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New, Informed Public

Author: Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: October 1999


The healthcare consumer is emerging as a strong force in today's healthcare industry. On a national level, current efforts for new and improved patients' rights legislation in the wake of complaints about access and rising costs, is placing the patient in a position of strength unlike....

Brief History of ICD-10-PCS

Author: Mullin, Robert L.

Source: Journal of AHIMA - Coding Notes

Publication Date: October 1999


The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed as a replacement for the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) volume 3, Procedures. This version of ICD, in use since J....

Building Collaborative Relationships

Author: Fletcher, Donna M.

Source: Journal of AHIMA

Publication Date: November 1999



Is work "falling through the cracks" between your department and another? Are you not getting information from peers that you need for your job? Is there "friction" between you and your peers? If you answered "yes" to any of these questions, the process of building collaborative re....

XML Makes Its Mark

Author: Sokolowski, Rachael

Source: Journal of AHIMA

Publication Date: November 1999


The advent of managed care and shifting alliances between HMOs, hospitals, and providers has fragmented the industry into separate entities that are highly dependent upon each other for the exchange of patient information. But that information, in the form of a medical record, is on paper—....

HIM Survival: A Y2K Checklist

Author: Holland, Julie A.

Source: Journal of AHIMA

Publication Date: November 1999


What will happen on January 1, 2000? No one really knows for sure, but this is a good time to be prepared. This article highlights some of the issues you'll want to consider before December 31.
It's finally November 1999, and you're confident that you're done.

You've read abou....

Mobilizing to Do Adaptive Work

Author: Fletcher, Donna M.

Source: Journal of AHIMA

Publication Date: November 1999


Can our visionary leaders solve our problems? Sometimes. But more often, the reality is the power to solve problems lies with us. This is the fundamental assumption of the "adaptive work" concept presented in this article—along with some real-life examples of HIM adaptive work in action.....

Congratulations to the 1999 Triumph Award Winners

Author:

Source: Journal of AHIMA

Publication Date: November 1999


Outstanding achievements and contributions to the HIM field head the agenda as AHIMA members honor their colleagues with the 1999 Triumph Awards.

Thanks to the continued support of Lanier Worldwide, Inc., AHIMA is proud to recognize the following special individuals who have....

World of Opportunity: HIM Impact in Ambulatory Care

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: November 1999


Twenty-five years ago, I worked at a 13-physician family practice clinic. My job entailed pulling and assembling charts for patient appointments and phone calls, inserting and maintaining the problem list and laboratory flow sheet, releasing requested health information t....

"Find the Passion"

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: November 1999


Not many children grow up in doctors' lounges, but as a cardiologist's daughter, Bertine Colombo McKenna did. In fact, McKenna, ART, MBA, PhD, called the hospital "home" and knew healthcare would play a role in her future.

Today she's right at home at Vermont's F....

GAO Evaluates Implementation of False Claims Act Guidance

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: November 1999


With the increased attention to healthcare fraud and abuse in recent years, the Department of Justice (DOJ) has been using the False Claims Act to prosecute healthcare providers for practices that, in the past, might have been dealt with by seeking repayment. The damages and penalties....

Vision of Health Information Management in 2010

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: November 1999


Two-thirds of today's health information managers will be in the prime of their careers 10 years from now. But what will the world of work look like? One way to gain an understanding of the future is to create scenarios. Scenarios are literally stories about the future th....

Blueprint for the New Millennium

Author: Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: November 1999


This is the final Journal of AHIMA issue of the 20th century! That a year can pass so quickly marks not just the passing of time, but the significance of how much we can pack into 365 days. It reflects how much knowledge we acquire and how many activities we take on, results we reap,....

Trend Watch: Coding for Nonphysician Services

Author: Hill, Emily

Source: Journal of AHIMA

Publication Date: January 2000


From physician assistants to nurse practitioners, the number of healthcare professionals offering patient care services has increased dramatically in recent years. With this increase comes a challenge to coders—accurately reporting the services provided by these prof....

Using CPT Modifier -25 for Professional Billing

Author: Yoder, Lois M.

Source: Journal of AHIMA

Publication Date: January 2000


You may want to consider a focused review of how your practice assigns CPT modifier -25, "a significant, separately identifiable Evaluation & Management (E&M) service by the same physician on the same day of the procedure or other service."1 The Health Care Financing Admini....

Using Scenario Planning

Author: Fuller, Sandra R.

Source: Journal of AHIMA

Publication Date: January 2000


Do you ever wish you had a crystal ball to see into the future? Are you frustrated when your boss can't give you a straight answer about what is going to happen? Will there be more budget cuts? Will your clinic merge with that integrated delivery system? Should you volunteer to take over regi....

Crystal Ball for Coding

Author: Johns, Merida L.

