Navigating a Compliant Breach Management Process (2018 Update)
Author: Warner, Diana; Downing, Katherine
Source: Journal of AHIMA
Publication Date: April 2018
This Practice Brief supersedes the June 2014 Practice Brief “Navigating a Compliant Breach Management Process.”
The Health Insurance Portability and Accountability Act (HIPAA) Omnibus Final Rule modifies and clarifies the definition of....
Improving Specificity in ICD-10 Diagnosis Coding
Author: Zegan, Jacquie CCS, RCC
Source: Journal of AHIMA
Publication Date: April 2018
Untitled Document
Valid ICD-10-CM/PCS (ICD-10) codes have been required for claims reporting since October 1, 2015. But ICD-10 diagnosis coding to the correct level of specificity—a more recent requirement—continues to be a problem for many in th....
Privacy: Protection or Obstacle?
Author: Smith, Diann H.
Source: Journal of AHIMA
Publication Date: April 2018
Untitled Document By Diann H. Smith, MS, RHIA, CHP, FAHIMA
As health information management (HIM) professionals, we are privileged to be members of a profession that advocates for healthcare consumers. As a mother, caregiver, and HIM professiona....
Information Governance Addresses Patient Matching Initiatives
Author: Fahy, Kristi; Richter, Lori L
Source: Journal of AHIMA
Publication Date: April 2018
By Kristi Fahy, RHIA, and Lori Richter, MA, RHIA, CPHIT, CPEHR, CHPS
New and existing regulations, legal requirements, population health initiatives, patient care outcomes, and the shift from paper to electronic records have led he....
Opportunity Behind the Headlines
Author: Wiggs Harris, Wylecia
Source: Journal of AHIMA
Publication Date: April 2018
By Wylecia Wiggs Harris, PhD, CAE, chief executive officer
Writing my first column in the Journal of AHIMA, I feel like I’m on solid ground. That’s because the topic for this issue, privacy and security, is a universal concern. It’....
How to Prevent Healthcare Cyber Extortion
Author: Dimick, Chris
Source: Journal of AHIMA
Publication Date: April 2018
By Chris Dimick
Cybercrime may seem like a rare, unlikely risk to some healthcare providers. But the threat is real—and rising—whether a healthcare facility is small or large, rural or urban. According to a January 2018 report comm....
CY 2018 OPPS Update
Author: Sanvik, Gina
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2018
Untitled Document
CY 2018 OPPS Update
By Gina Sanvik, MS, RHIA
Facilities had the ominous task of reviewing the Hospital Outpatient Prospective Payment System (OPPS) final rule at the beginning of the year to ensure their chargemaste....
How to Choose the Right Coding Audit Method
Author: Humbert, Sarah
Source: Journal of AHIMA
Publication Date: March 2018
Untitled Document
How to Choose the Right Coding Audit Method
By Sarah Humbert, RHIA
Healthcare has undergone several major upheavals in the past five years. Many organizations adopted new electronic health record (EHR) technology w....
Attack of the Audits
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: March 2018
Untitled Document
Attack of the Audits
Mounting Reviews Test HIM Policies and Patience
By Lisa A. Eramo, MA
The recent onslaught of audits in the healthcare industry, and the damage they leave in their wake, likely has many....
Using HIM Skills to Lead Enterprise-Wide Projects: An Expert Roundtable
Author: Rose, Angela Dinh
Source: Journal of AHIMA
Publication Date: February 2018
By Angela Rose, MHA, RHIA, CHPS, FAHIMA
From encoders to electronic health records (EHRs), health information management (HIM) professionals are often tasked with enterprise-wide project management including new technologies, changing workflows, and centralized operations. Information techn....
Why Information Governance Means Real Return on Investment (Updated) - Retired
Author: Meehan, Ann M.
Source: Journal of AHIMA
Publication Date: February 2018
Editor’s Note: This Practice Brief supersedes the February 2016 Practice Brief “Why Information Governance Means Real Return on Investment.”
Securing the support of executive leaders for information governance (IG) requires demonstrating how the program enables the organiz....
