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Measuring the Value of the Clinical Documentation Improvement Practitioner (CDIP) Credential - Retired

Author: Burgess, Sheila; Cooper, Sharon; Endicott, Melanie; Wallace, Susan; Wiedemann, Lou Ann

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2015


This Practice Brief has been updated. See the latest version here. This version is made available for historical purposes only.

The role of the clinical documentation improvement (CDI) professional is ever-changing. When CDI programs first began in the late 1990s, the focus was almost....

Now is the Time: Realizing our Vision

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: January 2015



As I enter my 35th year as an AHIMA leader, educator, practitioner, and volunteer, I am excited to celebrate AHIMA’s 86 years of accomplishments and to have a role in paving the way for a bright future for HIM professionals everywhere.


I look forward to the months ahead, b....

Year in Review: Highlights from 2014

Author: Sheber, Sarah

Source: Journal of AHIMA - website

Publication Date: December 2014



The Journal of AHIMA’s ongoing web series “HIM Frontlines,” explores pressing obstacles that health information management (HIM) professionals encounter in a rapidly changing healthcare environment. Major federal initiativs such as the “meaningful use” EHR Incentive Program, HITECH-HIPAA,....

Coding Injuries in ICD-10-CM (update)

Author: Zeisset, Ann M.

Source: Journal of AHIMA

Publication Date: November 2014



ICD-10-CM provides greater specificity in coding injuries than ICD-9-CM. While many of the coding guidelines for injuries remain the same as ICD-9-CM, ICD-10-CM does include some new features, such as seventh characters.

Chapter 19 Overview


Chapter 19 is titled "In....

Cost of Converting Small Physician Practices to ICD-10 Much Lower than Reported

Author: Kravis, Thomas C; Belley, Susan; Smith, Donna; Averill, Richard F.

Source: Journal of AHIMA - website

Publication Date: November 2014




The controversial delay of ICD-10 implementation was based in part on the perceived time, cost and lost productivity for physician offices to perform the necessary assessment, training, software conversions, testing and “super bill” updates.1 Current evidence suggests that....

How to Respond to Subpoena and Discovery Requests

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: November 2014



Health information management (HIM) professionals are frequently pulled into litigation due to their role as custodians of health records and protected health information. This role also can categorize them as parties to civil litigation, which obligates them to produce any relevant infor....

Tips for Breaking into the Health Information Management Industry - Retired

Author: Camp, Michelle; Comfort, Angie; Endicott, Melanie; Howard, Artis; Kozee, Renee; Munive, Roberta; Novelli, Staci

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: November 2014


Whether it is a first job or a career change, finding that first health information management (HIM) job following graduation is one of the biggest challenges that new graduates face. While some may find that breaking into the HIM industry takes time and persistence, it is a career choice that....

Making Health Information Exchange Work: HIOs Currently Not Ready to Support the Information Needs of a Reformed Healthcare System—But Small Changes Offer Big Outcomes

Author: Callan, Kathy; Fuller, Jan C.; Galterio, Louis; Just, Beth Haenke; Reich, Kimberly A. Baldwin-Stried ; Steigerwald, Christine; Turner-Combs, Mary Lou; Wolf, Sheldon H; Dooling, Julie A; Kirby, Annessa; Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: November 2014



Editor’s note: This article is part two of a two-part series analyzing the current state of health information exchange organizations and their operational models.


The question facing the healthcare industry is “will health information exchange organizations (HIOs....

HIM's Stake in Tracking and Treating Ebola

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2014


The victims of the Ebola virus, which has infected over 4,000 people in a handful of African nations as of press time, have benefitted—though in a limited capacity—by work performed by health IT professionals.


The Nebraska Medical Center in Omaha is one of a few healt....

Keeping Current in the Electronic Era: Data Age Transforming HIM’s Mandatory Workforce Competencies

Author: Sandefer, Ryan; DeAlmeida, Dilhari R; Dougherty, Michelle; Mancilla, Desla; Marc, David

Source: Journal of AHIMA

Publication Date: November 2014



Ponder this for a moment. From the beginning of recorded history to 2003, five exabytes (five billion gigabytes) of information was created by humans, according to recent IBM calculations. The rate at which that level of information is being created is increasing exponentially. In 2012, fi....

CMS Rule Allows CEHRT Flexibility

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: November 2014



On August 29, 2014, the Department of Health and Human Services (HHS) published a final rule that provides flexibility on how providers use certified electronic health record technology (CEHRT) and qualify for attestation to the “meaningful use” EHR Incentive Program for the 2014 reportin....

What’s the Difference? SNOMED CT and ICD Systems are Suited for Different Purposes

Author: Stearns, Mike; Fuller, Jan C.

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

Publication Date: November 2014



The International Classification of Diseases (ICD) and SNOMED CT are similar in that both systems have alphanumeric codes associated with clinical concepts. But the systems differ in their purpose and structure, and are best used in different ways in healthcare. For starters, ICD is a cla....

ICD-10's Impact Reaches Far Beyond Coding: Examining the New Code Sets' Revenue Cycle Implications

Author: Arends-Marquez, Alexa; Knight, Nicole; Thomas-Flowers, Dwan

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

Publication Date: November 2014



The implications of ICD-10-CM/PCS (ICD-10) for coding operations are a common topic of industry discussion, but the impact of ICD-10 reaches far beyond coding alone. ICD-10 is embedded in the entire revenue cycle for providers. The conversion will impact almost every aspect of operations,....

Take a "Deep Dive" into Information Stewardship

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: November 2014



Health Informatics and information management professionals have traditionally been focused on areas such as risk management, quality assurance, licensure, accreditation, privacy, and security requirements for their organizations. But compliance—conformance or obedience to procedures, rul....

