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AHIMA Issues First Grace Award: University of Wisconsin Hospital and Clinics Receives HIM Excellence Award

Author: Dooling, Julie A; Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: November 2012


Innovative approaches in health information management (HIM) led to the University of Wisconsin Hospital and Clinics (UWHC) being selected as the winner of the first AHIMA Grace Award. The award was presented to UWHC leadership on October 2 before thousands of HIM professionals at AHIMA’s 84t....

On the Line: Professional Practice Solutions (10/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000


Q: Can an emergency room exam serve as an inpatient history and physical?

Q: What is the retention period for billing records, such as explanations of benefits, charge slips, invoices, etc.?

Michelle Dougherty is an HIM practice manager at AHIMA. She can be reache....

Linking Anti-fraud and Legal EHR Functions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2007


The following statement could easily come from any material written on the legal electronic health record: “EHRs and information available through the NHIN [nationwide health information network] must fully comply with applicable federal and state law and meet the requirements of reliability an....

Behavioral Health Weighs in on Health IT

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: June 2006


As the national agenda for health IT continues to move forward, the behavioral health industry is working on organizing and establishing priorities for technology and electronic health record (EHR) implementation. Last September the Substance Abuse and Mental Health Services Administration (SA....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: June 2002


Q: Is it true that the method for calculating the delinquent chart rate has changed and it is no longer necessary to carry a delinquent chart from month to month?
Q: Recently, a discharged patient fell two days after discharge from the inpatient rehab facility where I work. He went to the....

HCFA, Joint Commission Show Some Restraint

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: May 2001


Hospitals and Behavioral Healthcare Settings

The 2001 Joint Commission standards on restraint and seclusion (TX.7.1 through TX.7.1.16) apply to all accredited behavioral healthcare facilities such as psychiatric units in general hospitals, free-standing psychiatric hospitals, and re....

It's Time to Finalize Your Privacy Policies

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2002


You've attended seminars, read articles, outlined systems, and developed forms for implementing the privacy rule, but there is still one step left--actually writing the policies and procedures. For many practitioners, policies and procedures are important but are often put off, then forgotten.....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2002


Q: Where can I find federal regulations, interpretive guidelines, and Medicare manuals online?
Q: Where can I find information regarding auto-authentication?
Q: When should a change to scanned documents in an information system be identified as a late entry?
Michelle Dougherty (....

On the Line: Professional Practice Solutions (9/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: September 2000


Q: Is it legal to allow physicians within a group practice to authenticate records for each other?

Q: I have the opportunity to consult for a long-term care facility, though I have never worked in long-term care. What resources should I have?

Michelle Dougherty i....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2001


Q: Where can I find the updated data elements and data definitions for the Uniform Hospital Discharge Data Set (UHDDS)?

Q: Where can I find an easy-to-use glossary for terms in the HIPAA regulations?

Michelle Dougherty (michelle.dougherty@ahima.org) is an HIM practice manager....

On the Line: Professional Practice Solutions (4/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2000


Q: When are rubber-stamp signatures acceptable? I read in a Part A newsletter that Medicare no longer accepts rubber-stamp signatures on documents that certify, order, or justify a service billed to Medicare. The newsletter cited the Medicare Conditions of Participation for hospitals (42CFR4....

Validating MDS and OASIS Data with DAVE

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2004


In January 2004 the Center for Medicare and Medicaid Services (CMS) launched a new initiative to improve the accuracy and reliability of Minimum Data Set (MDS) data in long-term care. The Data Assessment and Verification program (DAVE) is a collaborative effort between multiple CMS program ar....

Is PKI the Solution to HIPAA Security?

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: February 2001




Public key infrastructure (PKI) has been called the only technology currently available that will comply with the HIPAA proposed security rules. If you have heard of PKI but have yet to understand it, keep reading. This article will give you a nuts-and-bolts look at the technology a....

Post-acute PPS: Changing the Way We Code

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: June 1999


HIM professionals in post-acute care are reinventing their roles to accommodate the new coding demands of a prospective payment system. Here are some of the developments that are creating new interest in coding issues for post-acute settings.
Three major forces -- the prospective payment....

On the Line (September 2004)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: September 2004


Q: We are having trouble with the discharge status codes on some of our claims. In order to get the claim paid, the fiscal intermediary (FI) requires the discharge status code be changed. If we change the code, it will not correspond with documentation in our medical record.
Q: We are h....

New PPS Proposed for LTC Hospitals

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: July 2002


In the past 10 years, the number of new long-term care hospitals (LTCHs) in the United States has tripled. Because of this growth, LTCHs are the newest post-acute settings to face a change in the reimbursement system.


While there are only about 270 LTCHs in the United States, t....

Handling a Security Breach: Lessons Learned

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: February 2002


Consider this: your facility just received a call from a reporter asking for a comment. He’s writing an article on a hacker who accessed your network, downloaded patient medical information, and distributed copies to the press.


If your facility experienced a security inci....

Practice Toolkit: Long-term Care Research

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2005


Research in long-term care (LTC) settings is critical to improving the quality of care and outcomes for residents. One challenge is keeping abreast of relevant studies. This column will focus on the International Severity Information Systems and Institute for Clinical Outcomes Research (ISIS/I....

Long Term Care's Prospects for Accreditation

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2000


Typically, long term care facilities in the United States are not accredited by the Joint Commission. Whether current trends may change this picture, as facilities look for ways to distinguish themselves from their peers, remains to be seen.

While only a small p....

On the Line (May 2004)

Author: Dougherty, Michelle

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: May 2004


Q: The October 2003 Journal of AHIMA published an article on cutting and pasting entries into the EHR. Our EHR does not allow entries to be cut and pasted. Is this functionality missing from our EHR?
A: No. The question you raise is not an issue of missing functionality but one of using....