FY 2018 Changes to Acute Care Hospital IPPS
Author: Rugg, Donna
Source: Journal of AHIMA
Publication Date: February 2018
By Donna Rugg, RHIT, CDIP, CCS
The fiscal year (FY) 2018 Hospital Inpatient Prospective Payment System (IPPS) final rule was released August 3, 2017 and impacted discharges beginning October 1, 2017. This is version 35 of the MS-DRG grouper. The Centers for Medicare and Medicaid Services (C....
MACRA Strategies for 2018 and 2019 (Update)
Author: Marron-Stearns, Michael
Source: Journal of AHIMA
Publication Date: February 2018
By Michael Marron-Stearns, MD, CPC, CFPC
Editor’s Note: This article was originally published in February 2018 and was updated on October 24, 2018 to present the latest information on MACRA.
The Centers for Medicare and Medicaid Services (CMS) Qu....
IG Pulse Check
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: February 2018
New AHIMA Study Measures IG Adoption Rates
By Mary Butler
It’s safe to say that information governance (IG) has moved on from its status as a healthcare buzzword to being understood by healthcare professionals at all levels—even if implementing actual IG initiatives sti....
Industry Making Progress on Information Governance Implementation
Author: Downing, Kathy
Source: Journal of AHIMA
Publication Date: February 2018
By Kathy Downing, MA, RHIA, CHPS, PMP, CPHI, AHIMA vice president of information governance, informatics, standards, privacy and security
In 2013, when AHIMA began to promote the concept of information governance (IG) in healthcare, it was a fairly new concept for most organizations. Over t....
CY 2018 CPT Updates
Author: Comfort, Angie
Source: Journal of AHIMA
Publication Date: February 2018
By Angie Comfort, RHIA, CDIP, CCS, CCS-P
The holidays have come and gone. Now, we must focus our professional attention on what did not “go” with the ringing in of the new year: those 2018 Current Procedural Terminology (CPT) code updates. As is customary for every January 1st,....
Chatbots Moving into Healthcare Registration
Author:
Source: Journal of AHIMA
Publication Date: February 2018
If you’ve ever had a question about your cell phone bill or a dispute with an online retailer, you might have found the least stressful way to solve your problem is by clicking on the “chat with a representative” button. You’re not put on hold, the representative is exceeding....
Resolution ≠ Transformation
Author: Smith, Diann H.
Source: Journal of AHIMA
Publication Date: February 2018
By Diann H. Smith, MS, RHIA, CHP, FAHIMA
The beginning of the year is a great time to reflect on the previous year’s events and to work on setting New Year’s resolutions—personal goals that will improve our lives or careers. It’s a good idea to contemplate what we mi....
Preparing for MACRA with AHIMA’s Information Governance Adoption Model
Author: Downing, Kathy
Source: Journal of AHIMA
Publication Date: February 2018
By Kathy Downing, MA, RHIA, CHPS, PMP, CPHI
Information governance (IG)—the development of an organization-wide framework for managing information throughout its lifecycle and supporting the organization’s strategy, operations, regulatory, legal, risk, and environmental requirem....
The Arrest of a Nurse in Utah and Relevant Laws
Author: Burrington-Brown, Jill
Source: Journal of AHIMA
Publication Date: February 2018
By Jill Burrington-Brown, MS, RHIA, FAHIMA
On July 26, 2017, Alex Wubbels, a nurse in the burn unit at the University of Utah in Salt Lake City, was arrested in an incident that has since been viewed widely on video captured from police body cameras. She refused to let a police phlebotomist....
The Intersection of mHealth and Health Informatics
Author: Houser, Shannon H.; Houser, Howard W.; Puro, Neeraj
Source: Journal of AHIMA
Publication Date: February 2018
By Shannon H. Houser, PhD, MPH, RHIA, FAHIMA; Howard W. Houser, PhD; and Neeraj Puro, MHA
Popular consumer-focused monitoring devices such as Fitbits and smartphones with health data tracking applications are all part of mobile health technology (mHealth). mHealth is a rapidly developing te....
IGgy Awards Recognize Early Progress in Information Governance
Author: Snyder, Karen
Source: Journal of AHIMA
Publication Date: February 2018
By Karen Snyder
As health information management (HIM) professionals increasingly undertake information governance (IG) initiatives in their organizations, there has been an acknowledgment that other organizations learn by example. Adoption of IG is a journey that requires hard work, cross-....
