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Role of HIM in MACRA

Author: Primeau, Debra

Source: Journal of AHIMA - website

Publication Date: December 01, 2016




As providers gear up to meet reporting requirements under the Medicare Access and CHIP Reauthorization Act’s (MACRA’s) new Quality Payment Program (QPP), health information management (HIM) stands to play a prominent role in the transition to value-based care.


Success un....

Coding Viral Sepsis

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: November 10, 2016




How to code viral sepsis has been a topic of discussion on AHIMA’s Engage Coding, Classification and Reimbursement community, and has be the subject of several inquiries to AHIMA’s Code-CheckTM coding question service.


The viral sepsis coding confusion may com....

Standardizing Interoperability is a Team Effort

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: November 2016



AHIMA and other key stakeholders continue to drive national and global progress to achieve information systems interoperability in healthcare.


Like a complex puzzle, health information data and system interoperability takes time, effort, and collaboration to solve. And solvin....

Departing Board Members, Thank You for Your Service

Author: Martin, Melissa

Source: Journal of AHIMA

Publication Date: November 2016



It is hard to believe that I am writing my final Journal of AHIMA column as the president/chair of your AHIMA Board of Directors.


As I sit down to write this column, I recall Patty Sheridan, former AHIMA president/chair, saying in 2012 that there is no way to wrap everythi....

FY 2017 Updates to ICD-10-PCS

Author: Ward, Maria

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

Publication Date: November 2016



Many changes come with the first update of the new ICD-10 Procedure Coding System (ICD-10-PCS) for fiscal year (FY) 2017. The higher-than-usual volume of changes was to be expected since the update system has been in a holding pattern for several years due to implementation delays. And al....

FY 2017 Updates to ICD-10-CM

Author: Rugg, Donna

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

Publication Date: November 2016



The ICD-10 Coordination and Maintenance Committee’s code freeze, first implemented after the October 1, 2011 annual update, has finally thawed. For fiscal year (FY) 2017 the ICD-10-CM classification is back on track with annual code and guideline updates. Due to the thousands of new/....

Information Governance Road Map: Mile Marker 4–Demonstrating the Value of Clinical, Financial, and Administrative Information to IG

Author: Downing, Katherine

Source: Journal of AHIMA

Publication Date: November 2016



Editor’s Note: This is the eighth and final article in a series that provides a road map for implementing an information governance (IG) program in any organization. Each month a set of concepts is discussed that tie to the IG Road Map Infographic developed by AHIMA. Any organization....

Let's Talk About Informatics and HIM

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: October 2016



On April 19, 2017, the industry will learn the winner of the HeroX CHIME National Patient ID Challenge, aiming to ensure that every patient is identified correctly every time. As a judge of this competition, I’ve found it fascinating to participate in the process.


I ha....

How to Break Into Analytics and Informatics

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: October 2016



Shawn Wells, RHIT, CHDA, manager of HIM data integrity at the University of Utah Healthcare, put himself on the health information management (HIM) career trajectory that HIM educators dream of using as an example.


Wells, who was also the first person in the state of Utah....

Losing the Match Game: Study Reveals Gaps in HIM’s Patient Identity Integrity Practices

Author: Dooling, Julie A; Fernandes, Lorraine M.; Kirby, Annessa; Kadlec, Lesley; Landsbach, Grant; Lusk, Katherine; Munns, Megan; Noreen, Neysa; O'Connor, Michele

Source: Journal of AHIMA

Publication Date: October 2016



In healthcare, matching patients accurately to their medical history across multiple care sites and among various sources of data has become increasingly important as healthcare data is shared across platforms. Additionally, as clinicians need to interact with third parties and provide car....

Tying Together CDI, ICD-10, and Healthcare Data Analytics: How CDI Programs and ICD-10 Are Impacting Data Analytics—and The Benefits Healthcare Organizations Are Seeing

Author: Bradley, Paul

Source: Journal of AHIMA

Publication Date: October 2016



A year in and ICD-10 is almost approaching the point of old news.


