4020 results.
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Ensuring Security of High-Risk Information in EHRs
Author: AHIMA e-HIM Work Group on Security of Personal Health Information
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2008
This practice brief has been retired. It is made available for historical purposes only.
Legal Process and Electronic Health Records
Author: AHIMA e-HIM Work Group on the Legal Health Record
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2005
The custodian of an electronic health record (EHR) has the same concerns as the custodian of a paper health record when the record becomes involved in the legal process. Most often this occurs in some form of lawsuit in which a party seeks to discover and introduce evidence from the record. The....
Update: Guidelines for Defining the Legal Health Record for Disclosure Purposes
Author: AHIMA e-HIM Work Group on the Legal Health Record
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2005
This practice brief has been retired. It is made available for historical purposes only.
RFP Process for EHR Systems
Author: AHIMA e-HIM Work Group on the RFP Process for EHR Systems
Source: AHIMA practice brief | Journal of AHIMA | AHIMA Task Force
Publication Date: June 2007
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Planning Organizational Transition to ICD-10-CM/PCS
Author: AHIMA e-HIM Work Group on the Transition to ICD-10-CM/PCS
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2009
This practice brief has been retired. It is made available for historical purposes only.
Transitioning ICD-10-CM/PCS Data Management Processes
Author: AHIMA e-HIM Work Group on the Transition to ICD-10-CM/PCS
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2009
This practice brief has been retired. It is made available for historical purposes only.
Developing a Legal Health Record Policy
Author: AHIMA EHR Practice Council
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2007
This practice brief has been retired. It is made available for historical purposes only.
Improving the Quality of Healthcare Data (Resolution)
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Background Information
The healthcare industry is undergoing extraordinary change. Technology is rapidly changing how health information is managed. The HIM profession, at the crossroads of healthcare and information management, is profoundly affected by all these changes. Consequ....
Certification Title Name Change of RRA to RHIA and ART to RHIT
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 2000
Background Information
Throughout its history, AHIMA has responded to industry dynamics with corresponding changes to its name and certification titles. The Association of Record Librarians of North America became the American Association of Medical Record Librarians. The Register....
Establishing a Fellowship Program
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 2000
Background Information
The concept of advanced standingrecognition such as fellowship for individuals with substantial professional achievementshas been discussed by AHIMA volunteer leaders for many years. Delegates at the 1997 House of Delegates expressed interest in....
Access: the Missing HIM Practice Element (Resolution)
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Resolution from the 1997 House of Delegates
Health and Well-being of Professional Education in Health Information Management (Resolution)
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 2001
Background Information
AHIMA has, since its inception, recognized the importance of education in fostering the profession.
Throughout its history, AHIMA's educational programs have continually faced a core set of challenges in sustaining program viability.
Trends a....
AHIMA's Directional Strategies: Values, Vision, and Mission (Resolution
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Background Information
Associations exist to serve the goals of its members who are its community of interest. Unlike the private sector, associations have no stockholders. Its customers are its owners and its owners are its customers. An association's strategic frameworkits....
Advocating for Quality Documentation and Adherence to Official Coding Guidelines
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Background
In August 1996, the Health Insurance Portability and Accountability Act (HIPAA) [Public Law 104-191] established the infrastructure and funding for federal fraud and abuse efforts. This legislation authorizes the appropriation of $104 million in 1997, with increases in....
Embracing Lifelong Learning: The Guiding Principles for Professional Development (Resolution)
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
[Note: an updated House of Delegates resolution on lifelong learning was passed in 2004 and is available here.]
Background Information
In 1996, AHIMA's House of Delegates adopted Vision 2006 as the strategic direction for the profession:
"Resolved, That....
Managing the Master Patient Index in an Integrated Delivery System (Resolution)
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Resolution from the 1997 House of Delegates
Bringing Vision 2006 into Focus: Strategic Options for Education, Certification, and Professional Development (Resolution)
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Background
In 1996, AHIMA's House of Delegates adopted Vision 2006 as its strategy for moving the health information management profession into the future:
"Resolved, That the American Health Information Management Association and its component organizations and....
Advocating for Unique Healthcare Identification (Resolution)
Author: AHIMA House of Delegates
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Resolution from the 1997 House of Delegates:
Advocating for Unique Healthcare Identification
Background Information
During the past few decades, many technological advances in healthcare have occurred. Despite this, the typical health record has not changed significan....
