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Practice with PCS

Author: AHIMA

Source: Journal of AHIMA

Publication Date: March 2012

This example reviews procedures performed on a patient after he was admitted and diagnosed with coronary artery disease, and provides the ICD-10-PCS codes the hospital's coding staff would assign to the case.

ICD-9-CM’s Final Bow

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2011


On October 1, 2011, ICD-9-CM will get its last close- up. That date marks the final regular update for the veteran code set.

In 2012 ICD-9-CM will receive only limited updates to capture new technologies and diseases. Starting October 1, 2013, it will be relegated to bit parts. The....

Performing a Breach Risk Assessment - Retired

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2013


On August 24, 2009, the US Department of Health and Human Services (HHS) published 45 CFR Parts 160 and 164 Breach Notification for Unsecured Protected Health Information; Interim Final Rule to implement the breach notification provisions of the Health Information Technology for Economic and Cl....

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....

Tracking How Healthcare Professionals See Health Information

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2013


The iPad and its tablet brethren are so 2010, at least according to some tech-obsessed individuals who are now focusing a longing gaze on Google Glass. While the computerized eyewear that can connect to the Internet and remotely access data might leave fashionistas wanting, it has some health e....

Collaboration is Key to Leading Through Transformation

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


I am so inspired by our leaders all across the country. At last year’s CSA Leadership Symposium it was agreed that AHIMA was in a state of decline and that change was needed. It was an amazing moment—one I will never forget an....

New Starts and Transformation Wins

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Wylecia Wiggs Harris, PhD, CAE, chief executive officer


September is a time of new starts. At AHIMA, it’s our busiest time of year as we prepare for our annual conference and a host of other fall and winter activities. It’s also a time to look back on the year: two-....

PHI Hide and Seek: Hidden PHI Carries High Financial Risk

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Ken Reiher, MBA









Ken Reiher, MBA




The Danger of Being Connected

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2019


By Ty Greenhalgh, HCISPP


In 2014, the American Recovery and Reinvestment Act required and incented hospitals to demonstrate “meaningful use” of an electronic health record (EHR). Hospitals, desiring to maintain existing Medicaid and Medicare reimbursement levels and av....

Celebrating 90 Years of AHIMA Conventions

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2018






From its founding era to present day, AHIMA’s signature event has been its annual convention and exhibit. The event has consistently drawn the most talented health information management (HIM) professionals for educational sessions and keynote speakers, sporting ba....

“Alexa, Let’s Schedule Some HIPAA Training”

Author: AHIMA

Source: Journal of AHIMA

Publication Date: October 2018








When a new technology emerges, there’s always a split between the early adopters and their more cautious counterparts. So when it comes to using a digital voice assistant like Amazon’s Echo, Google Home, or Apple’s Siri in a hospital’s intensive care unit (ICU), do....

Appendix B: Query Escalation and Retention

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2018












Whatever the size and structure of the practice, and regardless of who is responsible for the query, general practices for escalation and retention should apply.

Timeframes


A pre-visit review of documentation may be usefu....

Appendix C: Query Examples

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2018











Example #1: Diagnosis is documented but is not clinically validated




Dear Doctor,


COPD exacerbation is documented within the clinic note dated 3/5/xx.


There is no documentation in the current h....

Appendix A: Query Monitoring/Auditing

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2018












Physician practices vary greatly in terms of number of physicians, size of staff, type of setting, management structure, and even whether they have CDI and/or credentialed coding professionals. As the healthcare industry moves toward population....

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