4020 results.
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How Can I Help You? Top 10 Customer Service Tips for HIM Professionals
Author: Aschettino, Lucia; Birnbaum, Cassi L; Crocker, Janice; Grebner, Leah A.; McNicholas, Faith C.
Source: Journal of AHIMA
Publication Date: May 2013
Health information management (HIM) best practices state that it is important for HIM professionals to focus not just on the information but also on internal and external customers. Customers have varied, and ever-changing, needs that must be met by HIM professionals. Both internal and ext....
Mitigating Coding Risks in the EHR: Physician Coders More Valuable With EHR Implementation
Author: Huey, Kim
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2013
Though it may seem contrary to popular opinion, electronic health record (EHR) products will make providers' coders more necessary and valuable than ever. Physicians who trust only EHR and computer-assisted coding software to choose the codes they bill, without any training or oversight, a....
Guidance on a Compliant Query: Internal Escalation Policy
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: May 01, 2013
In February 2013, the practice brief on “Guidance on a Compliant Query” was published in the Journal of AHIMA. The intent of this practice brief is to maintain the integrity of the coded healthcare data. The purpose of the query process outlined is to ensure appropriate....
It's The Queen Calling: Phoning in HIPAA
Author: Kirkpatrick, Joseph
Source: Journal of AHIMA - website
Publication Date: April 17, 2013
It seems that everyone wants to know about Britain’s royal family. The media are obsessed with the most mundane private details from their lives because that information is marketable to the public. While the relentless pursuit of their private information is excep....
A Decade of HIPAA
Author: McMillan, Mac
Source: Journal of AHIMA - website
Publication Date: April 12, 2013
The Health Insurance Portability and Accountability Act (HIPAA) has ushered in a new era in healthcare that has transformed the way information is managed and used to deliver care. While we often say we still have a long way to go before achieving compliance with HIPAA,....
Privacy After Death
Author: Hofman, Judi
Source: Journal of AHIMA
Publication Date: April 2013
Due to new HIPAA rules, HIM must strike an appropriate privacy balance when releasing decedent records
Navigating the Measure Jungle: NQF’s Quality Positioning System Simplifies the Task
Author: Galterio, Louis
Source: Journal of AHIMA
Publication Date: April 2013
Anyone unfamiliar with quality measurement and reporting might find the journey of self-education daunting. There are numerous organizations that develop, use, and require sets or collections of measures for reporting, and many address different measurement goals. There are varying areas o....
HIPAA Turns 10: Analyzing the Past, Present and Future Impact
Author: Solove, Daniel J
Source: Journal of AHIMA
Publication Date: April 2013
Ten years ago after countless years of germination and many twists and turns, the HIPAA Privacy Rule finally became effective. It would soon be followed by the HIPAA Security Rule-which was published in 2003 and became effective in 2005-and eventually by the HIPAA Enforcement Rule and the....
Time to Step Up: HIM Professionals Embrace Growth in Health Data Analyst Role
Author: Taylor, Lisa Brooks
Source: Journal of AHIMA
Publication Date: April 2013
Each year the AHIMA national convention ends with an inspirational speaker. In 2012, in a personal and well-received chat, comedian Joy Behar shared in her emblematic, witty, and straight forward style a three-step life motto that led to her success:
Show up
Warm....
The Privacy Balancing Act: Reflecting on a Decade of HIPAA
Author: Gordon, Lynne Thomas
Source: Journal of AHIMA
Publication Date: April 2013
THIS YEAR MARKS the 10th anniversary of the implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule.
As I write, the industry is currently deciphering the implications of a new law-the changes to the rule wrought by the Health Informati....
Looking Back at AHIMA’s Early Years
Author: Frawley, Kathleen A.
Source: Journal of AHIMA
Publication Date: April 2013
AHIMA celebrates its 85th anniversary this year. Many current healthcare associations were founded after the Joint Commission was founded in 1951. AHIMA, however, was founded in 1928 when 35 members of the Club of Record Clerks met at the Hospital Standardization Conference sponsored by th....
The Omnibus Arrives: OCR Issues HITECH-HIPAA Final Privacy Rule
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: April 2013
The Office for Civil Rights (OCR) has published the long-awaited final omnibus rules covering many HITECH Act requirements in the January 25, 2013 Federal Register (78FR5566). The rule is officially titled “Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notific....
Coding Root Operations with ICD-10-PCS: Understanding Excision and Resection
Author: Scott, Karen S.