Transitioning to ICD-10-CM/PCS— An Academic Timeline
Author: AHIMA ICD-10-CM/PCS Academic Transition Workgroup
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2009
The content in this practice brief has been retired. It is made available for historical purposes only. More recent information is available here.
Managing the Security of Information (Resolution)
Author: AHIMA Information Security Task Force
Source: Journal of AHIMA | AHIMA HoD Resolution
Publication Date: January 1998
Resolution from the 1997 House of Delegates
Converging Roads of HIM and Managed Care
Author: AHIMA Managed Care Task Force
Source: Journal of AHIMA
Publication Date: April 1999
The authors explore the definition of managed care and how the health information manager's skills apply to a managed care setting. In addition, HIM professionals who have made the transition to the managed care setting share their experiences.
What is managed....
Building an Enterprise Master Person Index
Author: AHIMA MPI Task Force
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2004
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Defining the Personal Health Information Management Role
Author: AHIMA Personal Health Record Practice Council
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2008
This practice brief has been retired. It is made available for historical purposes only.
Helping Consumers Select PHRs: Questions and Considerations for Navigating an Emerging Market
Author: AHIMA Personal Health Record Practice Council
Source: Journal of AHIMA
Publication Date: November 2006
HIM professionals can help consumers evaluate the multiplying choices in personal health records and select the one that's best for them.
Consumers are taking a more active role in their healthcare. They are paying a larger portion for services, reviewing provider quality throug....
Managing Existing Patient Records in the Transition to EHRs in Physician Practices
Author: AHIMA Physician Practice Council
Source: Journal of AHIMA
Publication Date: June 2010
Arguably, the greatest challenge for a medical practice implementing an electronic health record (EHR) system is change. Setting up new software and hardware is typically easier than disrupting and reconfiguring the practice’s processes and determining how to handle its existing paper records.....
Carrying Advocacy Efforts from Capitol Hill to the Community
Author: AHIMA Policy and Government Relations Team
Source: Journal of AHIMA
Publication Date: October 2013
This continues to be a busy year in Washington, DC, as members of Congress debate many important issues that affect healthcare stakeholders. Congress has considered issues ranging from how much money to appropriate to the various federal agencies and reforming the Sustainable Growth Rate t....
CMS Releases Notice on Meaningful Use, ONC Issues Certification Standards
Author: AHIMA Policy and Government Relations Team
Source: Journal of AHIMA - website
Publication Date: December 2009
Dec 31, 2009 07:01 am
CMS and ONC released proposed and interim regulations on meaningful use and EHR certification late yesterday as the year wound down.
The Centers for Medicare and Medicaid Services released a 556-page a notice of proposed rulemaking defining the “m....
Safeguards for Remote Access
Author: AHIMA Privacy and Security Practice Council
Source: Journal of AHIMA
Publication Date: July 2007
Working from home has become a common practice as organizations try to maximize the number of productive work hours in a day. A plethora of new portable devices and Web-based technology enables this option by providing off-site access to work-based applications and facilitating the transp....
Job Shadowing and the HIPAA Privacy Rule
Author: AHIMA Privacy and Security Practice Council
Source: Journal of AHIMA
Publication Date: September 2006
Job shadowing is a popular method of providing a work-based learning experience. It allows an individual to follow or “shadow” a healthcare professional during a typical workday. The participant can observe the healthcare professional’s job duties, ask questions, and eval....
Beyond HIPAA: Don't Forget Regulations Such as the Life Safety Code
Author: AHIMA Privacy and Security Practice Council
Source: Journal of AHIMA
Publication Date: July 2007
Healthcare organizations have had a long-standing commitment to protect the privacy of patient health information during all phases of record creation, maintenance, storage, and final disposal. This responsibility is further required by federal and state laws and regulations, as well as b....
Disclosure of Medical Record Copies for Payment Purposes
Author: AHIMA Privacy and Security Practice Council (2006)
Source: Journal of AHIMA
Publication Date: March 2007
HIPAA promised administrative simplification through a variety of health information standards, including transactions and codes sets and the privacy rule. Transactions and code sets, which were implemented in October 2002, were designed to reduce the number of requests from payers for supporti....