Identity Management Beyond the EHR: The Match Game with the SSA
Author: Simpson, T. Mowe
Source: Journal of AHIMA
Publication Date: February 2018
By T. Mowe Simpson, MS, RHIA, CPHIMS
Children’s HealthSM of Dallas (Children’s Health) is the leading pediatric health system in north Texas and the eighth-largest pediatric healthcare provider in the nation. In the fall of 2012, Children’s Health began to exchange data el....
Inspiring Leadership, Influencing Change
Author: Smith, Diann H.
Source: Journal of AHIMA
Publication Date: January 2018
By Diann H. Smith, MS, RHIA, CHP, FAHIMA
Serving the AHIMA membership as president/chair is a great honor and privilege. I’m humbled that you entrusted me to be your leader at a crucial time in our profession. From the very beginning of my career I was fortunate to have the support, e....
Why Fax Machines Won’t Die in Healthcare
Author:
Source: Journal of AHIMA
Publication Date: January 2018
In an article that likens the fax machine to “the cockroach of American medicine,” Vox explores why, in the midst of the tech revolution, healthcare organizations are still relying on the antiquated fax machine to exchange medical records. Their conclusion is clear—health record sy....
Embarking on the Road of New Beginnings
Author: Lane, Pamela
Source: Journal of AHIMA
Publication Date: January 2018
By Pamela Lane, MS, RHIA, interim chief executive officer
January is the month of new beginnings. It’s a great time to make lists, clean out cabinets, and take stock of what’s ahead of us. Sometimes the road ahead is clear… other times, we need to make educated guesses ab....
Managing Amendments in an HIE Environment
Author: Burns, Janelle; Costello, Stephanie; Lewis, Sharon; Meyer, Melanie; Panzarella, Deanna; Westhafer, Kathy J
Source: Journal of AHIMA
Publication Date: January 2018
Managing Amendments in an HIE Environment
The era of electronic health information has increased the complexity of managing amended protected health information (PHI) and the designated record set (DRS). Historically, changes had to be made to handwritten and transcribed reports and then co....
Eight Predictions for ’18: Experts Prognosticate the Top HIM Topics for the Year Ahead, and Advise on How to Prepare
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: January 2018
By Mary Butler
Conventional wisdom holds that people seek out advice from mystical sources—psychics, tea leaves, astrology, and other forms—when faced with turmoil and chaos. Most of the time it’s less expensive than therapy and you can choose to ignore or take a soothsaye....
Tracking the Journey of Electronic Health Data through Health Information Systems
Author: Ozaydin, Bunyamin; Houser, Shannon H.; Zengul, Ferhat
Source: Journal of AHIMA
Publication Date: January 2018
By Bunyamin Ozaydin, PhD; Shannon H. Houser, PhD, MPH, RHIA, FAHIMA; and Ferhat D. Zengul, PhD
A health information system is any computer system that supports decision-making management in every aspect of the healthcare industry by collecting, processing, storing, and distributing informat....
Curiosity Can Often Kill the Cat in Healthcare
Author: Waugh, Traci
Source: Journal of AHIMA
Publication Date: January 2018
By Traci Waugh, RHIA, CHPS, CHC
“Being inquisitive about other people’s affairs may get you in trouble.”
“Momma always said to mind your business.”
“Curiosity killed the cat.”
There are plenty of well-known, well-worn sayi....
Who Reads Their Doctor’s Notes? Examining the Association between Preconceptions and Accessing Online Clinical Notes
Author: Klein, Jared W.; Jackson, Sara L.; Osteer, Natalia V.; Peacock, Sue; Delbanco, Tom; Walker, Jan; Elmore, Joann G
Source: Journal of AHIMA
Publication Date: January 2018
By Jared W. Klein, MD, MPH; Sara L. Jackson, MD, MPH; Natalia V. Oster, MPH; Sue Peacock, BS; Tom Delbanco, MD; Jan Walker, RN, MBA; and Joann G. Elmore, MD, MPH
Patients who use online portals to review their clinicians’ notes may become more actively involved in their healthcare, bu....
Case Study #11—Using IGAM to Improve Documentation, Coding for TAVR and Structural Heart Procedures
Author: Redd-Hachey, George; Michael, Teresa
Source: Journal of AHIMA
Publication Date: January 2018
By George Redd-Hachey, MSML, CCS, CCDS, CHDA, and Teresa Michael, BA, RHIT
Editor’s Note: This article is the eleventh installment in an ongoing series highlighting information governance case studies.