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2013
ICD-10-PCS will bring about many changes and challenges for coding professionals. It is important for those involved in coding to start preparing today for the many unique features of the coding system. One of the keys to understanding ICD-10-PCS is the many new definitions and description....
Unlocking and Sharing Behavioral Health Records: Movement Emerges to Exchange Sensitive Records through HIEs
Author: Lardiere, Michael R
Source: Journal of AHIMA
Publication Date: April 2013
Sharing behavioral health and physical health information is a growing concern for the US healthcare system. Sharing the history and status of patients’ symptoms and progress-or lack of progress-between and among physical health and behavioral health providers is essential for assist....
De-identification and the Sharing of Big Data
Author: White, Susan E
Source: Journal of AHIMA
Publication Date: April 2013
One of the newest buzz words in data analytics is “Big Data,” and the data created through the healthcare industry is some of the “biggest” around. The widespread implementation of electronic health records (EHRs) and the need to share data to measure quality and ma....
When to Send a Breach Notification: New HIPAA Rules Revise “Harm” Standard
Author: Warner, Diana
Source: Journal of AHIMA
Publication Date: April 2013
The HITECH Act’s omnibus HIPAA modification final rule, released January 25, 2013, finalized sweeping changes to privacy and security regulations. Though much of the proposed rule was adopted, the omnibus rule included major changes made to the “harm threshold” standard i....
HIM Staff RACing Up Record Requests
Author: AHIMA
Source: Journal of AHIMA
Publication Date: April 2013
Healthcare claims auditors have inundated release of information staff and vendors this year with record requests, in part due to the aggressive Centers for Medicare and Medicaid Services’ (CMS) Recovery Audit Contractor (RAC) initiative. RACs review provider bills and medical records to....
Reading Up on LOINC: What Coders Need to Know
Author: Sheide, Amy; Wilson, Patricia S
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2013
What do coders need to know about Logical Observation Identifiers Names and Codes (LOINC)? A health records coder is unlikely to come across a LOINC code when looking for the correct ICD-9-CM code to reflect the documentation provided. A compliance officer may not see a LOINC code when eva....
HIPAA Mighty and Flawed: Regulation has Wide-Reaching Impact on the Healthcare Industry
Author: Solove, Daniel J
Source: Journal of AHIMA
Publication Date: April 2013
How HIPAA has performed overall as a privacy law is open to interpretation, but most agree it has had a wide-reaching impact on the healthcare industry. In comparison to the dozens of federal privacy laws for various industries, HIPAA is one of the most comprehensive and detailed.
The Privacy and Security of Occupational Health Records
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2013
The Occupational Safety and Health Administration (OSHA) defines an “occupational medical record” as an occupation-related, chronological, cumulative record, regardless of the form or process by which it is maintained (i.e., paper document, microfiche, microfilm, or automatic data processing me....
Breach Notification Triggers Receive Update
Author: Bowen, Rita K.
Source: Journal of AHIMA - website
Publication Date: April 2013
The HIPAA Omnibus Rule, the new Final Rule modifying HIPAA, was published in the Federal Register on January 25, 2013. The amended rule went into effect on March 26 and full compliance is expected by September 23. For HIM professionals, the most far-reaching of the changes to HIPAA is that....
Standards: Required for Health Information Management
Author: Journal of AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: April 2013
The term “standard” has a number of definitions in health information management. The healthcare media groups frequently include this word in tandem with other familiar buzz words, including interoperability, standardization, standards development organizations, harmonization, “meaningful....
Accessing Deceased Patient Records - FAQ (2013 update)
Author: Dimick, Chris
Source: Journal of AHIMA - website
Publication Date: April 2013
Patients retain the right to keep their medical records private even after death. The laws surrounding just who has a legal right to view those records can lead to confusing and frustrating situations.
But new rules implemented through the HITECH Act’s HIPAA moficiation final....
Quenching Healthcare's Thirst for Liquid Data
Author: Perlman, Marc
Source: Journal of AHIMA - website
Publication Date: March 2013
Information is the future of healthcare, and the industry is developing an almost unquenchable thirst for it. The good news is that healthcare organizations are amassing data at an unprecedented pace. Rapid adoption of electronic health records (EHRs) in the wake o....
Strategic Initiatives Embrace HIM’s Future
Author: Frawley, Kathleen A.
Source: Journal of AHIMA
Publication Date: March 2013
The health information management (HIM) profession will continue to see constant and increasing change in 2013. While HIM professionals continue to work to define and evolve their roles and career pathways, AHIMA has been working on the best ways to support and lead the change. As part of....
