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Hospitals Still Assembling ICD-10-CM/PCS Efforts

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2013

The majority of US hospitals are still assembling their ICD-10-CM/PCS preparation efforts, with larger facilities faring better than smaller providers, according to a recent survey conducted by vendor TrustHCS and AHIMA (see "ICD-10-CM/PCS Status Check", Journal of AHIMA 84 (6):38-40).

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....

$58 Billion to Go

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2010


The Department of Health and Human Services received approximately $146 billion in funds through the American Recovery and Reinvestment Act. It was tasked with disbursing that money through programs or objectives specified within the act's healthcare-related provisions.

Over the year....

Survey Results: Practice, Experience Keys to Employment

Author: AHIMA

Source: Journal of AHIMA

Publication Date: May 2003


As part of the Association’s far-reaching work force study, AHIMA commissioned a survey of students about to graduate from accredited HIA and HIT programs. Conducted by the Center for Health Workforce Studies, School of Public Health, University at Albany, the survey was sent to program di....

Things Overheard at the ICD-10 Summit

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2014


Coming on the heels of an unexpected delay of the implementation of the new code set, this year’s ICD-10-CM/PCS and Computer-Assisted Coding (CAC) Summit, held in Washington, DC from April 22–23, was rife with uncertainty and questions—as well as some zingers from federal health officials.

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.

Understanding the HIE Landscape

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2013


The health information exchange (HIE) landscape has changed dramatically since HIE and the Nationwide Health Information Network (NwHIN) was first conceptualized in 2001. The National Committee on Vital and Health Statistics (NCVHS) published recommendations in 2001 on nationwide electronic hea....

The End of the Record As We Know It

Author: AHIMA

Source: Journal of AHIMA

Publication Date: April 2011


The vinyl record is gone from music, and the paper record is exiting healthcare. But the music keeps coming-in fact, more of it, in smaller and smaller pieces. What does the future hold for that touchstone of health information management-the record?

Not that long ago, the music indu....

HIPAA Violation? Sue Me

Author: AHIMA

Source: Journal of AHIMA

Publication Date: March 2011


This is a true story that occurred recently in Indiana. Failing to collect payment for treatment, a medical group sent a patient to collections. In providing the unpaid bills to the collections attorney, practice staff failed to redact sensitive information. When the attorney filed the bills wi....

Using Medical Scribes in a Physician Practice

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: November 2012


With the push to develop and deploy electronic health records (EHRs) and the need for more detailed documentation, there is a growing concern in the medical community regarding the time expended to capture information-electronic or otherwise. The time providers spend during a patient visit capt....

Few Requests for Today’s Accountings

Author: AHIMA

Source: Journal of AHIMA

Publication Date: February 2010


HIPAA’s Accounting of Disclosure Provisions Led to Few Patient Requests; Now ARRA Is Upping the Ante

Provisions within the American Recovery and Reinvestment Act extend HIPAA’s accounting of disclosure regulations for providers who maintain electronic health records. The provisions a....

2010 Convention Wrap-up

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2010


AHIMA held its 82nd Annual Convention and Exhibit September 25–29 in Orlando, FL. Attendance this year reached a high water mark that matches the best-attended conventions from previous years such as Seattle and Philadelphia. More than 5,000 practitioners, educators, students, and exhibit....

Not Your Average Encounter: Quirky ICD-10 Codes

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2012


One look at the ICD-10-CM/PCS codebook proves that life is full of surprises. With ICD-10 stepping up the specificity of clinical codes, coders now have access to descriptions that can accurately capture even the most surprising of medical conundrums.


The increased specificity is....

‘e’-Experience Required: Demand Growing for EHR Expertise

Author: AHIMA

Source: Journal of AHIMA

Publication Date: January 2013


Experience working with electronic health record (EHR) systems is growing in demand, and healthcare facilities in some areas of the country are having a tough time finding employees qualified to fill open EHR-focused positions, according to recruiting and business intelligence organization Want....

