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2010 CPT Coding Update

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2010


Changes to CPT codes for 2010 include 219 additions, 141 revisions, and 63 deletions. This article highlights some of the more notable changes; a comprehensive list can be found in appendix B of the 2010 CPT coding book. The changes took effect January 1.
Resequencing

The most n....

FY 2010 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2009


The final rule for the FY 2010 Hospital Inpatient Prospective Payment System was released on July 31, 2009. Changes in the rule went into effect with inpatient discharges of October 1, 2009, and are reflected in Grouper Version 27.0.

The changes to MS-DRGs and the complication and co....

The Respiratory System and ICD-10-CM/PCS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2012


The transition to ICD-10-CM/PCS will provide coding professionals with the opportunity to enhance and improve their coding skills. However, it will also require coders brush up on their anatomy and physiology knowledge. This is the perfect time to gain a better understanding of the differences....

FY 2011 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2010


The final rule for the FY 2011 Hospital Inpatient Prospective Payment System was released July 30, 2010. Changes in the rule went into effect with October 1, 2010, inpatient discharges.

The changes to MS-DRGs and the complication and comorbidity (CC) and major complication and comorb....

Role of Coding and Documentation in the Quality Payment Program

Author: DeVault, Kathryn; Easterling, Sharon; Huey, Kim

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

Publication Date: January 2017



In the current era of healthcare transformation, the continuing importance of documentation and coding cannot be overstated. With the multitude of acronyms being added to the healthcare vocabulary, one may wonder where documentation and coding fits in. It’s important to remember that....

Device or No Device? Coding Impella/IABP External Ventricular Support and the Impact on MS-DRG Assignment

Author: DeVoe, Megan

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

Publication Date: June 2017



The Impella® device (2.5 and 5.0) provides percutaneous external ventricular support for high-risk patients who cannot undergo traditional open cardiovascular procedures in the inpatient hospital setting. Like intra-aortic balloon pumps (IABPs) that have been used for decades, these de....

IT Implementation Requires HIM Expertise

Author: Didear, Kay

Source: Journal of AHIMA

Publication Date: October 1998


Implementing a computer-based patient record (CPR) begins long before the first installment of software is loaded. This process significantly benefits from the skills and expertise health information management professionals bring to the table. But don't assume that your healthcare m....

Healthcare Career Path Leads to AHIMA CEO

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2011


Immediately after landing her first HIM job in 1978, Lynne Thomas Gordon became a member of AHIMA. Now, after a 30-year career that has ranged from HIM intern to hospital C-suite administrator, Thomas Gordon, MBA, RHIA, FACHE, feels her entire career has led to her recent appointment as AHIMA....

Growing ICD-10: Seedling Transition Programs Take Root

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: June 2011


There are two basic approaches to the ICD-10 transition: (1) a late, mad scramble to get systems converted before the deadline; or (2) an intentional cultivation that uses the transition to improve business processes, documentation, and clinical care. Three organizations offer a picture of the....

Exposing Double Identity at Patient Registration

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2009


Keeping the organization’s master patient index clean leads some HIM departments all the way back to patient registration, where they collaborate to prevent errors before care starts. Accurate registration helps keep patient data complete and clean as it moves throughout the organization.

‘Don't Slow Down’: An ICD-10 Summit Wrap-Up

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: June 2012


In an industry facing several distractions from various government initiatives and regulation changes, ICD-10-CM/PCS became the center of attention from April 16-17 as top experts and interested parties gathered in Baltimore, MD to discuss the ongoing transition to the new code set at the 2012....

For Coding, a Time of High Priorities

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: July 2011






By nature, coding is a profession full of change. However, these days everything seems to be changing at once—from documentation at the point of care to workflow to code sets to reimbursement methods. And these days, everything seems to be high priority.One thing....

Ten Questions for CAC Vendors

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: July 2011



An increasing number of healthcare facilities are turning to computer-assisted coding (CAC) to streamline workflows and help reduce coding workloads. Others are giving the technology a close look for the first time.


“Interest in the technology has grown significantly ov....

How to Request Your Medical Records

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: March 2012



If you’ve never requested your medical records from your doctor or hospital before, the process can seem complicated. However, understanding the law and the basic requirements will ease the process.

The Record Request Process


The basic process for requesting a medica....

New Patient Rights Scenarios

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: June 2010





HIPAA gave consumers the right to request that covered entities restrict certain disclosures of their protected health information, but it did not require covered entities to comply. ARRA does—in certain situations. ARRA also expands patients’ rights to an accounti....

Wake-up Call on the Security Rule

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: October 2010





Recent changes to the enforcement of the HIPAA security rule have left many and HIM professionals wondering what, if anything, they need to change in order to stay compliant.