This case study highlights the use of the Information Governance Adoption....
Bridging the Gap Between Coding Guidelines and Sepsis Clinical Criteria
Author: Sartori, Natalie
Source: Journal of AHIMA
Publication Date: January 2018
By Natalie Sartori, MEd, RHIA
In addition to thousands of new codes, the October 2016 ICD-10-CM update included a new general rule in Section I of the 2017 ICD-10-CM Official Guidelines for Coding and Reporting. The convention I.A.19 specifically states:
“The assign....
New AHIMA Standard for Patient Registration: Aligning HIM Practices with Health IT
Author: Orlova, Anna; Warner, Diana
Source: Journal of AHIMA
Publication Date: January 2018
By Anna Orlova, PhD, and Diana Warner, MS, RHIA, CHPS, FAHIMA
PATIENT MATCHING CONTINUES to be a challenge for successful interoperability, with incorrect patient matching also growing in cost. Patient matching relies on proper registration of a patient by the healthcare facility.1 Tod....
Power Down: Best Practices for Managing and Decommissioning Legacy Systems
Author: Haugen, Mary Beth; Pelot, Jeff
Source: Journal of AHIMA
Publication Date: January 2018
By Mary Beth Haugen, MS, RHIA, and Jeff Pelot, MS
A successful decommissioning project depends upon collaboration, leadership, and retention practices based on an enterprise approach to information governance and management. For organizations that have not established retention policies, be....
Tackling Tough Cases: How to Empower Critical Thinking and Temper Productivity Goals
Author: Humbert, Sarah
Source: Journal of AHIMA
Publication Date: January 2018
By Sarah Humbert, RHIA
By the year 2020, new technological advancements are predicted to occur every 30 seconds.1 This explosion of technology includes the healthcare industry—and with it, clinical coding.
The healthcare industry is already witnessing rapid development o....
Getting to Know You: Patient Matching Efforts Gain Traction in Industry, but Congressional Roadblock Remains
Author: Viola, Allison F.
Source: Journal of AHIMA
Publication Date: December 2017
By Allison Viola, MBA, RHIA
Since congress passed an omnibus appropriations act for fiscal year (FY) 1999, Public Law 105-277, the Department of Health and Human Services (HHS) has been prohibited from spending funds to promulgate or adopt any final standard providing for the assignment of....
FY 2018 Updates to ICD-10-CM
Author: Linder, Karen M
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: November 2017
Fiscal year (FY) 2018 ICD-10-CM updates will keep coding professionals busy with approximately 360 new codes, 142 deletions, and 226 code revisions posted by the National Center for Health Statistics (NCHS) on the Centers for Disease Control and Prevention (CDC) website. Due to the numerou....
Inspire, Innovate, Lead: One Year Later
Author: Chenoweth, Ann
Source: Journal of AHIMA
Publication Date: November 2017
AHIMA’s greatest treasure can be found in the hearts of our members. During this past year serving as your AHIMA President and Board Chair, I’ve been blessed to meet and work with amazing, dedicated health information leaders. I’ve made new friends and enjoyed your gracious hospitality. Yo....
CDI Expanding Beyond the Hospital Walls through Standards
Author: Ewoterai, Okemena; Lusk, Katherine; Orlova, Anna; Young, Donna
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: November 2017
The proverbial comparison of “apples and oranges” is a well-known metaphor in casual conversation and discussion. When talking about expanding clinical documentation improvement (CDI) programs in today’s environment of electronic health records (EHRs) and information governanc....
Fiscal Year 2018 Updates to ICD-10-PCS
Author: Ward, Maria
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: November 2017
Every year as the summer months arrive, coding professionals, healthcare providers, documentation improvement specialists, and other healthcare professionals wait expectantly for the release of all the Centers for Medicare and Medicaid Services (CMS) coding updates. This year is no differe....
HIM’s Role in Telemedicine and Telehealth Technology
Author: Kadlec, Lesley; Buttner, Patty
Source: Journal of AHIMA
Publication Date: November 2017
Informatics, according to AHIMA’s newly developed definition, “is a collaborative activity that involves people, processes, and technologies to produce and use trusted data for better decision making.”1 Health information management (HIM) professionals have an increasing....