Meaningful Health Information Exchange is “Expensive”
Author: Gordon, Lynne Thomas
Source: Journal of AHIMA
Publication Date: March 2013
Remember when you had no choice but to do your banking with a teller at your local branch? Now we can bank from anywhere in the world.
If the industry’s efforts with health information exchange (HIE)-the topic of this month’s Journal-are a success, perhaps one da....
Assessing and Improving EHR Data Quality (2013 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Transitioning from NwHIN Exchange to Healtheway
Author: Wiedemann, Lou Ann; Dooling, Julie A
Source: Journal of AHIMA
Publication Date: March 2013
The Nationwide Health Information Network (NwHIN) was originally defined as a “set of standards, services, and policies” by the Office of the National Coordinator for Health IT (ONC) in 2007. Further changes were established in February 2009 as a part of the Health Information....
Medical Record Makeover
Author: AHIMA
Source: Journal of AHIMA
Publication Date: March 2013
Do your printed health records have that tired, bored look that went out with the leisure suit? If so, the Office of the National Coordinator for Health IT (ONC) is offering a medical record makeover that can turn your files from drab to fab.
Hoping to make printed....
Synergizing ICD-10: Integrating an ICD-10 implementation into other compliance programs will reduce costs, maximize investments
Author: Mitchell, Glenn
Source: Journal of AHIMA
Publication Date: March 2013
With ICD-10-CM/PCS, there is good news and there is bad news. First, the bad news-the implementation of ICD-10 in any healthcare facility will take ample staff time, financial resources, and strategic planning. But the good news-whether you are a C-suite leader, clinician, or worker bee, t....
CY 2013 OPPS Update
Author: Comfort, Angie
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2013
As 2012 drew to a close, US healthcare facilities began the daunting task of reviewing the Centers for Medicare and Medicaid Services’ (CMS) hospital outpatient prospective payment system (OPPS) update to ensure their chargemaster and systems were up-to-date with the 2013 changes. Th....
HHA Prospective Payment System Changes
Author: Deakle, Mary S; DeVault, Kathryn
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2013
Several changes to the prospective payment system went into effect at the start of 2013, including coding changes affecting the M1024 Rule.
Reimbursement for home healthcare agencies (HHA) was converted to a prospective payment system by the Centers for Medicare and Medicaid....
Connect the Dots: Linking Together the Nation’s Disparate and Growing Health Information Exchanges has become a Formidable Challenge
Author: Romeo, Jim
Source: Journal of AHIMA
Publication Date: March 2013
Establishing a health information exchange (HIE) and building an infrastructure to support it internally and externally is a daunting task. Whether funded by federal and state grants or launched as a private sector initiative, launching a HIE often means blazing new territory and making de....
HIE Quality Check
Author: Berry, Kate
Source: Journal of AHIMA
Publication Date: March 2013
Health information exchange (HIE) has great potential to improve healthcare quality while containing costs, something the US health system is under increasing pressure from providers and the federal government to achieve. Benefits of HIE include better care coordination, assurance that pat....
Breaking Free of Copy/Paste: OIG Work Plan Cracks Down on Risky Documentation Habit
Author: Robb, Deborah; Owens, Lori
Source: Journal of AHIMA
Publication Date: March 2013
According to the Centers for Medicare and Medicaid Services, evaluation and management (E/M) services accounted for $28 billion in Medicare Part B payments during a one-year period.1 And of these, 8.4 percent were billed at the wrong level-either too high or too low. Chasing these potentia....
Natural Language Processing and Clinical Outcomes: The Promise and Progress of NLP for Improved Care
Author: Townsend, Hilary
Source: Journal of AHIMA
Publication Date: March 2013
The emergence of electronic health records (EHRs) has necessitated the use of innovative technologies to facilitate the transition from paper-based records for healthcare providers. Natural language processing (NLP) is one technology providers are turning to for improving clinical outcomes....
Wanted: HIM Expertise: ICD-10-CM/PCS, Data Governance Initiatives Require HIM Guidance
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: March 2013
The US healthcare industry is now a mere six months from the point in time that the Centers for Medicare and Medicaid Services has suggested for ICD-10-CM/PCS readiness testing to begin. Many health plans have said they are already prepared-or will be ready when the time comes-to test transact....