Federal regulation last year introduced the potential for additional random....

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....

Meet Wylecia Wiggs Harris

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2018











New AHIMA CEO Excited to Foster HIM Reimagined Implementation, Focus on Member Priorities


Transformational change in an industry can be scary—and cause many professionals to shy away from the challenge. But it’s the transformational cha....

How to Prevent Healthcare Cyber Extortion

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: April 2018












By Chris Dimick


Cybercrime may seem like a rare, unlikely risk to some healthcare providers. But the threat is real—and rising—whether a healthcare facility is small or large, rural or urban. According to a January 2018 report comm....

Working to Make RECs Sustainable

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: November 07, 2011





The regional extension centers—created through federal grants to help small providers and hospitals select, implement, and use health IT—have several years remaining on their contracts. However, they are already considering business models that would make them self....

REC Connection

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: November 01, 2011



The path to meaningful use runs through the HIM department.  Meeting the requirements of the federal EHR incentive program requires the contributions of HIM professionals to redesign documentation workflow, implement new health IT systems, and capture quality measures.


F....

Breach Notification Scenarios

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: February 01, 2010



In September 2009 the Department of Health and Human Services released an interim final rule describing a covered entity’s responsibilities to notify victims of a breach to their personal health information. The new rule was the result of provisions in the American Recovery and Reinv....

Tips for Successful Training

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 13, 2011





Without a doubt, the transition to ICD-10-CM/PCS will impact patient care and revenue. Whether that impact is positive or negative, however, comes down to the quality of the training that organizations provide their clinical and coding staff.


Omar Ros....

HIPAA Violation? Sue Me

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: March 01, 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 bil....

First Lessons

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 13, 2011





In April 2010 the Georgetown University Consulting Team conducted a series of interviews with six hospital networks that had gotten an early start on their ICD-10 transitions. Researchers asked the hospitals about their approaches, priorities, and early experiences....

Portraits of Progress in ICD-10

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: May 04, 2011





Since it was planted 30 years ago, the ICD-9 code set has grown roots deep into the healthcare system. Within individual organizations and enterprises, those roots can reach into nearly every department and function.


Upgrading to ICD-10 thus requires....

Getting a Yes for PPE Placements

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: September 01, 2009





“No” is a common word heard by PPE coordinators.


Getting busy HIM professionals to host an HIM student for a professional practice experience can be a challenge. As important as the internships are in giving students real-world experience, PPE coordin....

Cost-Benefit Model for PHRs

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: November 17, 2008





Healthcare is badly in need of some cost-savings. A new study suggests that a change in the way we keep health records could save billions. Last week the industry got a look at a cost-benefit model for personal health records. According to the report, widespre....

New Help for Medical Homes

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: January 12, 2009





Physicians seeking to transform their primary-care practices are seeing increasing support for the patient-centered medical home model. Growing recognition from payers and new help with the transition are advancing the model as a viable future for primary care.

Running a Successful CDIP

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: July 22, 2008





Clinical documentation improvement programs can enhance the clinical record and capture lost reimbursement. But they can be a challenge. Getting physician buy-in, avoiding turf wars between documentation specialists, coders, and nurses, and measuring program succes....

First Health Record Bank Pilot Launches

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: March 30, 2009





Washington State’s experiment in consumer-controlled health records has moved into a pilot phase, transforming the health record banking model from theory to testing. Earlier this month the Washington State Health Care Authority (HCA) announced the launch of three....

PCASSO Retrospective

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: December 18, 2008





PCASSO—the Patient Centered Access to Secure Systems Online project—was an early trailblazer in using the Internet to give patients and providers instant access to medical records. The project started in 1996, a time when most people considered the Internet an unse....

WARNING Health IT May Be Hazardous to Your Healthcare: New Health IT Hazard Manager Helps Providers and Vendors Track Electronic Health Systems’ Side Effects

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: March 2014



Some in the healthcare industry feel electronic health record (EHR) systems are a miracle cure for what ails a US healthcare system plagued with bloated costs, an inability to communicate, and stunted growth in the use of advanced tools. There are still others who equate some of the promis....

Clinical Documentation Specialists

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2007


Clinical documentation improvement programs are growing, moving some HIM professionals to the clinic floor.
With sharp eyes, clinical documentation specialist Sharnetha White calmly combs through a patient’s chart. She isn’t fazed by the organized chaos that surround....

Untangling Privacy

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: February 2009


Health IT won’t advance far without resolving the complex issue of privacy protections. Can a complicated situation be teased apart thread by thread?

The debate on privacy has become very public.

Privacy advocates, health IT advocates, providers, HIM professionals, fe....

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