Sample Security Incident Response Report Form
Author: AHIMA Privacy and Security Practice Council (2007)
Source: Journal of AHIMA
Publication Date: January 2008
Data Breach Investigation and Mitigation Checklist
Author: AHIMA Privacy and Security Practice Council (2007)
Source: Journal of AHIMA
Publication Date: January 2008
How to React to a Security Incident
Author: AHIMA Privacy and Security Practice Council (2007)
Source: Journal of AHIMA
Publication Date: January 2008
What would you do if you were notified that your organization’s information system was hacked and patient information extracted? That a case manager left her laptop on the subway? That a remote transcriptionist’s home was burglarized and her PC stolen? A vendor misplaced a flash drive con....
Snap Judgment
Author: AHIMA Professional Ethics Committee
Source: Journal of AHIMA - website
Publication Date: April 01, 2010
Anyone who is a member of AHIMA or holds its credentials agrees to abide by its code of ethics.
The code sets forth professional values and ethical principles, and it offers guidelines to which professionals aspire. “Ethical behaviors result from a pe....
Reality Check 2013: Ethical Issues in HIM
Author: AHIMA Professional Ethics Committee
Source: Journal of AHIMA - website
Publication Date: October 01, 2013
Although the AHIMA Code of Ethics may not be something health information management (HIM) professionals think about each day, handling ethical issues—and making decisions that have ethical implications—is very much a part of daily HIM practice.
Some of th....
Year Ahead in HIM
Author: AHIMA Professional Practice Team
Source: Journal of AHIMA
Publication Date: January 2008
The healthcare industry enters 2008 with a score of hot topics related to health information management. Here are the issues to watch, picked by AHIMA’s professional practice and policy staff.
Presidential Election
Don Asmonga, MBA, director of government relatio....
Watson vs. Big Data
Author: AHIMA Staff
Source: Journal of AHIMA
Publication Date: July 2015
It is the matchup of the century—the towering hulk of healthcare’s Big Data versus the super computer known as Watson. Will Watson be able to take on this lumbering, untamed mass of information and whip it into submission?
One year ago, the Journal of AHIMA reported on the IBM su....
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,....
Breach Notification Scenarios [PDF]
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: February 2010
Opportunities for HIM Involvement in the HIE Landscape
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: January 01, 2013
Accurate patient identification and successful linking of electronic records is highly dependent on the accuracy of key demographic data. There are three different events that must occur in order to maintain patient identity data integrity.
....
Physician Query Examples
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: February 01, 2013
A query can be a powerful communication tool used to clarify documentation in the health record and achieve accurate code assignments. This Practice Brief In Addition provides examples of the different forms of queries available to HIM professionals.
....
Guidance on a Compliant Query: Internal Escalation Policy
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: May 01, 2013
In February 2013, the practice brief on “Guidance on a Compliant Query” was published in the Journal of AHIMA. The intent of this practice brief is to maintain the integrity of the coded healthcare data. The purpose of the query process outlined is to ensure appropriate....
How Physicians See ICD-10, and Its Effect on Their Practice
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: September 28, 2014
The United States is one of the last countries to switch from the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) to the International Classification of Diseases, 10th Revision, Clinical Modification, Procedure Coding System (ICD-10-CM/PCS). The com....
Use Cases Demonstrate Information Governance Best Practices
Author: AHIMA Staff
Source: Journal of AHIMA - website
Publication Date: September 30, 2014
Suzanne Paone, MBA, DHA, and Dilhari DeAlmeida, PhD, RHIA, both professors at the University of Pittsburgh, presented a well-attended session on information governance (IG) Tuesday afternoon. The session, “Information Governance, Best Practices and Lessons Learned,” demonstrated how i....
Comparative Cost of Inadequate Protection: Healthcare Breaches Ranked the Most Expensive
Author: AHIMA Staff
Source: Journal of AHIMA
Publication Date: October 2014
The US healthcare industry has the unfortunate distinction of having the highest per capita cost of data breaches, recent reports suggest.
A May 2014 Ponemon Institute analysis found that the per capita cost of a healthcare breach was $359 per record. The overall mean across indus....
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....
This is Going on Your Permanent Record: HIPAA and the Right To Be Forgotten
Author: AHIMA Staff
Source: Journal of AHIMA
Publication Date: January 2015
To many American technology observers, courts in Japan and the European Union could be setting a controversial precedent in a series of rulings regarding the “the right to be forgotten.”
