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HIM Can Play a Role in Price Transparency

Author: AHIMA

Source: Journal of AHIMA

Publication Date: February 2019


While a lot has been done to fight some of the biggest inequities in healthcare—such as higher premiums or insurance denials for pre-existing conditions—some mysteries of the system remain impenetrable for consumers. Chief among those is price transparency and the quagmire that must be navigate....

Digital Assistants Record First Privacy Breaches

Author: AHIMA

Source: Journal of AHIMA

Publication Date: March 2019

Incidents Create Questions About the Emerging Tech’s Use in Healthcare


Unquestionably, artificial intelligence (AI) is destined to revolutionize healthcare. It’s also highly likely that in the near future, lawmakers in the United States will pursue legislation to strengthen privacy law....

When Bedside Manner is Conveyed Through a Screen

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2019


If medicine is also an art and not just a science—as physicians who argue that each patient requires a different approach assert—then it’s hard to understand the rationale that led a California hospital to deliver end-of-life treatment plans via telemedicine “robots.”1


As several....

Health Information Management and Litigation: How the Two Meet

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2019


Editor’s Note: This Practice Brief supersedes the November-December 2013 “E-Discovery Litigation and Regulatory Investigation Response Planning: Crucial Components of Your Organization’s Information and Data Governance Processes” and October 2005 “Legal Process and Electronic Health Record....

Three Ways Analytics Optimizes Health Outcomes

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


By Valerie Watzlaf, PhD, MPH, RHIA, FAHIMA


Over the summer I was fortunate to participate in several conferences. I was both honored to be involved and enthralled at the expertise of all of the individuals who participated and presented.


Data is powerful. Data litera....

A Time to Be Bold

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


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


HIM professionals are well aware of the work involved in matching patients to their unique records. Mismatched records can cost us time, lead to frustration, and cause headaches and dissatisfaction for patients and provide....

Appendix D: Qualitative Productivity Tool Example

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


Productivity expectations can be both qualitative and quantitative. Qualitative productivity is measuring the quality of the work being performed. This is typically measured by performing audits of the CDI professional’s work and then assigning a numeric value so it can be measured (see e....

Appendix C: Ongoing Education Plan

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


An annual plan for ongoing education can be developed and started at the beginning of each calendar or fiscal year, or with the annual employee evaluation. The manager of the CDI team or designee can be required to ensure each education topic is offered to the employee during the year. It is im....

Appendix A: Key Points in Developing a CDI Program

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019

Recruitment Best Practices


Create a culture where great employees want to work

Consider the candidate’s cultural compatibility, leadership skills, communication skills, and intellectual ability

Consider all candidate streams when recruiting both internally an....

Appendix B: Orientation for New CDI Professionals

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2019


Orientation for new clinical documentation professionals should include the nuances involved in diagnosis, procedure, inpatient prospective payment systems (IPPS), and outpatient prospective payment systems (OPPS) capture. Some of these topics include concepts such as major diagnostic categorie....

Comcast Eyes Home Health Monitoring

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2019


A couple years ago, Saturday Night Live spoofed how senior citizens use automated home assistant products such as Amazon’s Echo by imagining a fictional product called Amazon Echo Silver—a device designed to help forgetful, hard of hearing seniors manage activities like turning up the thermosta....

Definition, History, and Use of the Problem List

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2019


The problem list was first defined and created by Lawrence Weed in the 1960s at a time when care continuity was its primary purpose. Problem lists have become more widely used as a basis for problem-oriented charting, a methodology for clinical documentation embraced by many in the medical esta....

Paper Workaround Defeats EHRs’ Purpose

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2019


In research findings that should surprise very few health information management (HIM) professionals, attending physicians and the colleagues they conduct morning rounds with think electronic health records (EHRs) aren’t well suited for rounding in patient rooms. Their disdain for this now perv....

Using CC/MCC Capture Rates as a Key Performance Indicator

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2019


The goal of this Practice Brief is to provide an explanation of the complication/comorbid condition and major complication/comorbid condition (CC/MCC) capture rate, review the calculation, and introduce the uses of this key performance indicator (KPI) by different functions of the mid-revenue c....

Modifications to ICD-10-CM/PCS Under Review

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: February 2014

The ICD-9-CM Coordination and Maintenance (C&M) Committee, a public forum on ICD-9-CM and ICD-10-CM/PCS code updates, met in September 2013. Meetings of this committee are co-chaired by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS). Coding proposals are presented at these meetings and the public is given the opportunity to comment. No final decisions regarding the adoption of code proposals are made at the meetings, but are made by the director of NCHS and the administrator of CMS.

RAC Reform Awaits Government Action

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: November 2013



Although the First session of the 113th Congress is coming to a close, plenty of work remains for the members of Congress to accomplish in the coming year. AHIMA has worked closely with federal legislators to raise awareness on key initiatives that affect health information management (HIM....

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.

New Coordinator Shapes Direction of ONC

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: October 2014



Karen Desalvo, MD, MPH, MSc, believes it’s time to shake things up a little at the Office of the National Coordinator for Health IT (ONC). DeSalvo, who previously served as the New Orleans city health commissioner and senior health policy advisor to Mayor Mitch Landrieu, began her appoint....

Health IT Standards Committee Takes On Patient-Generated Health Data

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: March 2014

Efforts from the Office of the National Coordinator for Health IT (ONC) in the area of patient-generated health data began in 2011. With mobile health on the rise and the “meaningful use” EHR Incentive Program progressing throughout the US healthcare system, these efforts continue to grow in importance to the future of healthcare and health information.

CMS Rule Allows CEHRT Flexibility

Author: AHIMA Advocacy and Policy Team

Source: Journal of AHIMA

Publication Date: November 2014



On August 29, 2014, the Department of Health and Human Services (HHS) published a final rule that provides flexibility on how providers use certified electronic health record technology (CEHRT) and qualify for attestation to the “meaningful use” EHR Incentive Program for the 2014 reportin....

Quest for Quality and Comparability in the National Healthcare Database: Announcing A Payer’s Guide to Health Care Data Quality and Integrity

Author: AHIMA Coding Policy and Strategy Committee

Source: Journal of AHIMA - Coding Notes

Publication Date: September 1996


As the computer-based patient record slowly becomes a reality, the need has never been greater for a national cooperative effort to recognize and apply uniform terminology and coding guidelines for both the clinical community and fiscal intermediaries. AHIMA’s Coding Policy and Strategy Commit....

Health Information Management: Professional Definition

Author: AHIMA Committee on Professional Definition (1999); AHIMA Committee on Professional Definition (2000)

Source: Journal of AHIMA

Publication Date: April 2001




Health information management improves the quality of healthcare by insuring that the best information is available to make any healthcare decision. Health information management professionals manage healthcare data and information resources. The profession encompasses services in pl....

Your Job in the E-health Era

Author: AHIMA E-Health Task Force

Source: Journal of AHIMA

Publication Date: June 2002



Are you ready to work in the e-health era? This excerpt from “Report on the Roles and Functions of E-health Information Management,” a recent white paper by AHIMA’s E-health Task Force, describes the many skills HIM professionals already have that can easily translate to....

Assessing and Improving EHR Data Quality: Model for Implementing an EHR Documentation Improvement Process

Author: AHIMA e-HIM Work Group on Assessing and Improving Healthcare Data Quality in the EHR

Source: Journal of AHIMA

Publication Date: March 2007


Improving data quality in an electronic healthcare environment requires a greater focus on standardized documentation procedures. With an EHR, the need to evaluate and improve healthcare data quality through concurrent assessment, data collection monitoring, and ongoing process improvement requ....

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