AHIMA Convention Highlights Groundbreaking Standards Work
Author: Orlova, Anna
Source: Journal of AHIMA
Publication Date: November 2017
The AHIMA Standards Task Force is a collaborative of over 60 health information management (HIM) professional subject matter experts (SMEs)—all working together to lead national and global standards development for HIM. This groundbreaking work was on full display during last month’s 89th....
Police During Incident: Disobey HIPAA or Go to Jail. Viral Video Serves as Wakeup Call to Privacy Officers
Author: Journal of AHIMA Staff
Source: Journal of AHIMA
Publication Date: November 2017
The viral video of a Utah nurse being forcefully put in the back of an unmarked police car after refusing to let an officer draw blood from an unconscious patient without permission launched a nationwide discussion about patient privacy.
While it’s a conversation that needs to hap....
Standards Benefit Patients and Industry Stakeholders Alike
Author: Lane, Pamela
Source: Journal of AHIMA
Publication Date: November 2017
A large part of my career has been spent working on issues of health information exchange and how we can support the electronic movement of health information. As a result, it’s a subject close to my heart. What I learned from my experience is that health information exchange will on....
Information Governance Case Study #10: Workforce Education
Author: Lusk, Katherine; Hermann, Michelle; Meehan, Ann M.
Source: Journal of AHIMA
Publication Date: November 2017
Editor’s Note: This article is the tenth installment in an ongoing series highlighting information governance case studies.
A key component of an organization-wide information governance (IG) program is ensuring that all staff is educated on the scope and goals of the IG prog....
Providing Nonemployees with Access to an Electronic Health Record
Author: Lucas, Thomas A; Carlson, April M
Source: Journal of AHIMA
Publication Date: November 2017
Healthcare organizations often must provide nonemployees with access to their electronic health records (EHRs) for treatment, payment, and healthcare operations. A wide range of nonemployees may need this access.
Some may work under the organization’s direct control, su....
Bitter ROI Irony: Former ONC HIPAA Rights Advocate Faced Same Frustrating Record Access Challenges as Other Patients
Author: Savage, Lucia
Source: Journal of AHIMA
Publication Date: November 2017
One hallmark of my work as chief privacy officer at the Office of the National Coordinator for Health IT (ONC) was reminding everyone about the individual’s right to get a copy of their own protected health information (PHI) and, since 2009, to download or transmit it directly f....
Health IT Time Out: Where is the US Healthcare System on Interoperability and a Quality Strategy?
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: November 2017
Think about what life would be like if we could occasionally hit pause, taking a “time out” of sorts to process information before acting. Unfortunately, we don’t have that luxury—but that doesn’t mean we shouldn’t reflect on the past before moving forwa....
Standards and Information Governance Share a Symbiotic Relationship
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: November 2017
Two professional dancers can separately practice their portion of a couples routine all they want—but when it comes to creating an artful performance, the two must share a symbiotic relationship in order to succeed. Each individual must bring their respective portion of the dance to....
AHIMA Leading and Influencing International Standards for HIM Practices
Author: Orlova, Anna; Warner, Diana; Reyes, Sheryl
Source: Journal of AHIMA
Publication Date: November 2017
AHIMA has been leading the development of international standards for health information management (HIM) practices at the International Organization for Standardization (ISO)—the world’s largest developer of international standards.
In the AHIMA comments on the....
Understanding User Needs for Interoperability: Collaborative Approach
Author: Bourquard, Karima; Orlova, Anna; Parisot, Charles
Source: Journal of AHIMA
Publication Date: October 2017
AHIMA in collaboration with Integrating the Healthcare Enterprise (IHE) International has been publishing the findings of the Use Case Task Force in a series of articles in the Journal of AHIMA’s Standards Strategies section. The first article in this series, published in the June 20....
EHR Revolt: Provider Ditches Electronic Health Records for Paper
Author: Journal of AHIMA Staff
Source: Journal of AHIMA
Publication Date: October 2017
For the Illinois Pain Institute—which has six separate locations and 70 employees—a unanimous company-wide vote was all it took to put the clinic back on the paper trail after trying electronic health records (EHRs) and deeming them too burdensome.
In a Becker’s....