Source: Journal of AHIMA

Publication Date: January 2000


What will the future of coding look like? A special AHIMA task force has several ideas. What will really happen depends on how coders choose to respond. Here's an overview of the task force's findings, plus suggestions on how readers can make the most of possible career opportunities.
It....

Guarding Against Disclosure

Author:

Source: Journal of AHIMA

Publication Date: January 2000


The Agency for Health Care Policy and Research (AHCPR) is developing "guiding national principles" for assisting institutional review boards (IRB) and similar bodies to protect against the wrongful disclosure of personal health information that could be used to identify patients involved....

E-commerce and HIM: Ready or Not, Here It Comes

Author: McLendon, Kelly

Source: Journal of AHIMA

Publication Date: January 2000


It's a big thing, this e-commerce revolution. The Internet has changed the way the world conducts business and many agree its influence will only grow more pervasive. HIM will not remain on the sidelines; it will certainly be drawn into the fray. What Is E-commerce?

E-commerce is a e....

Off-Site Coding Success Story

Author: Kramer, Lynette; Meeks, Richard

Source: Journal of AHIMA

Publication Date: January 2000


If you asked HIM professionals about key success factors that substantially impact timely and accurate coding, three of the most common answers might be:
availability of the record immediately after the patient visit
availability of the complete record....

Global Language for Pharmaceutical Regulation

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: January 2000


What will facilitate medical product regulation and related electronic data interchange worldwide? For some regulatory authorities, the answer is the Medical Dictionary for Drug Regulatory Affairs—also known as MedDRA.

MedDRA (the name is a trademark of the International Federat....

Implementing an Electronic Imaging System

Author: Graham, Debra

Source: Journal of AHIMA

Publication Date: February 2000


More and more is being seen and heard about the computerized patient record (CPR). The desire to embrace this new technology is often checked by fear of such a project's magnitude. A myriad of questions regarding computer literacy suddenly emerge: Do I, or anyone in my department, really under....

Steering Quality Improvement in Healthcare

Author: Schoenfelt, Suzanne

Source: Journal of AHIMA

Publication Date: February 2000


"Quality" is a multi-industry buzzword, but what does it really mean in today's healthcare climate? We asked the experts for their views on the state of quality improvement in healthcare and what lies in store for HIM professionals as QI evolves.
For decades, healthcare has concerned its....

Holistic Approach to Health Information

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: February 2000


Yolanda Malone, RHIA, can trace her career path back to an HIM professor's advice. "When I was looking for a job out of school, a professor told me to look at anything related to HIM," says Malone. Don't limit yourself, her professor told her. "And that's why I am wher....

On the Line: Professional Practice Solutions (2/00)

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: February 2000


Q: The ambulatory care facility where I work is considering implementing an electronic signature process. Is the use of electronic signature acceptable in ambulatory care? Also, what guidelines for this are available?

Q: What Internet security guidelines are available?
<....

Education Accreditation Gets Streamlined

Author: Wallace, Susan

Source: Journal of AHIMA

Publication Date: February 2000


Healthcare organization accreditation is a fact of life. But did you know that HIM educational programs get accredited, too? Here's how the educational accreditation process is streamlining with the times.
HIM professionals are well aware of the process of accr....

Toward a Web-enabled HIM Profession

Author: Skurka, Margaret A.

Source: Journal of AHIMA

Publication Date: February 2000


I begin this month's column with three questions: Do you have access to the Internet? Do you use it as a tool in your work? Are you regularly using the professional development information on AHIMA's Web site? If your answer to any of these questions is "no," I urge you to ....

Dual Accreditation Presents Challenges, Opportunities

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: February 2000


While most HIM professionals are acquainted with participating in a facility's Joint Commission accreditation processes, a small but significant number work in facilities that are also accredited by the American Osteopathic Association (AOA). Though the organizations have....

Mastering the Information Management Standards

Author: Clark, Jean S.

Source: Journal of AHIMA

Publication Date: February 2000


For HIM professionals working at organizations surveyed by the Joint Commission on Accreditation of Healthcare Organizations, the information management standards are critical. Here's an overview of the key points and top issues surveyors look for.
Whether you work in acute, long term, h....

Demystifying Nonphysician Practitioner Billing

Author: Lich, Denisha

Source: Journal of AHIMA

Publication Date: February 2000


To address today's financial challenges, healthcare facilities are increasing their use of nonphysician practitioners, such as nurse practitioners, clinical nurse specialists, and physician assistants, to provide patient care. As a result, providers need to pay close attention to the employmen....

Intranets: A Way to Connect

Author: Thieleman, William; Postal, Susan

Source: Journal of AHIMA

Publication Date: March 2000


The uses of the Internet are well known, but companywide intranets are popular as well. In this article, two HIM professionals share how their organizations are putting the power of intranets to work for training, communicating, and more. An Intranet in the Healthcare Environm....