Help Wanted: Privacy Officer

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2001

Sample Position Description




Position Title: (Chief) Privacy Officer1
Immediate Supervisor: Chief Executive Officer, Senior Executive, or Health Information Management (HIM) Department Head2
General Purpose: The privacy officer oversees all ongoing activities related....

A First Peek at the Privacy Regulations

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2010


The office for Civil Rights got a late start on the HITECH privacy regulations (due last February), and it's clear from the draft rule it released in July that the office still has almost as many questions as answers on how to enact the HITECH provisions. However, the release does offer a good....

The Healthcare Wall of Shame

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2013


While stolen laptops and hacking of healthcare computer networks have dominated the headlines, healthcare privacy and security experts warn that covered entities are ignoring the risks posed by unsecured paper records.


In response to new additions to the Office for Civil Rights'....

2012 AHIMA Triumph Award Winners

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2012


The AHIMA Triumph Awards recognize individuals who make a difference and is a long and cherished tradition of honoring the excellence, dedication, and service of those professionals whose steadfast efforts have enriched the health information management (HIM) field. The awards honor leadershi....

HIM Staff RACing Up Record Requests

Author: AHIMA

Source: Journal of AHIMA

Publication Date: April 2013


Healthcare claims auditors have inundated release of information staff and vendors this year with record requests, in part due to the aggressive Centers for Medicare and Medicaid Services’ (CMS) Recovery Audit Contractor (RAC) initiative. RACs review provider bills and medical records to....

Listening for Success

Author: AHIMA

Source: Journal of AHIMA

Publication Date: August 2011


We often hear what someone is saying without hearing what they actually mean. Good listening skills help us work more effectively, learn more, and improve our relationships with our colleagues.

Whether educating an individual on release of information, discussing proper documentation....

AHIMA Announces Lynne Thomas Gordon as CEO

Author: AHIMA

Source: Journal of AHIMA

Publication Date: October 2011


Lynne Thomas Gordon, MBA, RHIA, FACHE, has joined AHIMA as chief executive officer. The association's Board of Directors announced the appointment September 8, and she assumed duties September 29.

Thomas Gordon joins AHIMA after serving as associate vice president for hospital operati....

Qualifying for Meaningful Use

Author: AHIMA

Source: Journal of AHIMA - website

Publication Date: February 2010




Feb 24, 2010 04:21 pm


AHIMA Meaningful Use White Paper Series
Paper no. 7

Preceding papers in this series have reviewed the requirements in the notice of proposed rulemaking on meaningful use, published by the Centers for Medicare and Medicaid Services in....

Patient Engagement Important, but Definitions Vary

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2012




Healthcare stakeholders agree that patient engagement is a necessary part of transforming the US healthcare system. But what they don’t agree on is just how patient engagement should be defined, according to the National eHealth Collaborative’s 2012 NeHC Stakeholder Survey. The onli....

HIM Around the World

Author: AHIMA

Source: Journal of AHIMA

Publication Date: February 2013


Health information management is a global profession, with individuals in various countries working to ensure quality care through quality information. While opportunities and challenges do vary from country to country, there is much the world’s HIM professionals can learn from each other....

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....

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....

Tracking the Changing Face of the Journal

Author: AHIMA

Source: Journal of AHIMA

Publication Date: April 2018










1930






1949








Redisclosure of Protected Health Information (PHI) (2018 Update)

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: November 2018







Editor’s Note: This update supersedes the 2013 Practice Brief “Redisclosure of Patient Health Information.”


Redisclosure is the act of sharing or releasing health information that was received from another source, such as an extern....

What’s in a Name?

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2018







It’s not at all uncommon for organizations to change their names several times before landing on one that captures their presence in the past, the present, and the future—especially if they are technology-focused. Take NCR Corp., which today sells every....

IPPS Final Rule Changes for Fiscal Year 2019

Author: AHIMA

Source: Journal of AHIMA

Publication Date: January 2019




By Moira Hunger, RHIT


Though hard to believe, a new fiscal year (FY) is already well underway. The Centers for Medicare and Medicaid Services (CMS) released the final rule for the Hospital Inpatient Prospective Payment System (IPPS) on August 17, 2018. All changes were e....

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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