Reviewing the New HIPAA Rules
Author: Dimick, Chris
Source: AHIMA regulation analysis | Journal of AHIMA
Publication Date: March 2013
At 138 fine-print pages, the final rule detailing the HITECH Act’s modifications to HIPAA privacy and security requirements is not a quick or easy read. But it is an important read since the content of the Federal Register post drastically impacts HIM professionals and their business....
Ten More Questions for CAC Vendors
Author: Cassidy, Bonnie S.
Source: Journal of AHIMA - website
Publication Date: March 2013
Today’s HIM and coding professionals are faced with multiple challenges to increase documentation accuracy and specificity due to new rules and regulations. They also face financial pressure to accelerate billing processes, which can lead to errors and fraudulent c....
Meaningful Use Program Faces Audits, Scrutiny
Author: Rhodes, Harry B.
Source: Journal of AHIMA
Publication Date: February 2013
Health information technology systems have supported the administrative functions of healthcare for more than a decade. Historically, these healthcare administrative systems primarily focused on performing fiscal transactions or supporting key ancillary departments. Widespread use of elect....
RxNorm’s Drug Interface Terminology Supports Interoperability
Author: McGinness, Doris; Bronnert, June; Masarie, Chip; Naeymi-Rad, Frank
Source: Journal of AHIMA
Publication Date: February 2013
RxNorm is a public domain drug vocabulary maintained by the National Library of Medicine (NLM) on behalf of the United States. The purpose of RxNorm is to facilitate the sharing of electronic drug information between hospitals, pharmacies, and healthcare professionals. The scope of RxNorm....
Let’s Place Patients Front and Center
Author: Frawley, Kathleen A.
Source: Journal of AHIMA
Publication Date: February 2013
As HIM professionals, one of our key responsibilities is to provide patients with access to their health information. A poll conducted by Wolters Kluwer Health in November 2012 focused on the consumerization of healthcare. The poll asked whether consumers really want more control of their....
FY 2013 ICD-10-CM and ICD-10-PCS Updates
Author: Rihanek, Theresa
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2013
Updates have been released for the 2013 ICD-10-CM code set, approved by the ICD-9-CM Coordination and Maintenance Committee, as well as the 2013 ICD-10-CM/PCS updates maintained by the Centers for Medicare and Medicaid Services (CMS). There were minimal changes to the draft code sets in li....
Defining Health Informatics
Author: Campbell, Robert James
Source: Journal of AHIMA
Publication Date: February 2013
[dih-fahy-ning] [helth] [in-fer-mat-iks]
adjective, noun, noun
1. An educator’s in-depth look at what informatics is and what it can do for HIM professionals
In the movie Annie Hall, Woody Allen finds himself in a movie theater line in....
Embracing ICD-10 Advocacy: HIM Professionals Must Offer Implementation Help to Physicians
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: February 2013
Members of the AHIMA staff and ICD-10 Implementation Coalition recently met with the incoming House of Representatives Energy and Commerce Committee and Health Subcommittee Vice Chairman, Michael Burgess, MD. Discussion included considerations for how to reach out to those physician groups....
e-HIM Revisited: Marking a Decade of Promoting Electronic HIM Change
Author: Gordon, Lynne Thomas
Source: Journal of AHIMA
Publication Date: February 2013
What a difference a decade makes.
This year marks the 10-year anniversary of the publication of AHIMA’s landmark report, “A Vision of the e-HIM Future.” Back then, AHIMA convened a group of industry, academic, and government representatives to identify what....
Segmenting Data Privacy: Cross-industry Initiative Aims to Piece Out Privacy Within the Health Record
Author: Coleman, Johnathan
Source: Journal of AHIMA
Publication Date: February 2013
Not all protected health information (PHI) is created equally. Some health data requires special handling according to law, organizational policies, or patient preferences. For appropriate sharing of health information to occur, a patient must trust that a provider organization will proper....
Guidelines for Achieving a Compliant Query Practice
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: February 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Embracing the EHR’s Challenges and Benefits: Grace Award Winner Reviews EHR Implementation Best Practices
Author: Duckert, Jane; Rose, Angela Dinh
Source: Journal of AHIMA
Publication Date: February 2013
The University of Wisconsin Hospital and Clinics’ (UWHC) motto of “great information, great care” has been the underlying force behind their health information technology (IT) adoption achievements since 2008. Besides attaining the highest level of the Healthcare Informat....
HIM Around the World
Author: AHIMA
Source: Journal of AHIMA
Publication Date: February 2013
Health information management is a global profession, with individuals in various countries working to ensure quality care through quality information. While opportunities and challenges do vary from country to country, there is much the world’s HIM professionals can learn from each other....
