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FY 2012 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2011


The final rule for the FY 2012 Hospital Inpatient Prospective Payment System was released August 1, 2011. Changes in the rule went into effect with October 1, 2011, inpatient discharges.
MS-DRG Documentation and Coding Adjustment

The Centers for Medicare and Medicaid Services....

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....

AHIMA Comments on Stage 2 Meaningful Use Measures

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2012


Increased quality measurement, better patient access to health information, and greater volume of information exchange is in store for providers and hospitals participating in the federal stage 2 meaningful use incentive program.

On March 7 the Centers for Medicare and Medicaid Servi....

Legal Considerations in Joining an HIE

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011


The legal issues healthcare organizations must consider when joining a health information exchange (HIE) go far beyond the standard HIPAA-related concerns.

HIEs are rapidly gaining prominence in healthcare, bolstered by federal initiatives like the meaningful use program, which requ....

Defining the Legal EHR: Simple or Complex?

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: January 2008


Just how complicated is defining the legal electronic record for disclosure? There’s nothing new to the need for a legally sound record of care. HIM professionals have helped meet that requirement with paper-based records for years. But just how new and complex is it to define the content....

Top Documentation Issues for ICD-10

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 2011



Apr 18, 2011

ICD-10-CM/PCS offers organizations better data about their patient populations and the services they provide them. The code set’s greater specificity allows coding professionals to more accurately reflect the details of physician documentation.

However, an....

Governance Apples and Oranges: Differences Exist Between Information Governance, Data Governance, and IT Governance

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2013

Though sometimes used interchangeably, data governance and information governance are two distinct terms with very different meanings. And information technology (IT) governance is something completely different as well. With AHIMA pushing its members and the healthcare industry to embrace information governance as a major tent pole of HIM work, it is important for HIM professionals to understand the difference and interrelation of these governance terms and just what an individual can do to help foster governance initiatives that aim to improve health records and patient care....

DOQ-IT Déjà vu

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: August 2010

Chris Dimick


Aug 01, 2010 07:15 am


The regional extension center program might have some people experiencing déjà vu.

Granted, the REC program is an unprecedented attempt by the federal government to transition American healthcare to electronic health record sy....

AHIMA Comments on Certification Proposed Rule

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: June 2012


Electronic health records could soon become more patient-centered, more secure, and more frequently used for treatment improvement-if provisions outlined in the EHR certification proposed rule are widely implemented.

Under the 2009 ARRA economic stimulus package, healthcare providers....

EHRs Prove a Difficult Witness in Court

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: September 2010


Sep 24, 2010

The EHR is a valuable clinical tool for streamlining and improving patient care. But it is complicating and confusing the courts.

As the first cases involving electronic health records make their way into legal proceedings, everyone involved is discovering th....

Testing Health Record Banking

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: May 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. In March the Washington State Health Care Authority (HCA) announced the launch of three pilot sites that will try out the....

Charting the Legal Health Record

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: May 2007


Tracking what should or shouldn’t be included in a healthcare organization’s legal health record can be a dizzying process without ample organization. The increasing mix of digital information with traditional paper records makes good organization all the more essential.

HIM pr....

‘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....

Treating Healthcare with Health "I"T

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: September 2012




Patient-Centric Stage 2 Meaningful Use Measures Considered Treatment for Ailing US Health System



The US healthcare system is ill. Higher costs, sicker patients, and struggling providers are the symptoms of the disease that has sent industry stakeholders scrambling t....

Privacy in the Spotlight

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007


Varying privacy practices that pose barriers to health information exchange are putting HIM concerns in the national spotlight.
The 35-year-old Minnesota woman’s winter vacation in the neighboring state of Wisconsin was going great, until her ski snapped and the accident happened. B....

Getting the Best from Your ICD-10 Vendor

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: May 2011



May 10, 2011


Payers and providers must work their way through the transition to ICD-10-CM/PCS only once, and by the end, few will likely choose to do it again. System vendors and consultants, however, will have been through many, many implementations before it’s all over.

Achieving Coding Consistency

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2010


Even small departments may never experience complete harmony in their assignment of codes, but they have good motivation for achieving as much consistency as they can. Training, communication, monitoring, and coding reviews help reach that goal, HIM experts say.

Coding manager Julie....

Year of the Audit

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: March 2010


The healthcare forecast for 2010 includes a strong chance of audit. HIM professionals in many organizations will be busy responding to a shower of external record requests and internal compliance checks.

Stormy systems of audit programs, compliance initiatives, and fraud preventi....

Slow to the Information Governance Starting Line: First-of-its-kind Survey Tracks Healthcare’s IG efforts, Shows Most Organizations are Behind

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2014



Majority of Healthcare Organizations Lack Vital Information Governance Strategy


AHIMA has fired the starting pistol heralding in the urgent race to implement information governance (IG) practices within the healthcare industry. While some organizations were quick off the bloc....

Handling Sensitive Information in an NHIN

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: February 2008


The topic of sensitive health data and how to keep it private in the electronic age is one of the most complex issues facing the development of a nationwide, interoperable health information exchange network.

Physicians need accurate medical records to provide adequate care. Yet pati....

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....

Health Data's Second Life

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: November 2007




The use of health data for secondary purposes has been increasing, and federal agencies and industry organizations are exploring the need for more guidance.
Data in a health record don’t rest when care is complete and a bill is drawn up. Once treatment and reimbursement ar....

US Organizations Look Ahead

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: March 2008


Transitioning to ICD-10-CM may seem like a distant problem. But SSM Integrated Health Technologies began its preparations about three years ago. Its reason is simple: “Something of this magnitude, you don’t want to be scurrying,” says Anne Stuckel, SSM’s manager of clini....

Certified I10-Ready

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011




To build up competencies in the new code set, AHIMA-credentialed professionals must add ICD-10-CM/PCS continuing education to their credential maintenance through 2013.

The impending coding classification system change from ICD-9 to ICD-10 is the talk of health information....

Getting Excited about e-HIM

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2007


Chris Meyers, RHIA, had landed the job of her dreams as an e-HIM® enthusiast. A Phoenix medical network was opening a brand-new hospital and needed someone to help build a complete EHR from the ground up. Meyers jumped at the chance, becoming the administrative director of HIM/patient....

Tips for Trainers

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: September 2007


The time had come in the physicians’ meeting to discuss HIM issues, and Wilson was in charge of bringing the room up to speed.

Wilson, then the coding quality manager at Charleston, SC-based Roper St. Francis Healthcare, was new to public speaking and training. For a moment,....

Computers, Coding, and Change

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: January 2008


Computer-assisted coding won’t eliminate the profession, but it will change it dramatically.

Mythily Srinivasan thought she was out of a job. Out with human coders, in with computer-generated coding. At first that seemed to be her facility’s master plan.

Meaningful Use: Notes from the Journey

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011



After debate, speculation, and anxiety throughout the industry, the first physicians and hospitals have embarked on stage 1 of the meaningful use program. So far… so good.

The first physicians and hospitals have embarked on stage 1 of the meaningful use journey; it has been nin....

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