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ESI Meets Court Order

Author: Hedges, Ron

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: June 11, 2015



I’ve written for AHIMA on various subjects, including preservation and spoliation of electronically stored information (ESI). This month, I want to ask you to think about both.


To start, consider this premise: The parties to a civil action agreed to an order “on D....

Injection and Infusion Coding Offers High Stakes: Outpatient Coders Must Play Their Cards Right

Author: Flewelling, Charles

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

Publication Date: June 2015



With the consistently rising value of highly skilled outpatient coders, numerous HIM departments are moving to a staffing model that employs coding professionals who are well versed in coding both inpatient and outpatient encounters. Coders in the profession today should possess a mastery....

Voices from the ICD-10 Zeitgeist

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: June 2015


As it starts to appear likely that ICD-10-CM/PCS will finally be implemented this year, prominent advocates for the transition are striking a more optimistic tune in public statements. Overall, the ICD-10 zeitgeist has steadily swung toward an implementation date of October 1, 2015 after years....

Remediating ICD-10 Knowledge Loss: After Delays Push Back Implementation, How Unprepared Will Your Coders Be to Use the New Code Set?

Author: Black, Michelle A

Source: Journal of AHIMA

Publication Date: June 2015



If you don't use it, you lose it. This is true for much of what we learn in life, and it’s particularly true when it comes to ICD-10-CM/PCS. Although most organizations initiated ICD-10 coder training in 2013, many decided to cease training and dual coding practice after the second ICD-10....

Answering the Tough ICD-10 Questions: Coding Experts Offer Tips on How to Make it to October 1, 2015 and Beyond

Author: Hinkle-Azzara, Barbara; Carr, Kimberly J

Source: Journal of AHIMA

Publication Date: June 2015



At a US House of Representatives subcommittee hearing on February 11, lawmakers and stakeholders agreed that the implementation of the ICD-10-CM/PCS code sets should not be further delayed. Moreover, in March the House passed legislation that provides a permanent replacement to the Sustain....

Evolving Role of the Privacy and Security Officer

Author: Bowen, Rita K.

Source: Journal of AHIMA

Publication Date: June 2015



Fifteen years ago, many individuals accepted the role of the privacy officer with a perception that it would be a role involving the education and training of individuals on HIPAA rules and regulations, developing policy, and responding to reported incidents. The security officer was focu....

Final Push to ICD-10 Implementation

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: June 2015



Chills run up and down my spine as I write this article, knowing how hard we have worked as a profession, association, and industry to get to this red letter date for ICD-10-CM/PCS.


Just before I wrote this column, I was on the edge of my seat along with the rest of indust....

Evaluating the Information Governance Principles for Healthcare: Compliance and Availability

Author: Datskovsky, Galina; Hedges, Ron; Empel, Sofia; Washington, Lydia

Source: Journal of AHIMA

Publication Date: June 2015



Editor’s Note: This is the third in a series of four articles that discuss the eight Information Governance Principles for Healthcare.


AHIMA’s new Information Governance Principles for Healthcare (IGPHC) provide a framework for healthcare organizations to leverage informati....

Privacy Holes in the 'Hidden Healthcare System': Students' PHI-laden Education Records that are Stored and Shared Electronically Don’t Have the Same Safeguards as most EHRs

Author: DuBravec, Daniel A; Daigle, Matt

Source: Journal of AHIMA

Publication Date: June 2015



With student safety and privacy an increasing parental concern, school administrators nationwide are sitting on a powder keg of potential backlash because of a gray area of student privacy protections that Julia Lear, senior advisor for the Center of Health and Health Care in Schools at G....

Achieving Health Information Systems Interoperability

Author: Orlova, Anna

Source: Journal of AHIMA

Publication Date: June 2015



With the growing adoption of health information technology (HIT), interoperability—or the sharing of data between systems—has become a topic that everybody in healthcare is talking about. Interoperability impacts every stakeholder in healthcare with each individual party involv....

Paving the Final Steps to ICD-10

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: June 2015



What a difference a year makes.


A year ago, the HIM industry was reeling from an unexpected delay to the implementation of ICD-10. The change was brought on at the last minute, slipped into legislation and passed within a couple of days. The result was a one-year delay of ICD....

Beware the Dark Side of the Web

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: May 2015


Unless they know exactly what to look for, most Internet users wouldn’t know that a “Dark Web” exists or what it is—let alone the potential for harm that can be done with it.


But the dark side of the web is out there, and its proprietors want your medical information.

....

Evolving Practice of Health Informatics

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: May 2015



WHEN I DECIDED to pursue my graduate education in health information management (HIM) and informatics seven years ago, adoption rates for advanced electronic health record (EHR) systems were evolving, data was siloed, and interoperability was far from reality. Organizations were up to the....