Courts in these jurisdictions have ruled against Google and Yahoo and in favor of individuals....
1928-1998: a World of Change
Author: AHIMA Staff
Source: Journal of AHIMA
Publication Date: November 1998
It's quite a different world today than it was in 1928 when our Association was founded. Back then, the news item of the day was Amelia Earhart's landmark flight across the Atlantic. A year later, the country was immersed in the Great Depression, an era precipitated by the stock market cr....
Physicians and EHRs: a Bibliography
Author: AHIMA Work Group
Source: Journal of AHIMA
Publication Date: August 2008
The August 2008 issue of the Journal of AHIMA published a selected bibliography of research and writing on EHRs in physician practices. This is the extended version, as promised in the print issue.
"Physicians View Use of EMRs as Part of New Business Model." Capitation Management Repo....
Best Practices in the Art and Science of Clinical Documentation Improvement
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2015
Editor’s Note: This Practice Brief has been updated. See the latest version here. This version is made available for historical purposes only.
Clinical documentation improvement (CDI) is an entire discipline focused on improving the clinical clarity of the health record. Prac....
Assessing and Improving EHR Data Quality (2015 update)
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2015
Editor’s Note: This Practice Brief supersedes the March 2007 [and March 2013] Practice Brief “Assessing and Improving EHR Data Quality.”
The United States-based Institute of Medicine (IOM) reported in 1999 that “at least 44,000 people, and perhaps as many a....
Electronic Documentation Templates Support ICD-10-CM/PCS Implementation (2015 update)
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2015
Editor’s Note: This Practice Brief supersedes the October 2012 Practice Brief “Electronic Documentation Templates Support ICD-10-CM/PCS Implementation.”
Improving patient care continues to take center stage in the healthcare industry, as demonstrated by an increa....
Including Patient-Generated Health Data in Electronic Health Records
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: February 2015
Healthcare providers and health information technology (HIT) suppliers across the country have been busy preparing for what could be one of the most significant proposals for stage 3 of the “meaningful use” EHR Incentive Program—a proposal that has wide implications for health....
Best Practices for Patient Matching at Patient Registration
Author: AHIMA Work Group
Source: Journal of AHIMA | AHIMA practice brief
Publication Date: October 2016
Accurate patient identification is a major challenge faced by healthcare organizations across all levels of care throughout the industry. Health information management (HIM) professionals play a critical role in collecting identifiable information and matching the patient to their health record....
Improved Patient Engagement for LGBT Populations: Addressing Factors Related to Sexual Orientation/Gender Identity for Effective Health Information Management
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2017
One of the Healthy People 2020 objectives from the Office of Disease Prevention and Health Promotion is to improve the health, safety, and well-being of individuals in the lesbian, gay, bisexual, and transgender (LGBT) population.1 This population faces health disparities with barriers to healt....
HIM Best Practices for Records Management at Transitions of Care
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2016
There is a significant amount of evidence that points to the existence of serious quality concerns for patients undergoing care transitions across multiple care settings. The 2001 Institute of Medicine (IOM) report “Crossing the Quality Chasm” famously described the US system as dec....
Taking Coding to the Next Level through Clinical Validation
Author: AHIMA Work Group
Source: Journal of AHIMA | AHIMA web extra
Publication Date: January 2014
Health information management (HIM) is a discipline that has rapidly evolved toward roles of increasing complexity and demand in recent years and the coding profession has been one area at the center of this growth. Even though the HIM profession is currently rethinking their coding and clinica....
Managing the Integrity of Patient Identity in Health Information Exchange (2014 update)
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2014
This Practice Brief explores the complexity of patient identification integrity, including how organizations can manage patient identification systems from front end data capture to back end quality control as an ongoing process and carry local quality operations into health information exchange efforts. It urges industry stakeholders to recognize that now is a critical time to address accuracy in patient identification systems.
Problem List Guidance in the EHR
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2011
Problem lists facilitate continuity of patient care by providing a comprehensive and accessible list of patient problems in one place. Problem lists used within health records are a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifyi....
Integrity of the Healthcare Record: Best Practices for EHR Documentation (2013 update)
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: August 2013
Editor’s note: This update replaces the 2007 practice brief “Guidelines for EHR Documentation to Prevent Fraud.”
