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"Dog Tags" Make Data Storage Easier

Author: Beck, Catherine A.

Source: Journal of AHIMA

Publication Date: June 2000


One of the newest ways to store medical records isn't available to most HIM departments. For military personnel, the Personal Information Carrier (PIC) or "digital dog tag" is a computer storage medium that can hold some or all of a service member's medical record. Roughly th....

CPT Category III Codes Cover New, Emerging Technologies: New Codes Developed to Address Issues in Light of HIPAA

Author: Beebe, Michael

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2003


In 1998, the American Medical Association (AMA) initiated the CPT-5 Project. This project was a broad-based and comprehensive effort to make needed and practical enhancements to the CPT code set that would address challenges presented by emerging user needs and HIPAA. One of the initiatives tha....

Automated Coding: The Next Step?

Author: Beinborn, Julie

Source: Journal of AHIMA

Publication Date: July 1999


Automated coding technology may be key to the evolution of the coding and billing processes. How do these systems work, and how will they change the role of the coder? The author offers a preview.
Technology is changing many aspects of healthcare, and coding is no exception.

R....

Outsourcing ROI: Does it Make Sense for You?

Author: Bellenghi, G. Michael

Source: Journal of AHIMA

Publication Date: April 2005


Governed by state and federal regulations, release of information (ROI) is a time-consuming and sensitive process. Failure to fulfill requests accurately and on time can have painful ramifications, affecting quality of patient care and prompting irate phone calls and legal action or fines. Not....

Comparative Data--Its Impact and Opportunities

Author: Bellile, Susan K.

Source: Journal of AHIMA

Publication Date: June 1998


A battle for control of medical management is now being waged among hospitals, managed care plans, insurers, employers, physician groups, and researchers—a battle in which data is the weapon of choice. Cumulative and comparative healthcare information is being used to eva....

Exploring IT Opportunities for HIM Professionals

Author: Benson, Christine L.

Source: Journal of AHIMA

Publication Date: May 2000


Medical records have traditionally housed a patient's health history, but they also hold the statistical information that enables healthcare facilities to determine patient care trends and guides administrators to project future demand of services. As a result, the need for more information,....

Meaningful Use and Clinical Documentation

Author: Benson, Sean

Source: Journal of AHIMA

Publication Date: February 2011


Little direct attention has been paid to clinical documentation in the context of meaningful use. Discussion and debate instead focused on electronic health records (EHRs), computerized physician order entry, and other health IT systems.

However, the electronic capture and exchange....

HIE Quality Check

Author: Berry, Kate

Source: Journal of AHIMA

Publication Date: March 2013



Health information exchange (HIE) has great potential to improve healthcare quality while containing costs, something the US health system is under increasing pressure from providers and the federal government to achieve. Benefits of HIE include better care coordination, assurance that pat....

Implementing HIPAA One Step at a Time

Author: Bettendorf, Jim

Source: Journal of AHIMA

Publication Date: March 2002


Many in the healthcare industry are facing the difficulty of incorporating HIPAA into their organizations. As a newly appointed privacy officer for a healthcare clearinghouse, I, too, was presented with the challenge of assimilating HIPAA into our organization.

Always Ask Questions<....

Semantic Content in EHR Systems

Author: Bhattacharyya, S. B; Warner, Diana

Source: Journal of AHIMA

Publication Date: June 2016



An electronic health record (EHR) can greatly help the timely delivery of efficient healthcare if the information it contains is adequate, accurate, and accessible in a timely manner. An EHR is a longitudinal record of an individual’s health journey made up of electronic documents from va....

Coding Neoplasms in ICD-10-CM

Author: Bielby, Judy A

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2011


ICD-10-CM codes provide greater detail than ICD-9-CM codes for reporting neoplasms. In many instances, ICD-10-CM neoplasm codes can provide information on whether a neoplasm occurred in a right-sided or left-sided body part. ICD-10-CM also provides codes for reporting neoplasm sites with great....

Clinical Documentation Guidance for ICD-10-CM/PCS - Retired

Author: Bielby, Judy A; Comfort, Angie; Reed, Andretta; Wiedemann, Lou Ann

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: July 2014


Organizations were well on their way to an October 1, 2014 implementation of ICD-10-CM/PCS when Congress passed H.R. 4302, the Protecting Access to Medicare Act of 2014. This bill contained a section stating that the Department of Health and Human Services (HHS) could not adopt the new code set....

Now is the Time: Realizing our Vision

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: January 2015



As I enter my 35th year as an AHIMA leader, educator, practitioner, and volunteer, I am excited to celebrate AHIMA’s 86 years of accomplishments and to have a role in paving the way for a bright future for HIM professionals everywhere.


I look forward to the months ahead, b....

Protecting Verbal PHI: a Plan

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: February 2003


Does your organization have a policy in place for protecting patient health information (PHI) over the phone?


This article will discuss how a workgroup at Children’s Hospital and Health Center (CHHC) in San Diego, CA, implemented a policy to protect verbal PHI and how your....

Meeting Evolving Workforce Requirements

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: February 2015



New technology, an evolving regulatory environment, financial pressures, and consolidation in the marketplace have all emerged as factors that are shaping the health information management (HIM) career path. Now is the time to examine the maturity state of the electronic health record (EH....

Power of Data Analytics is Within Reach

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: October 2015



Data are the lifeblood of our healthcare ecosystem, with the potential of enabling organizations to improve care, manage chronically ill patients, lower costs, achieve compliance, support research, increase patient safety, and meet operational and strategic initiatives. Although health inf....