Standardization of Standards

Author: Orlova, Anna

Source: Journal of AHIMA

Publication Date: May 2015



In 1898 Yale University graduate Charles Dudley, PhD, looked for a solution to the seemingly intractable problem of building a consensus on standards for industrial materials used on the Pennsylvania Railroad. To sooth the antagonistic attitudes that marred relationships between the Penns....

Why an Informatics Degree Matters

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: April 2015



The HIM Problem


As HIM becomes increasingly data-centric, knowledge of informatics is becoming an essential tool.


Today, it’s hard to identify even one aspect of health information management (HIM) as a profession that isn’t profoundly affected by the use,....

Clearing the HIPAA Cobwebs: New ONC Chief Privacy Officer Lucia Savage Focuses on Balancing Privacy and Security with Expanding Interoperable EHR Exchange

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2015



The spiders of time have been hard at work on the US healthcare privacy and security rules, to the point that their place in health IT interoperability has become fogged and is inhibiting their proper role in the meaningful exchange of health information, according to Lucia Savage, JD, th....

Where to Begin with Cyber Defense

Author: Lewis, Sharon; McDonald, Kevin B

Source: Journal of AHIMA

Publication Date: April 2015



As data is made more readily available through a growing number of public and private channels, understanding the risks is critical. Patients expect organizations to take the steps required to protect their sensitive and personal information as it is being produced, processed, shared, and....

Implementation and Management of Patient Portals

Author: Baldwin, Kevin; Burton, Benjamin W; Cothran, Carey L.; DeMasters, Dana; Grady, Reginald; Halpert, Aviva M.; Hofman, Judi; Kadlec, Lesley; O'Dell, Rosann M; Pearson, Sandra; Deanna, Peterson; Rode, Dan; Rose, Angela Dinh; Schmidt, Peg

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: April 2015


The advancement of technology has changed the practice of medicine. It has evolved the physician-patient relationship from solely a face-to-face interaction into real-time online encounters, from e-mails to virtual appointments. Patient portals represent such a technological advancement, leadi....

Evaluating the Information Governance Principles for Healthcare: Integrity and Protection

Author: Datskovsky, Galina; Hedges, Ron; Empel, Sofia; Washington, Lydia

Source: Journal of AHIMA

Publication Date: April 2015



Editor’s note: This is the second in a series of four articles that discuss the eight Information Governance Principles for Healthcare.


AHIMA’s new Information Governance Principles for Healthcare (IGPHC) provides a framework for healthcare organizations to enhance their ab....

Earning HIM Cred: the CHDA Credential

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: April 2015




As health information management (HIM) professionals find themselves constantly inundated with more data, they will need to update their skills to stay on top of it. And one of the best ways to do just that is by earning AHIMA’s Certified Health Data Analyst (CHDA) credential.

Medical Device Security: Hollywood vs. Reality

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: April 2015




When former Vice President Dick Cheney revealed in 2013 that his heart surgeons modified the settings on his pacemaker to reduce the chances the device could be hacked by terrorists, the headlines were predictably alarmist. Fans of the Showtime hit “Homeland” immediately recognized th....

AHIMA Releases Information Governance Graphic

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: March 2015




For the uninitiated, information governance can be a somewhat abstract concept to explain and visualize. To help health information management (HIM) professionals grasp the importance of information governance—a set of principles designated to better organize and protect healthcare da....

Coding Saint Patrick's Day

Author: Endicott, Melanie

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: March 11, 2015




Saint Patrick’s Day is both a cultural and religious celebration that includes displays of the color green, eating and drinking, and parades. One of the greatest places to celebrate this day, outside of Ireland, is the city of Chicago, where the people go all out for Saint Patrick’s D....

Ready or Not, HIM is Changing: Results of the New HIM Competencies Survey Show Skill Gaps Between Education Levels, Students, and Working Professionals

Author: Sandefer, Ryan; Karl, Ellen Shakespeare

Source: Journal of AHIMA

Publication Date: March 2015



In January 2014, the AHIMA Council for Excellence in Education (CEE) released updated curricular competencies for all accredited academic programs, including those at the associate, baccalaureate, and graduate levels. The curricular competencies were intended to better align education with....

Overview of Health IT Standards

Author: Orlova, Anna

Source: Journal of AHIMA

Publication Date: March 2015



Health IT Standardization is the process of agreeing on standards that allow electronic exchange of data, information, and knowledge between disparate data systems. The goals of standardization are to achieve comparability, compatibility, and interoperability between independent systems; t....