Electronic documentation tools offer many features that are designed to increase both the quality and the utility of clinical documentation, enhancin....
Evolving the PPE to Meet Changing HIM Workforce Needs
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2014
This Practice Brief will educate readers on the challenges and opportunities surrounding the PPE. The desired outcome is to expand options for PPEs and increase support of the PPE throughout the healthcare industry. Providing additional options and increasing practitioner support of the PPE will result in creating a stronger and better prepared generation of new HIM professionals.
Data Standards, Data Quality, and Interoperability (Updated) - Retired
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: November 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
EHR's Impact on HIM Functions
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2005
This practice brief has been retired. It is made available for historical purposes only.
Managing a Patient’s Right to Request Restrictions of Disclosures to Health Plans
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2014
Covered entities should already have in place the mechanisms for limiting PHI under minimum necessary policies and procedures. This Practice Brief provides guidance to assist organizations in complying with the 2013 HITECH-HIPAA Omnibus Rule’s new disclosure restriction requirements.
Defining the Basics of Health Informatics for HIM Professionals - Retired
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2014
All data are not created equal and technology implementation alone is not enough to improve the healthcare provided to patients. Providers and organizations must be able to distinguish between an abundance of data, meaningful data, and integration of data. Healthcare organizations are challenge....
E-HIM Strategic Initiative: Core Data Sets
Author: AHIMA Work Group on Core Data Sets as Standards for the Electronic Health Record
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2004
This practice brief has been retired. It is made available for historical purposes only.
Strategic Importance of Electronic Health Records Management
Author: AHIMA Work Group on Electronic Health Records Management
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2004
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
New Study Illuminates the Ongoing Road to ICD-10 Productivity and Optimization
Author: Alakrawi, Zahraa M; Watzlaf, Valerie J.M.; Nemchik, Scot; Sheridan, Patty Thierry
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2017
To quantify the impact of ICD-10-CM/PCS (ICD-10) on coding productivity, Ciox Health, in partnership with the University of Pittsburgh’s Department of Health Information Management, School of Health and Rehabilitation Sciences, conducted a previous study published in the August 2016....
Mental Disorders Pose Coding Challenges
Author: Albaum-Feinstein, Andrea L.
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2000
Because coding for professional services in mental health settings requires an understanding of numerous and complex treatment options and settings, a periodic review of Physicians Current Procedural Terminology (CPT) is essential. For many mental healthcare patients, a psychiatrist pr....
Reviewing Diagnostic Coding for Mental Disorders
Author: Albaum-Feinstein, Andrea L.
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2000
Editor's note: This is the first part in a two-part series on diagnostic coding for mental healthcare. Part II will discuss the differences between DSM-IV and ICD-9-CM coding systems.
Coding and documentation and the development and implementation of an effective HIM compliance pro....
Understanding the Complexities of Coding for Mental Disorders
Author: Albaum-Feinstein, Andrea L.
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2000
Editor's note: This is the second part in a two-part series on diagnostic coding for mental healthcare.
Documentation differences between DSM-IV and ICD-9-CM continue to challenge coders in mental health settings. Efforts to minimize these differences are evident in curren....
Holistic Coding Requires Amped Up Clinical Documentation
Author: Alonso, Paula; Love, Tammy R.
Source: Journal of AHIMA
Publication Date: January 2013
Accurately coded data does more than just provide the mechanism for appropriate reimbursement. It also tells the story of the patient, the complexity of the patient’s case, and reflects the care provided to the patient. This growing trend of “holistic coding” seems to be....
Direct Route to Meaningful Use? Health Story Project Offers a Path to Integrate Clinical Documents into EHRs
Author: Alschuler, Liora
Source: Journal of AHIMA
Publication Date: November 2010
The meaningful use final rule is spurring many organizations to implement electronic health records (EHRs). However, integrating clinical notes into EHRs continues to be a problem for many organizations.
The Health Story Project aims to streamline this process by supporting the deve....
HIM in Corrections
Author: Altus, Bonnie; Leeka, Joyce
Source: Journal of AHIMA
Publication Date: April 2006
What prompted you to take a position in this field?
Altus: I was working in IT when I got my RHIT, and this position became available without requiring relocation when I decided to leave IT and move into HIM. It seemed like a good first step into HIM and an interesting challen....
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