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Impact of Physician Engagement on Clinical Documentation Improvement Programs (AHIMA Practice Brief)

Author: Combs, Tammy; Endicott, Melanie

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: July 2017


Physician engagement seems to be the buzzword in healthcare these days. Hospital administrators charged with various clinical improvement initiatives have come to realize that physician engagement is an essential element of success. While physician engagement in clinical documentation improveme....

CDI Not Just for Acute Care Anymore

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: July 2017



In the HIM world, we have a catchphrase: “If it’s not documented, it’s not done.” This phrase has even more resonance as we consider the importance of clinical documentation improvement (CDI), the focus of this month’s Journal issue.


CDI emphasi....

Virtual Doctor Explains All

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: July 2017


Anyone who has ever tried to sort through the tables and charts that accompany laboratory results in their patient portal has wished they had a doctor standing over their shoulder. 


This type of help would be especially beneficial to senior citizens who arguably have more blo....

Using Machine Learning to Increase Agility in HIM

Author: Monga, Kapila

Source: Journal of AHIMA

Publication Date: July 2017



As early as 1959 people have been defining what machine learning—a subfield of computer science—means. In that year Arthur Samuel, one of the pioneers of machine learning, said that machine learning is a science that gives “computers the ability to learn without being exp....

Venturing into Outpatient CDI: A Growing Trend

Author: Chenoweth, Ann

Source: Journal of AHIMA

Publication Date: July 2017



We see it everywhere: AHIMA is offering education programs to help their members embark on the outpatient clinical documentation improvement (CDI) journey. Consulting firms and technology companies are launching new services and solutions to support expansion of CDI programs to outpatient....

CDI in the Outpatient Setting: Finding the 'Hidden Gems' of Opportunity for Improvement

Author: Merriweather, Kay; Slater, Leslie; Bohley, Michele

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

Publication Date: July 2017



“If it’s not documented, it wasn’t done.” This is one of the first axioms health information management (HIM) professionals learn. HIM professionals have witnessed the evolution of quality documentation, with patient education becoming the center of healthcare in th....

CDI Programs Expanding Outside the Hospital

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: July 2017



A physician with his own small orthopedic practice is in a hurry to get his charting and documentation done for the night so his wife—the office manager—can send the day’s claims out the next morning. Exhausted and in a hurry, he turns to his iPhone for coding help.
<....

Revive Your CDI Program in Five Steps

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: July 2017





The pressure healthcare providers—especially physicians—are currently facing with healthcare reforms and reimbursement changes should be cause for reflection, from the durable medical equipment supply chain to clinical documentation improvement (CDI). With the state of....

HIM and Patient Advocacy

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: June 2017



If you talk to a group of health information management (HIM) professionals for very long, you will learn they all have one thing in common: among their own extended families, HIM professionals are the ones other family members go to for all healthcare-related questions.


Of c....

Ins and Outs of HCCs

Author: Fernandez, Valerie

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

Publication Date: June 2017



A Hierarchical Condition Category (HCC) is defined as a risk adjustment model that is used to calculate risk scores to predict future healthcare costs. The Centers for Medicare and Medicaid Services’ (CMS) CMS-HCC model is used to predict healthcare spending for Medicare Advantage Pl....

Annual HIPAA Training: A Preventive Measure

Author: Flood, Diana

Source: Journal of AHIMA

Publication Date: June 2017



Every year many patients go to their doctors for an annual exam in which preventive care measures for conditions are explored and enacted. These appointments help patients avoid further, more intensive care down the road. Annual HIPAA training programs are similar to an annual exam—o....

HIM Reimagined Outlines Bold New Future for HIM Profession

Author: Abrams, Kelly; Carlon, Sheila; Haugen, Mary Beth; Mancilla, Desla; McElroy, Kyle; Millen, Michelle; Sandefer, Ryan; Sharp, Marcia; Sorensen, Linda

Source: Journal of AHIMA

Publication Date: June 2017



No matter what data one reviews, there is near-universal agreement that the health information management (HIM) profession is radically changing and will continue to do so for quite some time. This change is a result of innovation in technology that has revolutionized the methods of collec....

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