Of course—I’m kidding! Nothing could be further from the truth. From a data analytics perspective, the impact of ICD-10 is only beginning to be realized and understood.


For one, this first year....

Convention Will Showcase HIM's Evolution

Author: Martin, Melissa

Source: Journal of AHIMA

Publication Date: October 2016



October is upon us, and with that comes our annual AHIMA Convention and Exhibit. This is a time when we are inspired to learn about the most transformative topics in health information management (HIM) as well as the healthcare industry.


Over this past year we have seen our....

House of Delegates Year in Review

Author: Delahoussaye, Elizabeth A

Source: Journal of AHIMA

Publication Date: October 2016



This has been a busy and engaging year for the members of the House of Delegates (HoD) as we build on the present and prepare for the future.


For those who may not be familiar with the HoD, it is a grassroots AHIMA member forum that governs the health information managemen....

Copy and Paste Run Amok—EHRs and Malpractice

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: September 2016


As if physicians needed another reason to be wary of electronic health records (EHRs), a new study finds that malpractice claims related to EHR use have risen in accordance with increased EHR adoption.


The study, which was conducted by The Doctors Company, a malpractice insurance....

Bridging the HIM Present and Future

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: September 2016



“What does the future of HIM look like?” We have been asking this question as long as our association has existed. In recent memory, our work to answer this question unfolds from “Vision 2006” to “Reality 2016.” The latest iteration is “HIM Reimagi....

Don't Leave Money on the Table: Mastering MACRA, PQRS, and Value-Based Purchasing: How Quality Coding Impacts Quality Reporting

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: September 2016



Whenever there’s a flashy new piece of consumer technology, there are always holdouts who insist on sticking with the old, more comfortable way of doing things. Consider a grammarian who rejects online dictionaries for a cumbersome hard-bound book. Or the road tripper who prefers their an....

Seat at the Table: Testimony to NCVHS

Author: Martin, Melissa

Source: Journal of AHIMA

Publication Date: September 2016



Back in June I had the opportunity to represent both AHIMA members and the HIM profession while testifying at a National Committee on Vital and Health Statistics (NCVHS) hearing on the need for a better definition of the minimum necessary standards. I would like to share with you some hig....

Winning the Coding Trifecta: CAC, CDI, and ICD-10. How CAC Can Strengthen Your CDI Program and Increase Collaboration with Coding and Quality Improvement

Author: Whittle, Kelly

Source: Journal of AHIMA

Publication Date: September 2016



It’s no surprise that the volume of clinical documentation has multiplied exponentially with the advent of electronic health records (EHRs). Templates, shortcuts, drop-down menus, and copy-and-paste functions make it easier than ever to document copious amounts of data with just a few cli....

Reviewing for Inpatient Quality

Author: Combs, Tammy

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: August 25, 2016



The Hospital Value-Based Purchasing (HVBP) Program has heightened hospital awareness of quality outcomes. Under this program, payments made under the Inpatient Prospective Payment System (IPPS) are based on the quality of care that was provided. Quality of care is recognized through the cl....

DSM-5 vs. ICD-10-CM

Author: Foley, Dianna

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: August 10, 2016




The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) and the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM) both present ways to classify diseases. In the case of DSM-5, it is strictly for mental dis....

Improving Coding and Documentation Quality Through Real-Time Collaboration: Nurses and Coding Professionals Team Up to Tackle Documentation Issues

Author: Horn, Kelli; Younger, Adrienne; Snow, Trevor

Source: Journal of AHIMA

Publication Date: August 2016



While working through the recent implementation of ICD-10, leaders at Ardent Health Services began to focus on the re-bill process and what it would look like in the months following use of the new code set. Re-billing means submitting a corrected bill to the payer after it has been rejec....

Taking Up the Interoperability Mantle

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: August 2016



In May the Office of the National Coordinator for Health IT (ONC) released a Data Brief describing the state of interoperability among non-federal acute care hospitals in 2015.1 The report looks specifically at four “domains” of interoperability: the ability for health systems....

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