Charging vs. Coding: Untangling the Relationship for ICD-10
Author: Pilato, Jeff
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2013
While the transition to ICD-10-CM/PCS has the potential to put revenue at risk, adding staff to the revenue cycle is rarely an option in today’s cost-cutting environment. There are no extra hands to review charges, double-check bills, or safeguard claims. To mitigate risk, preventive....
Rebooting Release of Information: Patient Portals are Changing ROI, but Analog Record Release is Still Necessary
Author: Crawford, Mark
Source: Journal of AHIMA
Publication Date: February 2013
Patient portals are becoming commonplace in healthcare facilities, which have installed the technology to provide patients and physicians immediate online access to electronic medical records. Adoption of patient portals will continue to increase, driven in part by stage 2 “meaningfu....
Getting from Here to There with Longitudinal Quality Metrics
Author: Derr, John F.; O’Malley, Terrence A
Source: Journal of AHIMA
Publication Date: February 2013
Editor’s note: This is the third and final installment of a series reviewing the current and desired state of longitudinal care, as well as the steps healthcare stakeholders need to take to embrace this emerging quality measurement process.
E-quality measures....
Physician Query Examples
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: February 01, 2013
A query can be a powerful communication tool used to clarify documentation in the health record and achieve accurate code assignments. This Practice Brief In Addition provides examples of the different forms of queries available to HIM professionals.
....
Save the Stamps: Health Information Handlers Offering Electronic Record Submission for CMS Audits
Author: Galterio, Louis
Source: Journal of AHIMA
Publication Date: January 2013
Healthcare facilities are cutting out the middle man-the post office-by sending audit-requested medical records directly to the federal government using the Electronic Submission of Medical Documentation (esMD) program.
The esMD program has been growing at a fast ra....
HIM Focuses on Core 2013 Strategic Initiatives
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: January 2013
As AHIMA welcomes the new year, the association continues to work on several ongoing developments in the HIM profession-as well as the additional opportunities and challenges that 2013 presents the US healthcare industry. Though the work is not yet done, HIM professionals and AHIMA staff h....
Leaders of e-HIM: Three Grace Award Finalists Share Data Integrity, Documentation Improvement, and HIE Plans and Practices
Author: Dooling, Julie A
Source: Journal of AHIMA
Publication Date: January 2013
In October 2012, AHIMA's Grace Whiting Myers Award was presented to the University of Wisconsin Hospital and Clinics in recognition of excellence in health information management (HIM). This inaugural award focused on organizations who have demonstrated effective and innovative approaches....
Road Map to 2013: A Guide through Exciting but Unfamiliar HIM Territory and Times
Author: Rollins, Genna
Source: Journal of AHIMA
Publication Date: January 2013
The preparation for any great journey usually begins with reflection on lessons learned and research on just how those lessons can be utilized down the unpredictable road. The paradigm shift of electronic health records has caused HIM professionals to steer their work and career into promi....
Transforming the HIM Milieu for the Digital Age
Author: Luthi-Terry, Stephanie
Source: Journal of AHIMA
Publication Date: January 2013
Healthcare system Allina Health is leveraging their groundbreaking electronic health record system to revamp the health information management (HIM) department and its various functions. The goal is to make HIM more effective and efficient in the digital age, which they are accomplishing i....
Identity Crisis: Organizations are Implementing Medical Identity Theft Teams to Combat Rising Incidents
Author: Bowe, Robin
Source: Journal of AHIMA
Publication Date: January 2013
Copyright © 2012 by Kern Medical Center, County of Kern, CA. All rights reserved. Printed with permission.
Medical identity theft is a growing concern for healthcare providers and healthcare consumers. Defined under the Fair and Accurate Credit Transaction Act of 2003 as....
Believe in HIM, and Yourself
Author: Frawley, Kathleen A.
Source: Journal of AHIMA
Publication Date: January 2013
During the past year Patty Thierry Sheridan, AHIMA’s past president, spoke eloquently about the power of dreaming big dreams. I am going to build on those ideas this year by talking about the importance of believing.
It is important that you believe in yourself, believe....
2013: The Road Ahead: A Big Year Awaits HIM Professionals
Author: Gordon, Lynne Thomas
Source: Journal of AHIMA
Publication Date: January 2013
Starting a new year is like starting a long journey. Before I set out, I want to make sure I have a plan. What’s the destination? Where’s the map? What provisions will we need? How will we get started?
Similar questions came to mind as I read this month’s co....