ICD-10 and Quality Measures: A Dynamic Relationship
Author: Land, Daniel
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2017
Coding professionals are the guardians of the patient’s story; they translate the language of medicine into coded data. The accuracy of this translation is essential for many reasons beyond today’s reimbursement. Coded data is used for clinical decision making, healthcare polic....
Bringing Patients and Their Information Together
Author: Lane, Pamela
Source: Journal of AHIMA
Publication Date: October 2017
In July, AHIMA unveiled the first-of-its kind Patient Request for Health Information Model Form, which you can find online. Developed by two AHIMA practice councils, the form is designed to be a plain-language document that explains to consumers their right to access health information fro....
Advancing HIIM Professionals in Informatics and Data Analytics
Author: Cain, Jeannine Pugh; Clack, Lesley; Flanigan, Jill; Houser, Shannon H.; Kadlec, Lesley; VanSlyke, Daniel; Zeglen, Margie
Source: Journal of AHIMA
Publication Date: October 2017
Health informatics and information management (HIIM) is a rapidly changing profession. Core competencies of fundamental AHIMA certifications, such as the RHIA or RHIT, create a strong foundation for pursuing employment in a variety of high-demand positions. Today’s fast-paced technology l....
Case Study #9: Standardizing Mergers and Acquisitions with IG
Author: Galterio, Louis; Meehan, Ann M.
Source: Journal of AHIMA
Publication Date: October 2017
Editor’s Note: This article is the ninth installment in an ongoing series highlighting information governance case studies.
Any merger or acquisition brings business and financial opportunities and challenges. They also carry technical and operational changes and adjust....
Legacy of the ‘First Lady of HIM’ Lives on through Grace Award: AHIMA Founder Grace Whiting Myers’s Work Set Stage for Award Winners to Thrive in HIM
Author: Land, Daniel
Source: Journal of AHIMA
Publication Date: October 2017
The transient nature of memory is greatly influenced by the passage of time, and successive generations often possess only a vague knowledge of what came before them. Thus is the case of Grace Whiting Myers. Many health information management (HIM) professionals today know little about the....
Coding Discussions about the Elephant in the Room
Author: Davies, Sharon
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2017
One thing is for certain, everyone’s life will end someday. But who wants to broach this uncomfortable subject in a healthcare setting? The patient? The patient’s family? The primary care provider? The hospitalists?
Medicare has recognized the value of this servi....
Busting Bad Medicine: a Call to Action Addressing Healthcare, Fraud, Waste, and Abuse
Author: McWay, Dana C; Kurian, Seena
Source: Journal of AHIMA
Publication Date: October 2017
Incidents involving healthcare fraud, waste, and abuse take place all around the United States, emerging periodically on the front page of numerous newspapers and magazine covers. Such was the case in July 2017 when the US Department of Health and Human Services (HHS) announced its largest....
Data Analytics and Informatics are Two Separate Disciplines (And Why This Matters to HIM)
Author: Clack, Lesley; Houser, Shannon H.; Kadlec, Lesley; Mikaelian, Raymound; Tabisula, Braden; Zeglen, Margie
Source: Journal of AHIMA
Publication Date: October 2017
Integral to this era of paperless electronic health records (EHRs) are the disciplines of data analytics and informatics. The vast volumes of electronic data woven from a multitude of systems, registries, and remote technologies creates promising career opportunities for health data analyt....
Grow as a Manager by Building Strong Relationships
Author: Chenoweth, Ann
Source: Journal of AHIMA
Publication Date: October 2017
The relationships that you form with each of your direct reports are central to your ability to fulfill your three core responsibilities as a manager: Create a culture of feedback, build a cohesive team, and achieve results collaboratively.
But these relationships do not foll....
New Request for Health Information Form Relieving ROI Headaches: Improving Patient Access to Records Currently a Hot Topic in the Healthcare Industry
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: October 2017
Contemporary Americans are not as nomadic as our prehistoric ancestors were—we aren’t subject to the whims of the food chain, following herds of bison across the Great Plains. When we travel we take cross-country road trips and flights for the fun of it, or in search of higher-....
Mining Medical Records: A Case for Artificial Intelligence in Health Systems
Author: Monga, Kapila
Source: Journal of AHIMA
Publication Date: October 2017
According to the Oxford Living Dictionary, artificial intelligence (AI) is “the theory and development of computer systems able to perform tasks that normally require human intelligence, such as visual perception, speech recognition, decision-making and translation between languages.....