Checks, Balances, and Ethics: Implementing Financial Controls for Associations

Author: Dunn, Rose T; Klaver, Jill Callahan; Rinehart-Thompson, Laurie A.

Source: Journal of AHIMA - website

Publication Date: November 2014


Health information management (HIM) professionals are recognized for their compliance-focused activities. Coding professionals, for example, assign codes based on the available documentation and the rules that define proper code application. When hospital coders are asked to resequence a condit....

New Changes De-Spookify Modifier -59

Author: Wilson, Donna D

Source: Journal of AHIMA - website

Publication Date: October 30, 2014



The proper application of modifier -59 (Distinct Procedural Service) has mystified many a coder. The Centers for Medicare and Medicaid Services (CMS) has recently indicated that modifier -59 is the most commonly used and abused of all the modifiers—mainly due to the fact that it is used to....

New Coordinator Shapes Direction of ONC

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: October 2014



Karen Desalvo, MD, MPH, MSc, believes it’s time to shake things up a little at the Office of the National Coordinator for Health IT (ONC). DeSalvo, who previously served as the New Orleans city health commissioner and senior health policy advisor to Mayor Mitch Landrieu, began her appoint....

Tracking HIE’s Ever Evolving Operational Models: Emerging health information exchange market still sorting out its business and governance models

Author: Callan, Kathy; Fuller, Jan C.; Galterio, Louis; Just, Beth Haenke; Reich, Kimberly A. Baldwin-Stried ; Steigerwald, Christine; Turner-Combs, Mary Lou; Wolf, Sheldon H; Dooling, Julie A; Kirby, Annessa; Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: October 2014



Editor’s note: This article is part one of a two-part series analyzing the current state of health information exchange organizations and their operational models.


Health information exchange (HIE) continues to be an embryonic domain—a swirling array of various pu....

Risks and Results of Data Spoliation

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: October 2014



The September e-HIM Best Practices article answered some basic questions about preservation of records in the context of civil litigation. This article will consider the question, “What if something goes wrong?”

Spoliation Defined


Health information management (H....

Slow to the Information Governance Starting Line: First-of-its-kind Survey Tracks Healthcare’s IG efforts, Shows Most Organizations are Behind

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2014



Majority of Healthcare Organizations Lack Vital Information Governance Strategy


AHIMA has fired the starting pistol heralding in the urgent race to implement information governance (IG) practices within the healthcare industry. While some organizations were quick off the bloc....

Time for Information Governance is Now

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2014



For AHIMA, 2014 has been the year of information governance (IG).


From Information Governance Month in February to this month’s 86th Convention and Exhibit, AHIMA has been breaking new ground in exploring, understanding, and making recommendations for IG in healthcare o....

Informatics Harnesses Healthcare’s Wild, Rich Data

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: October 2014



Healthcare has become a data-rich field, and any data rich environment requires the ability to analyze large, complex data sets. The field of informatics provides tools to integrate data, information, knowledge, and wisdom when processing data. Good informatics includes many functions, and....

Law Changes Patient Access to Clinical Lab Reports

Author: McLendon, Kelly

Source: Journal of AHIMA

Publication Date: October 2014



The US Department of Health and Human Services (HHS) continues to look for avenues to allow greater patient access to their own health information so that they may be more active in their healthcare management. HHS recently created final rules that remove the Clinical Laboratory Improveme....

Leading Your Facility Through the ICD-10 Delay Storm

Author: Horn, Kelli

Source: Journal of AHIMA

Publication Date: October 2014



When the Centers for Medicare and Medicaid Services (CMS) announced in the spring of 2014 that ICD-10-CM/PCS would be unexpectedly delayed for at least one year, the health information management (HIM) community was shocked. Hospitals, healthcare facilities, and educational organizations h....

Low-Tech Approach to High-Tech Problems

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: September 2014



The HIM Problem


Transitioning from paper to electronic transcription processes; integrating fetal monitoring into an electronic health record (EHR); implementing an enterprise EHR that includes emergency room, radiology, laboratory, and operating room systems—and assimilating....

How and Why to Preserve Health Records During Litigation

Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: September 2014



The term preservation, when used in a legal context, refers to placing information identified as relevant to a civil or criminal US court case in a legal hold to ensure the data is not destroyed or tampered with.


Health information managers, or anyone who works with records....

Fast As You Can: US Lagging Behind in Broadband Internet Access

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2014


At a time when technology has been able to facilitate advancement in so many other areas, the United States is coming up surprisingly short when it comes to meeting its citizens’ Internet speed needs.


According to a new report from Akamai, the US has seen improvement in broadban....

Accessing and Using Data from Wearable Fitness Devices

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: September 2014



A rapidly aging global population in many industrialized countries accompanied by an increase in chronic diseases and the high cost of managing such diseases has led many to turn to a technological solution to ease the burden on healthcare professionals and provide useful tools to the elde....

Coding ICD-10-PCS Procedures in the Ancillary Sections: Understanding Imaging, Nuclear Medicine, and Radiation Therapy

Author: Kostick, Karen M.; Sanvik, Gina

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

Publication Date: September 2014



Editor’s note: This is the second in a two-part series of articles discussing the six Ancillary sections of ICD-10-PCS.


This article continues the Journal of AHIMA’s exploration of the different sections of ICD-10-PCS, focusing on the last three Ancillary sections. The side....

Personal Health Information is 'Saving Grace'

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: September 2014



As a health informatics and information management professional and a parent of two adopted children, my desire for complete and accurate medical information rocks the top of my “Mom to-do list.” My children, Zach and Grace, are siblings, adopted at the ages of two and four. State laws va....

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