Holistic Coding Requires Amped Up Clinical Documentation
Author: Alonso, Paula; Love, Tammy R.
Source: Journal of AHIMA
Publication Date: January 2013
Accurately coded data does more than just provide the mechanism for appropriate reimbursement. It also tells the story of the patient, the complexity of the patient’s case, and reflects the care provided to the patient. This growing trend of “holistic coding” seems to be....
CPT Code Updates for 2013
Author: Miller, Jackie
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2013
The CPT code set has undergone extensive revisions for 2013, with codes, guidelines, and modifiers being revamped and updated. HIM coding professionals should download and review the CPT 2013 errata on the AMA website before starting to use the new codes. This download can be accessed at w....
Understanding the HIE Landscape
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2013
The health information exchange (HIE) landscape has changed dramatically since HIE and the Nationwide Health Information Network (NwHIN) was first conceptualized in 2001. The National Committee on Vital and Health Statistics (NCVHS) published recommendations in 2001 on nationwide electronic hea....
‘e’-Experience Required: Demand Growing for EHR Expertise
Author: AHIMA
Source: Journal of AHIMA
Publication Date: January 2013
Experience working with electronic health record (EHR) systems is growing in demand, and healthcare facilities in some areas of the country are having a tough time finding employees qualified to fill open EHR-focused positions, according to recruiting and business intelligence organization Want....
Using CDI to Meet Federal Quality Measures
Author: Wiedemann, Lou Ann
Source: Journal of AHIMA
Publication Date: January 2013
Clinical documentation is the foundation of every health record, specifically outlining the reasons for treatment and the quality of care provided to the patient. The lack of consistent and standard clinical content within the health record has been an ongoing challenge to health informati....
ICD-10 Essential for Healthcare Registries
Author: Ruhl, Jennifer L; Zumar, Wendy
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2013
When ICD-10-CM is officially implemented, its code set will not only be used for primary care purposes but also as an invaluable secondary data source used by many types of healthcare registries in the US. A registry can be defined as “an organized system that uses observational stud....
Ten Practices for Health IT Strategic Planning
Author: Gattadahalli, Satish
Source: Journal of AHIMA - website
Publication Date: January 2013
Healthcare and health information technology (health IT) are undergoing transformative change at an unprecedented pace. Strategic planning has become a major discussion point among CIOs, CTOs, CMIOs, and IT Directors. Whether it is implementing enterprise-wide elec....
Opportunities for HIM Involvement in the HIE Landscape
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: January 01, 2013
Accurate patient identification and successful linking of electronic records is highly dependent on the accuracy of key demographic data. There are three different events that must occur in order to maintain patient identity data integrity.
....
Bringing Information Governance to the Healthcare Realm
Author: Zender, Anne
Source: Journal of AHIMA - website
Publication Date: November 2012
Today, healthcare organizations are investing in information technology (IT) at unprecedented rates. And IT is generating more data-of all kinds-than ever before. What’s needed now, says Linda Kloss, RHIA, FAHIMA, is for healthcare organizations to invest in ways to manage, control, and under....
Anatomy of a Physician Coder: Small, medium, and large physician practices all feature these multi-tasking, multi-responsibility coders
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: November 2012
An analysis of the “physician coder” anatomy would reveal a cornucopia of responsibilities nestled under this one succinct title.
They are equal parts clinical documentation improvement specialist, office manager, patient counselor, physician process tracker, coder... the list goes....
Using Medical Scribes in a Physician Practice
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: November 2012
With the push to develop and deploy electronic health records (EHRs) and the need for more detailed documentation, there is a growing concern in the medical community regarding the time expended to capture information-electronic or otherwise. The time providers spend during a patient visit capt....
Working Together: HIM Collaborating with Physicians on ICD-10
Author: McKnight, Wanda G; Madden, Angie
Source: Journal of AHIMA
Publication Date: November 2012
Tennessee HIM professionals have worked for years to build positive relationships with physicians. ICD-10 offers another chance for collaboration.
Healthcare is inherently a stressful, fast-paced, and diverse industry. Naturally there will be times where different heal....
What Physicians Want in an EHR: Physician Practices have been Ignored by Health IT Vendors—Until Now
Author: Butterfield, Blair
Source: Journal of AHIMA
Publication Date: November 2012
Physician practices have made great strides in the last several years toward adopting EHRs, but even in the era of the HITECH Act and the “meaningful use” EHR Incentive Program, a large percentage of practices continue to drag their feet. Cost is certainly a factor for many practices, as is t....
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