House of Delegates 2016 to 2017 Year in Review
Author: Lemery, Chrisann
Source: Journal of AHIMA
Publication Date: October 2017
The 2016-2017 YEAR has been busy and engaging for the members of the House of Delegates (House) as we build on the present and prepare for the future, working to guide the health information management (HIM) profession through its work in the healthcare industry.
The House....
Sharing an EHR Application Across Multiple Organizations
Author: Richter, Lori L
Source: Journal of AHIMA
Publication Date: October 2017
Regulatory developments in the healthcare industry, including the Health Information Technology for Economic and Clinical Health (HITECH) Act, accountable care organization provisions, and the “meaningful use” Electronic Health Record (EHR) Incentive Program, have contributed t....
Life as New Graduate: 8 Things to Know
Author: Miller, Elena
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: September 13, 2017
When I first emerged from school into my life as a new graduate, I had no idea that there was still so much I had to learn. There are eight things in particular that I wish I had known then:
1. Experience is often preferred, not required.
Companies can only hire....
ICD-10-CM/PCS: Two Years and Counting
Author: Comfort, Angie
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: September 2017
The arrival of October 1, 2015 was met with anxiety, alarm, and even terror by many as the healthcare industry braced for what some called “another Y2K-like event”—the ICD-10-CM/PCS implementation. Fast-forward to September 2017, where we have been living in the post-ICD-....
Automation Can Help Manage Complex Privacy and Information Security Compliance
Author: Hofman, Judi
Source: Journal of AHIMA
Publication Date: September 2017
When the Department of Health and Human Services’ (HHS) Office for Civil Rights (OCR) starts to demand evidence of compliance months or years after a privacy or security event, do you ever feel like the evidence of your own investigation is inadequate? Does your evidence now look like some....
How Analytics Can Direct and Improve Clinical Documentation
Author: Czahor, Amy
Source: Journal of AHIMA
Publication Date: September 2017
The ability to analyze and report meaningful clinical data is fast becoming a core career objective and job requirement for clinical documentation improvement (CDI) professionals. Today’s CDI leaders are under increased pressure to promptly provide root cause analysis of CDI program....
Understanding User Needs for Interoperability: Standards for Use Cases in eHealth
Author: Orlova, Anna; Bourquard, Karima; Parisot, Charles
Source: Journal of AHIMA
Publication Date: September 2017
AHIMA, in collaboration with Integrating the Healthcare Enterprise (IHE) International, has been publishing the findings of the Use Case Task Force in a series of articles in the Journal of AHIMA’s Standards Strategies section. The first article in this series, published in the June....
ICD-10-CM Coding for Attention-Deficit/Hyperactivity Disorder (ADHD)
Author: Kostick, Karen M.
Source: Journal of AHIMA
Publication Date: September 2017
Attention-Deficit/Hyperactivity Disorder (ADHD) is a chronic neurobehavioral disorder and often associated with serious areas of impairment and comorbidities over a life span. Physician practice coding professionals are at the forefront to ensure quality ICD-10-CM coded data across a life....
Journalist Uses Medical Records to Investigate What Went Wrong During Child’s Delivery
Author: Journal of AHIMA Staff
Source: Journal of AHIMA
Publication Date: September 2017
After surviving a hospital encounter that nearly led to her own death and that of her unborn child, journalist Joy Victory spent $400 to obtain hard copies of her medical records to make sense of what happened to her.
A healthcare news editor by trade, Victory explained in an inte....
Case Study #8: Standardizing Information Governance Audits at Children’s Health System of Texas
Author: Doupnik, Anita; Lusk, Katherine
Source: Journal of AHIMA
Publication Date: September 2017
Editor’s Note: This is the eighth installment in an ongoing series highlighting information governance case studies.
Auditing in healthcare is an internal and/or external process intended to assess, evaluate, and improve quality of care and services while also ensuring....
Change, Challenge, and Opportunity
Author: Lane, Pamela
Source: Journal of AHIMA
Publication Date: September 2017
Although change can be difficult, it always comes with opportunity. As members of the ever-evolving HIM community, we are uniquely prepared to meet the challenges that come with change as we continue to move toward reaching our profession’s strategic goals.
As interim....
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