Time to Get on Board with IG

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: August 2015



Not a day goes by for HIM and healthcare industry leaders without challenges that result from a lack of trust in the data and information we encounter in our work—or in caring for our loved ones. Years ago, when I was working as the director of quality and resource management at a well kn....

Evolving Practice of Health Informatics

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: May 2015



WHEN I DECIDED to pursue my graduate education in health information management (HIM) and informatics seven years ago, adoption rates for advanced electronic health record (EHR) systems were evolving, data was siloed, and interoperability was far from reality. Organizations were up to the....

Final Push to ICD-10 Implementation

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: June 2015



Chills run up and down my spine as I write this article, knowing how hard we have worked as a profession, association, and industry to get to this red letter date for ICD-10-CM/PCS.


Just before I wrote this column, I was on the edge of my seat along with the rest of indust....

Breaking Down Walls to Realize Our Vision

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: November 2015



As we wind down the year, I can rest assured that our members have successfully arisen to the occasion of the new challenges that confront us, from ICD-10-CM/PCS to conquering data quality challenges with sound information governance (IG) practices.


One of the many highlig....

Making the Shift from Disruptive to Value-Based EHRs

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: March 2015



Despite the fact that "strides have been made in the sharing of information across technology systems and information platforms," according to Karen DeSalvo, MD, MPH, MSc, national coordinator for health IT, I believe that our work has only just begun when it comes to developing a seamles....

Health IT Certification Developments: CCHIT’s Current Work and How to Get Involved

Author: Birnbaum, Cassi L; Hall, Terri; Sweet, Helayne; Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: March 2009


For the last five years the Certification Commission for Healthcare Information Technology (CCHIT) has been working to promote the adoption of health IT by certifying electronic health record (EHR) products against common, baseline criteria.

The private, nonprofit certification body....

Getting Quality Clinical and Coded Data: How UMHS's CDIP Improved Clinical Coded Data and Clinical Staff Relationships

Author: Blackford, Gwendolyn; Whitehouse, Rosanne

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

Publication Date: October 2007


Obtaining codeable clinical documentation at the point of care in a large teaching facility can be challenging. However, the HIM department at the University of Michigan Health System (UMHS) in Ann Arbor, MI, took on the task, implementing a clinical documentation improvement program (CDI....

Remediating ICD-10 Knowledge Loss: After Delays Push Back Implementation, How Unprepared Will Your Coders Be to Use the New Code Set?

Author: Black, Michelle A

Source: Journal of AHIMA

Publication Date: June 2015



If you don't use it, you lose it. This is true for much of what we learn in life, and it’s particularly true when it comes to ICD-10-CM/PCS. Although most organizations initiated ICD-10 coder training in 2013, many decided to cease training and dual coding practice after the second ICD-10....

Home Health PPS Update

Author: Blevins, Ida K.

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2008


The long-anticipated update to the Home Health Prospective Payment System (PPS), released in the August 29, 2007, Federal Register, goes into effect January 1, 2008. The final rule encompasses a wide range of changes for home health agencies.
An Overview of the Final Rule
....

New Guidance for Home Health Coding

Author: Blevins, Ida K.

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2009


Sweeping PPS changes for home health went into effect January 2008, making much of the prior coding guidance issued by the Centers for Medicare and Medicaid Services (CMS) incompatible with changes in the revised data collection set. Home health coding professionals anxiously awaited further i....

e-HIM: From Vision to Reality

Author: Bloomrosen, Meryl

Source: Journal of AHIMA

Publication Date: October 2005


Health IT has been a hot topic in the two years since AHIMA published "A Vision of the e-HIM Future." Members of the original task force take a look back.
This fall marks the second anniversary of the AHIMA report "A Vision of the e-HIM Future." The report, published in September 2003,....

Language of Health Data Exchange

Author: Bloomrosen, Meryl; Heubusch, Kevin

Source: Journal of AHIMA

Publication Date: April 2006




Rapidly advancing data exchange initiatives have left a trail of acronyms in their wake. Is a SNO a RHIO, and where did LHIIs go?



As thinking on the nature of regional and nationwide data exchange evolves, terms devised from necessity have been left behind just as....

Taking Chances, Moving Forward

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: March 1998


Kathleen H. Stanfield, RRA, was so nervous when she first took on her current job as health information systems coordinator at the Austin Diagnostic Medical Center (ADMC) in Texas that she felt physically ill. "It was like closing my eyes and jumping into a fire," she says of....

Compliance Officers Climb the Corporate Ladder

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: January 1999


A recent survey questioned healthcare executives to determine the current standing of healthcare compliance officers in today's healthcare industry. Survey results showed that compliance is a top priority among all facets of the healthcare industry, as shown by the 86 percent o....

Leading the Quest for Compliance

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: January 1998


I am the proverbial optimist—if you think that way, everything will come true,” says Ruthann Russo, JD, ART, about her successful Bethlehem, PA-based health information management consulting firm, Cabot Marsh Corporation.

And you wouldn’t expect to hear anythi....

Government Moves Ahead with CPR Endeavor

Author: Blumenthal, Jane E

Source: Journal of AHIMA

Publication Date: October 1998


Though issues about establishing an inter-departmental computer-based patient record (CPR) between the Department of Defense and Department of Veterans Affairs (VA) have been on the table for a long time, real action toward a CPR began in November 1997, according to Colonel Lynn....

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