HCFA Eyes Nursing Homes

Author:

Source: Journal of AHIMA

Publication Date: March 2000


HCFA Administrator Nancy-Ann DeParle announced immediate actions developed by the Clinton administration to ensure quality care in nursing homes. According to the announcement, HCFA has: instructed states to impose immediate sanctions, such as fines, against nursing homes in more situatio....

Web-based Education Cuts Training Time, Saves Money

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: March 2000


Where does continuing education fit between a full-time job and the rest of your life? Increasingly, the answer is online. In many fields, Web-based education is rapidly becoming a popular alternative to traditional, instructor-led education. The Cleveland Clinic offers c....

Ensuring Compliance in the New Frontier

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: March 2000


Consumers go to healthcare Web sites to get information, keep track of their health, or connect with others. Behind the scenes at one such site, Barbara Demster, MS, RHIA, is working to make sure everything is legal.

Demster is corporate compliance officer for Healtheon/ W....

Don't Wish for It, Work for It

Author:

Source: Journal of AHIMA

Publication Date: March 2000


Your accomplishments in your career and in your personal life have been possible because you've worked for them—not just wished for them. The same can be said about AHIMA as we've accomplished agenda and vision items over the past years.

We have numerous goals for 200....

Resolving Confidentiality Barriers in Research Data Collection

Author: Houser, Shannon H.; Engle, Molly; Schumacher, Joseph E; Caldwell, Ellen; Kohler, Connie L; Phelan, Sharon T; Raczynski, James M; Reynolds, Kim D

Source: Journal of AHIMA

Publication Date: March 2000


How can HIM professionals ensure data collection consistency without access to earlier records? When protecting patient anonymity posed a challenge in a research study, HIM professionals took a team approach to abstracting records that maintained quality without compromising confidentiality.

AHIMA Comments on Privacy Rule

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: March 2000


On January 18, 2000, AHIMA submitted comments to the Department of Health and Human Services (HHS) on the proposed rule for 45 Code of Federal Regulations (CFR), Parts 160 through 164: "Standards for Privacy of Individually Identifiable Health Information." The proposed rule....

For Health Records on the Internet, the Future Is Now

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: March 2000


One of the Journal's editorial goals is to blend practical information that readers can use to improve practice today with topics that foretell future trends. The theme for this month's focus articles defies such neat classification. Health records on the Internet are undoubtedly the f....

Tracking HIV, Maintaining Confidentiality

Author:

Source: Journal of AHIMA

Publication Date: March 2000


In an effort to track the spread of HIV, the Centers for Disease Control and Prevention (CDC) released guidelines to assist states in collecting data on the disease. By using the names of patients who test positive for HIV or unique identifying codes, the CDC hopes to better track the ....

Online Security an FTC Issue

Author:

Source: Journal of AHIMA

Publication Date: April 2000


The Federal Trade Commission (FTC) has established the FTC Advisory Committee on Online Access and Security to "provide advice and recommendations to the Commission regarding implementation of fair information practices by domestic commercial Web sites—specifically, providing on....

IOM Report Examines Medical Errors

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: April 2000


Estimates attribute between 44,000 to 98,000 deaths each year to medical errors in hospitals, while more than 7,000 deaths are the result of medication errors occurring in all healthcare settings. According to the Institute of Medicine (IOM) report "To Err is Human: Building a Saf....

Boosting Efficiency in Home Health Record Systems

Author: Abraham, Prinny

Source: Journal of AHIMA

Publication Date: April 2000


The growing pains of the past decade have led to medical record backlogs and record retrieval crises for many home healthcare agencies. These problems have pushed more than one agency director into enlisting the skills of an HIM professional to evaluate the medical record systems in pl....

Taking the Lead in Compliance Education

Author: Manning, Susan C.

Source: Journal of AHIMA

Publication Date: April 2000


Voluntarily developed and implemented compliance programs for the healthcare industry are the continual goal of the Office of the Inspector General (OIG) of the Department of Health and Human Services. The OIG recognizes that when a healthcare provider establishes an effective compliance plan....

Are We Ready for Portable Healthcare?

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: April 2000


The portable PC market has been around for years, but early users had to put up with heavy machines, brief battery usage times, and quirky keyboards. Today, with high-capacity hard drives, Pentium chips, and corporate information systems support for palmtop, laptop, and notebook users,....

Guidelines for a 'Win-Win' Vendor Relationship

Author: Pavoni, Mary Mike

Source: Journal of AHIMA

Publication Date: April 2000


For some HIM managers, contracting with a vendor is their only external business relationship. The ideal outcome of the sale and purchase process requires both parties to commit to the success of the effort. If the HIM manager approaches a vendor with a "convince me I need this&qu....

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