OIG Reveals Top Oversight Priorities for 2015

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: March 2015

OIG's 90-page work plan for fiscal year 2015 (FY15) offers a high-level view of the office's continued monitoring of various HHS programs and initiatives, particularly those designed to ensure the appropriateness of Medicare and Medicaid payments. The work plan also outlines many of the government's activities in FY15 designed to ensure care quality and safety in hospitals and other healthcare settings.

Aligning Strategies for the Future

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: March 2015



At AHIMA's 2014 Annual Convention and Exhibit, held in San Diego, CA, National Coordinator for Health IT Karen DeSalvo, MD, MPH, MSc, announced that the Office of the National Coordinator for Health IT (ONC) was in the process of refreshing its federal health IT strategic plan for the next....

Telehealth, Scrubbing Robots Top Tech Watch List

Author: AHIMA Staff

Source: Journal of AHIMA

Publication Date: March 2015


Health Information Management (HIM) professionals have a notoriously hard time getting folks in the C-suite to take on new health IT projects. But in one area, at least, that's beginning to change. Telehealth (or telemedicine) may have reached the tipping point in seeing a return on investment,....

ICD-10-CM Coding Guidance for Long-Term Care Facilities

Author: Liebner, Carole S; Lowery, Amanda L; Maccariella-Hafey, Patricia C; Usher, Joan L; Ward, Maria; Young, Carol

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: March 2015


Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. Come October 1, 2015, LTC facilities will assign ICD-10-CM codes to capture a resident's clinical conditions.


ICD-10-CM facilitates the collection and....

Making the Shift from Disruptive to Value-Based EHRs

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: March 2015



Despite the fact that "strides have been made in the sharing of information across technology systems and information platforms," according to Karen DeSalvo, MD, MPH, MSc, national coordinator for health IT, I believe that our work has only just begun when it comes to developing a seamles....

ABCs of Health Plan Audits

Author: Crump, Dawn; Hennum, Jeannie

Source: Journal of AHIMA - website

Publication Date: March 2015



The Affordable Care Act (ACA) has a dramatic ripple effect on the healthcare industry—and will continue to create seismic shifts for many years to come. One important change for health information management (HIM) professionals to understand is the impact of ACA on health plan audits. Alre....

Building a Remote CDI Workforce

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: February 2015



The HIM Problem


To improve the efficiency and productivity of its clinical documentation improvement (CDI) program, Baystate Health decided to train CDI specialists to work from home.


The HIM Problem Solvers


Walter Houlihan MBA, RHIA, FAHIMA, direc....

Privacy or Convenience?

Author: AHIMA Staff

Source: Journal of AHIMA

Publication Date: February 2015


The tension between data privacy and consumers’ demand for their health information will become more strained in 2015, a new report predicts. As the number of privacy breaches in the healthcare sector has grown in recent years, so too has the desire of consumers to be one click away from....

Impact of the Transition to ICD-10 on Medicare Inpatient Hospital Payments

Author: Mills, Ronald E; Butler, Rhonda R.; Averill, Richard F.; McCullough, Elizabeth C; Fuller, Richard L; Bao, Mona Z

Source: Journal of AHIMA - website

Publication Date: February 2015



On October 1, 2015, ICD-9-CM is scheduled
to be replaced by the International Classification
of Diseases, Tenth Revision, Clinical
Modification (ICD-10-CM) for reporting
diagnosis data across all sites of service and the
International Classification of Diseases, Tenth

HIM After Retirement: No Needlepoint for These Retirees, Who are Finding New Ways to Contribute to the Profession ... On Their Own Terms

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: February 2015



When Sherry Doggett decided to retire in 2013 after a 30-year career in HIM, the first thing she did was try to figure out how she was going to spend her time. Doggett, who spent her last year of work as the corporate director of transcription at the University of Cincinnati (UC) Academic....

CPT Updates for CY 2015

Author: Buttner, Patty

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

Publication Date: February 2015



On January 1, 2015, the updates to the American Medical Association’s Current Procedural Terminology (CPT) went into effect. The updates include 276 new codes, including three new Category II codes and 39 new Category III codes. There are a total of 129 revised codes and 137 deleted codes....

Metadata Offers Roadmap to Structured Data

Author: Dolezel, Diane

Source: Journal of AHIMA

Publication Date: February 2015



Database metadata provides a valuable roadmap for locating the structured data stored in healthcare databases. However, many electronic health information management (e-HIM) professionals do not possess the necessary basic understandings of where to find the metadata and how to use it afte....

Meeting Evolving Workforce Requirements

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: February 2015



New technology, an evolving regulatory environment, financial pressures, and consolidation in the marketplace have all emerged as factors that are shaping the health information management (HIM) career path. Now is the time to examine the maturity state of the electronic health record (EH....

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