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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....

The Danger of Being Connected

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019

The Danger of Being Connected


By Ty Greenhalgh, HCISPP


In 2014, the American Recovery and Reinvestment Act required and incented hospitals to demonstrate “meaningful use” of an electronic health record (EHR). Hospitals, desiring to maintain existing Medicaid a....

PHI Hide and Seek: Hidden PHI Carries High Financial Risk

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Ken Reiher, MBA









Ken Reiher, MBA




Data Analytics: The Straight-Lined Labyrinth that Entrapped the HIM Profession

Author: Sandefer, Ryan

Source: Journal of AHIMA

Publication Date: August 2019


By Ryan Sandefer, PhD, and David Marc, PhD, CHDA


Skills in data analytics are critical to the future of health information management (HIM), yet there has been considerable confusion regarding how to articulate what data analytics means for the profession. In a survey of more than....

Reporting Social Determinants of Health

Author: William, Fiala C

Source: Journal of AHIMA

Publication Date: August 2019


By William C. Fiala, BS, MA, CCS-P, CPC, RMA


Capturing socioeconomic data, also referred to as social determinants of health (SDOH), is rapidly becoming a necessary element of documentation. SDOH “are among the most influential factors that determine health outcomes of indiv....

APIs and the Privacy, Security Challenge for HIM

Author: Dean, A. Andrews

Source: Journal of AHIMA

Publication Date: July 2019


By A. Andrews Dean, CPHIMS, CHDA, CPHI, CPPM, CPC


The Centers for Medicare and Medicaid Services (CMS) turned many healthcare information technology consultants’ heads in March 2018 when they announced the new MyHealthEData initiative—intended to continue CMS’s goal of digitizing....

AWC Summit Addressing Universal HIM Issues

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: July 2019



By Lisa A. Eramo, MA


Telling an accurate and complete patient story through clinical documentation is a goal that transcends cultures and geographic boundaries. It’s also the primary theme at the 2019 AHIMA World Congress (AWC) Healthcare Information Summit that will take pla....

Components of an Effective Inpatient Coding Compliance Program

Author:

Source: Journal of AHIMA

Publication Date: July 2019


By Kathryn DeVault, MSL, RHIA, CCS, CCS-P, FAHIMA, and Mary H. Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA


There are multiple benefits of an effective coding compliance program. An article published in the January 2019 issue of the Journal of AHIMA titled “Components of an Effective O....

Status Check on CDI Transformation

Author: Wiggs Harris, Wylecia

Source: Journal of AHIMA

Publication Date: July 2019


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


The Journal’s clinical documentation improvement (CDI) issue gives me an opportunity to provide an update on some of the important work AHIMA has been doing in 2019.


As you know, we’ve been undertaking what w....

Comcast Eyes Home Health Monitoring

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2019


A couple years ago, Saturday Night Live spoofed how senior citizens use automated home assistant products such as Amazon’s Echo by imagining a fictional product called Amazon Echo Silver—a device designed to help forgetful, hard of hearing seniors manage activities like turning up the thermosta....

Definition, History, and Use of the Problem List

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2019


The problem list was first defined and created by Lawrence Weed in the 1960s at a time when care continuity was its primary purpose. Problem lists have become more widely used as a basis for problem-oriented charting, a methodology for clinical documentation embraced by many in the medical esta....

Coding Respiratory Failure

Author: Leisch, Monica RHIA, CDIP, CCS

Source: Journal of AHIMA

Publication Date: June 2019


By Monica Leisch, RHIA, CDIP, CCS


Consider the following scenario: a patient is admitted through the emergency department (ED) with acute shortness of breath. The ED notes and history and physical document acute respiratory failure. Blood gases show an oxygen level of 75, pCO2 lev....

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