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CAC Takes Coding Into the Future

Author: Fahy, Kristi

Source: Journal of AHIMA

Publication Date: September 2019


By Kristi Fahy, RHIA


Technology is the segue to the future. It is the very thing that will transform the landscape of today’s world into one with endless possibilities. In healthcare, that transformation is being accelerated by the transition to electronic health records (EH....

A Time to Be Bold

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


HIM professionals are well aware of the work involved in matching patients to their unique records. Mismatched records can cost us time, lead to frustration, and cause headaches and dissatisfaction for patients and provide....

Three Ways Analytics Optimizes Health Outcomes

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


Over the summer I was fortunate to participate in several conferences. I was both honored to be involved and enthralled at the expertise of all of the individuals who participated and presented.


Data is powerful. Data litera....

Appendix A: Key Points in Developing a CDI Program

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019

Appendix A: Key Points in Developing a CDI Program



Recruitment Best Practices




Create a culture where great employees want to work

Consider the candidate’s cultural compatibility, leadership skills, communication skills, and intellectual abi....

Appendix C: Ongoing Education Plan

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


An annual plan for ongoing education can be developed and started at the beginning of each calendar or fiscal year, or with the annual employee evaluation. The manager of the CDI team or designee can be required to ensure each education topic is offered to the employee during the year. It is im....

Appendix B: Orientation for New CDI Professionals

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


Orientation for new clinical documentation professionals should include the nuances involved in diagnosis, procedure, inpatient prospective payment systems (IPPS), and outpatient prospective payment systems (OPPS) capture. Some of these topics include concepts such as major diagnostic categorie....

Appendix D: Qualitative Productivity Tool Example

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


Productivity expectations can be both qualitative and quantitative. Qualitative productivity is measuring the quality of the work being performed. This is typically measured by performing audits of the CDI professional’s work and then assigning a numeric value so it can be measured (see e....

Developing and Defining a Legal Health Record Policy

Author: Zak, Cindy

Source: Journal of AHIMA

Publication Date: August 2019


By Cindy Zak, MS, RHIA, PMP, FAHIMA


Yale New Haven Health (YNHH) began implementing the electronic health record (EHR) across four delivery networks in 2012. As the system moved to the electronic world, it became evident that YNHH needed to address the issue of defining the organi....

Collaboration is Key to Leading Through Transformation

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


I am so inspired by our leaders all across the country. At last year’s CSA Leadership Symposium it was agreed that AHIMA was in a state of decline and that change was needed. It was an amazing moment—one I will never forget an....

New Starts and Transformation Wins

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


September is a time of new starts. At AHIMA, it’s our busiest time of year as we prepare for our annual conference and a host of other fall and winter activities. It’s also a time to look back on the year: two-....

In Search of EHR's Designated Record Set

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: August 2019

In Search of the EHR’s Designated Record Set


By Mary Butler


When Rita Bowen, MA, RHIA, CHPS, CHPC, SSGB, broke her elbow while attending an AHIMA event in Baltimore threeyears ago, she soldiered on through the event but summoned her primary care physician for a tele....

Lost Data and Its Implications for Litigation

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: August 2019

Lost Data and Its Implications for Litigation


By Ron Hedges, JD


Healthcare providers deal with electronic information on a daily basis. Providers must expect that volumes and varieties of electronic information will increase exponentially with, for example, the rise of ar....

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