On the Line: Professional Practice Solutions (7/03)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: July 2003


Q: When is a new history and physical (H&P) needed when moving a patient between an acute care bed to a swing bed?

Q: How can I find the Medicare manuals, program memorandums, and the Conditions of Participation on the new CMS Web site?
Michelle Dougherty (michelle. dougher....

Early Word on HIPAA Claims Attachments

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2001


If we could look into a crystal ball and see into the future, it would be much easier to prepare for HIPAA, particularly the electronic transaction standards. Because of the rarity of crystal balls these days, we must rely on other predictors at our disposal, such as the white paper issued by t....

New Home Care PPS Brings Major Changes

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000


The home care industry will undergo a significant shift in reimbursement methodology when HCFA implements a new prospective payment system (PPS) for Medicare claims on October 1, 2000. Under the new system, a Medicare beneficiary receiving covered home care services will be reimbursed for a 6....

Standard Terminology Helps Advance EHR

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2003


On July 1, 2003, Secretary of the Department of Health and Human Services Tommy Thompson announced a new agreement between the National Library of Medicine (NLM) and the College of American Pathologists (CAP) to license SNOMED-CT. This five-year agreement is seen as a significant advancement f....

EHR Development Steps in Long-term Care

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: January 2005


In the past year there has been a whirlwind of activity around the electronic health record (EHR). Hospitals and physician offices are in the forefront of planning for EHR development at the national level. However, long-term care (LTC) is often mentioned as the third area of priority. This ar....

On the Line: Professional Practice Solutions (4/03)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2003


Q: Does reporting cancer surveillance to the state have to be tracked under the accounting of disclosure requirement in the HIPAA privacy rule?


Q: An attorney recently told our facility that we need to retain records for at least 10 years to comply with the False Claims Act (FC....

Changing Face of Public Health Reporting

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2002


In recent months, anthrax outbreaks and concern over bioterrorism threats have created a greater need for the US to have a system to monitor and report public health information in a timely manner. The Centers for Disease Control and Prevention (CDC) are developing standards for a new approach....

Still Seeking the Legal EHR: The Push for Electronic Records Increases, the Record Management Questions Remain

Author: Dougherty, Michelle; Washington, Lydia

Source: Journal of AHIMA

Publication Date: February 2010


Electronic health records are edging into the mainstream, but they still have one foot outside the law. Many EHR systems struggle to create credible and compliant business records, and with major initiatives like the ARRA incentive program pushing their adoption, now is the time to get the ele....

Successful Recruiting Strategies

Author: Dover, Kayce

Source: Journal of AHIMA

Publication Date: October 2008


It can be a challenge to hire the HIM professionals your organization needs. Smart managers and their HR departments stay proactive.
As the demand for HIM professionals continues to increase and the supply of experienced HIM professionals continues to lag, implementing a successful recruit....

Managing Millennials in HIM

Author: Dover, Kayce

Source: Journal of AHIMA - website

Publication Date: May 01, 2017



Healthcare is one of the fastest growing sectors of the economy, and Millennials (individuals born between 1982 and 2000) are a vast and vital part of a multigenerational workforce. This article explores ways to bridge generational gaps in the workplace, offering insights and strategies fo....

Managing Privacy in a Social Media World

Author: Dowling, Alan F.

Source: Journal of AHIMA

Publication Date: March 2011


Social media has had a profound impact on recent events, both political and personal. In healthcare, social media is presenting HIM professionals with a quandary about how best to manage information privacy.

More and more people from all walks of life are using social media outlets s....

The Year Ahead

Author: Dowling, Alan F.

Source: Journal of AHIMA

Publication Date: January 2011


Welcome to 2011, a year in which opportunities abound!

This is a year in which we are likely to see increased collisions between preconceived notions and innovative concepts, between optimistic projections and implementation realities.

This year many individuals from a var....

The ICD-10 2011 To-Do List

Author: Dowling, Alan F.; Wisdom, Theresa A

Source: Journal of AHIMA

Publication Date: September 2010



As the ICD-10 conversion deadline approaches, its implementation is likely to become a healthcare facility's most significant objective. It presents HIM professionals with an opportunity to demonstrate their expertise and assume a leadership role within their institutions as they lead this....

Information Governance Road Map: Mile Marker 4–Demonstrating the Value of Clinical, Financial, and Administrative Information to IG

Author: Downing, Katherine

Source: Journal of AHIMA

Publication Date: November 2016



Editor’s Note: This is the eighth and final article in a series that provides a road map for implementing an information governance (IG) program in any organization. Each month a set of concepts is discussed that tie to the IG Road Map Infographic developed by AHIMA. Any organization....

CDI: A Cog in the Wheel of Information Governance

Author: Downing, Katherine

Source: Journal of AHIMA

Publication Date: July 2016



Information governance (IG) is an emerging discipline in healthcare that focuses on how an organization ensures information is complete, accurate, trustworthy, and usable. The goal of information governance is to enable organizations to utilize a valuable strategic asset—information&....

Navigating a Compliant Breach Management Process

Author: Downing, Katherine

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: June 2014

The purpose of AHIMA’s new Breach Management Toolkit is to provide a comprehensive collection of resources and best practices to help healthcare organizations and health information management (HIM) professionals navigate their way through the Health Insurance Portability and Accountability Act (HIPAA) Breach Notification Rule and the overall breach management process. The toolkit is intended to raise awareness of the importance and responsibility of everyone within the organization to report HIPAA breaches to the appropriate designated personnel, as well as provide breach prevention education and training.

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