Abuse: What You Can Do

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 1998



During AHIMA's National Convention, HIM professionals convened to network and share practical ideas on issues pertaining to fraud and abuse. While most of the participants worked in hospitals, other work settings, including colleges, consulting firms, and government agencies were als....

Leading the Quest for Compliance

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: January 1998


I am the proverbial optimist—if you think that way, everything will come true,” says Ruthann Russo, JD, ART, about her successful Bethlehem, PA-based health information management consulting firm, Cabot Marsh Corporation.

And you wouldn’t expect to hear anythi....

Coding Compliance: Practical Strategies for Success

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 1998


"Fraud," "abuse," "upcoding," "unbundling," and "compliance" have all become buzzwords in the news media. Eliminating healthcare fraud and abuse has become a top priority for the federal government. Government investigations are on the rise and providers everywhere tremble at the thought of b....

Configuring Compliance: A Professional Fit

Author: Manning, Susan C.

Source: Journal of AHIMA

Publication Date: January 1998


The development and implementation of compliance programs offer HIM professionals perfect opportunities to provide leadership and expertise. HIM professionals should be involved in these processes because the documentation of patient services is an essential part of the investigation and enfo....

Bringing Vision 2006 into Focus: Strategic Options for Education, Certification, and Professional Development (Resolution)

Author: AHIMA House of Delegates

Source: Journal of AHIMA | AHIMA HoD Resolution

Publication Date: January 1998

Background

In 1996, AHIMA's House of Delegates adopted Vision 2006 as its strategy for moving the health information management profession into the future:

"Resolved, That the American Health Information Management Association and its component organizations and....

On the Line: Professional Practice Solutions

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 1998


Q: I am a coder in a hospital HIM department. I am being pressured to code in a manner I believe to be fraudulent in order to maximize reimbursement and improve the hospital's case mix. What should I do?

Q: I am employed as a coder and am concerned about my potential risk with....

ICD-9-CM Revisions (effective 10/1/97)

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: November 1997


The revisions to ICD-9-CM became effective with discharges occurring on or after October 1, 1997. Highlights of the changes are summarized below. Since every revision is not described in this article, it is important to review the Official Authorized Addendum. The complete addendum is publish....

Developing and Improving Project Management Skills

Author: Hilterbrand, Cynthia

Source: Journal of AHIMA

Publication Date: November 1997


What is project management? One usually thinks of a project as a group of milestones or phases, activities, or tasks that support an effort to accomplish something. And one usually thinks of management as the process of planning, organizing, controlling and measuring something.
What does....

Physician Office Billing Compliance Program

Author: Eisenhauer, Sue

Source: Journal of AHIMA

Publication Date: October 1997


Physician offices try to adhere to the coding and billing guidelines as defined by Medicare. However, claims to commercial insurance carriers frequently are not handled as precisely. The passage of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) has brought to our atte....

Hypertensive Disorders of Pregnancy

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: September 1997


Hypertension complicates at least 10 percent of all pregnancies. The hypertensive disorder of pregnancy most likely to result in significant adverse clinical outcomes is preeclampsia.

Preeclampsia
Preeclampsia is unique to pregnancy and is characterized by elevated blood press....

Managing Clinical Data: A Cancer Registries Update

Author: Watkins, Sue

Source: Journal of AHIMA

Publication Date: July 1997


Introduction
The American Cancer Society estimates that about 1.38 million new cancer cases will be diagnosed, and about 560,000 Americans will die of cancer, in 1997.1 These estimates do not include carcinoma in situ or basal and squamous cell skin cancer. To monitor trends in cancer i....

Implementing the Wireless Computerized Patient Record

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: July 1997


The ability to provide timely, relevant, and accurate in-formation to the healthcare decision maker at the point of care is a critical success factor for any provider. For enterprises that operate in extremely competitive healthcare markets, the ability to meet this challenge could mean the d....

Overview of Trauma Registries in the United States

Author: Garthe, Elizabeth

Source: Journal of AHIMA

Publication Date: July 1997

Overview of Trauma Registries

How many trauma registries are there in the US? This is a tough question to answer. According to a survey conducted by members of the Emergency Nurses' Association (ENA), the number of clients reported by trauma registry software companies exceed 1850 organi....

FACCT: A Large Measure of Quality

Author: Graham, Judith

Source: Journal of AHIMA

Publication Date: June 1997


Introduction
The Foundation for Accountability (FACCT) is an independent, not-for-profit organization representing major consumer groups and large purchasers of healthcare. Its mission is to help consumers make healthcare choices based on quality. FACCT's core work consists of (1) creat....

Evolution of HEDIS: 3.0 and Beyond

Author: Rulon, Vera; Sica, JoAnn

Source: Journal of AHIMA

Publication Date: June 1997


History of HEDIS
Employer Issues Leading to HEDIS
The Health Plan Employer Data and Information Set (HEDIS) is a set of standard performance measures designed to provide purchasers and consumers with the information they need to compare the performance of managed healthcare plans.....

Accreditation Requirements for ORYX [exhibit 1]

Author: Zeglen, Margaret

Source: Journal of AHIMA

Publication Date: June 1997

Exhibit 1: Steps to Selecting a Performance Measurement System

Measurement goals. The first step towards selecting a performance measurement system is to consider your organization's mission and strategic plan for improving performance. Determine your organization's priorities for measurem....

Holistic Approach to Network System Security

Author: Nelson, Doug

Source: Journal of AHIMA

Publication Date: May 1997


Introduction
Information security concerns increase with expanded healthcare data access across wide area networks, increased storage on network devices, and greater use outside an organization's electronic borders. Today's information systems network architectures are changing rapidly,....

Fraud and Abuse Implications for the HIM Professional

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: April 1997

Healthcare Fraud and Abuse Legislation

On August 21, 1996, President Clinton signed into law the Health Insurance Portability and Accountability Act. This law addresses several issues including the creation of a Health Care Fraud and Abuse Control Program. This program is intended to com....

Open Systems and Healthcare

Author: Golden, Robert F.

Source: Journal of AHIMA

Publication Date: March 1997

Open Systems and Healthcare
by Robert F. Golden



The language of healthcare computer systems has a Top 40 list of phrases that elicit positive nods from decision makers everywhere. As a result of their popularity, these terms become muddled from overuse (and abuse), confus....

Structured Text: Documentation Meets Technology

Author: Colburn, Charlotte

Source: Journal of AHIMA

Publication Date: February 1997

Background

Documentation of patient encounters through dictation and transcription processing has advanced dramatically over the past century, and current technology offers still greater opportunities for efficiency, timeliness, and completeness. Sixty years ago, the "transcriptionist" o....

Data Dictionaries: An Overview

Author: Duffy, Philip G.

Source: Journal of AHIMA

Publication Date: February 1997


Healthcare is one of the most information-intensive industries in the economy but less automated than other industries such as banking and insurance. Modern healthcare delivery is governed by ad hoc teams of professionals assembled to address each case, which further complicates information a....

Your Resume: A Checklist for Today's Trends

Author: Ellie, Perry E.

Source: Journal of AHIMA

Publication Date: January 1997



Does your resume work for you?


As the owner of a recruiting firm specializing in health information management, I critique hundreds of resumes each year. By employing the common sense ideas in this article you can enhance your resume, find the work of your dreams, and ch....

ICD-9-CM Revisions -- Effective October 1, 1996

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: October 1996


The revisions to ICD-9-CM became effective with discharges occurring on or after October 1, 1996. Highlights of the changes are summarized below. Since not every revision is described in this article, it is important to review the official authorized addendum published in a special edition of....

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