4010 results.
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Information Governance Road Map Mile Marker 1—Travel Planning
Author: Reeves, Mary G
Source: Journal of AHIMA
Publication Date: April 2016
Editor’s Note: This article is the second in a series that provides a road map for implementing an information governance (IG) program in any organization. Each month a set of concepts will be discussed that tie to the IG Road Map Infographic developed by AHIMA. Any organization can....
Create a Learning Environment for Information Governance
Author: Reeves, Mary G
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: July 28, 2016
To get information governance (IG) off the ground, there must be a leader who is willing to step up and make the case for IG by clearly identifying its benefits—the IG Value Proposition. As a first step in building the value proposition, leaders can create an IG learning environment w....
Information Governance Road Map Mile Marker 2—Travel My Way, Take the Highway That's Best
Author: Reeves, Mary G
Source: Journal of AHIMA
Publication Date: June 2016
Editor’s Note: This article is the fourth in a series that provides a road map for implementing an information governance (IG) program in any organization. Each month a set of concepts will be discussed that tie to the IG Road Map Infographic developed by AHIMA. Any organization can....
GEMs: Buyers Beware. Crosswalk and Translation Tools Can Bring Unexpected Risks
Author: Reed, Diana
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: January 2015
When it comes to converting superbills and claims from ICD-9-CM to ICD-10-CM, many healthcare providers believe that general equivalence mappings (GEMs) offer a cost effective and simple solution. The ability to purchase relatively cheap automated mappings of specialties’ top codes c....
Pneumonia and COPD Reporting in the Inpatient Setting
Author: Reed, Andretta
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2017
This article highlights pneumonia and chronic obstructive pulmonary disease (COPD) code selections and proper sequencing based on healthcare provider documentation, ICD-10-CM Official Guidelines for Coding and Reporting, and ICD-10-CM conventions. As additional coding guidance continues to....
Case Study #11—Using IGAM to Improve Documentation, Coding for TAVR and Structural Heart Procedures
Author: Redd-Hachey, George; Michael, Teresa
Source: Journal of AHIMA
Publication Date: January 2018
By George Redd-Hachey, MSML, CCS, CCDS, CHDA, and Teresa Michael, BA, RHIT
Editor’s Note: This article is the eleventh installment in an ongoing series highlighting information governance case studies.
This case study highlights the use of the Information Governance Adoption....
Career Opportunities in Information Technology
Author: Raymond, Jacqueline; Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: September 2004
The integration of information technology and health information management is creating new career opportunities for HIM professionals.
The journey toward developing and implementing the electronic health record (EHR) continues all over the globe. As healthcare organizations and vendors....
On the Line
Author: Quinsey, Carol Ann
Source: AHIMA Q and A | Journal of AHIMA
Publication Date: July 2004
Q: Can clinical information system design influence patient safety or the quality of care?
A: In an era of increasingly complex clinical information systems, the time may have come to ask whether systems might contribute to problems during follow-up and investigation of patient care inci....
Policies and Procedures for a Legal EHR
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: April 2007
As organizations move from paper to electronic health records (EHRs), one of the most critical steps is ensuring that there are policies that support the EHR as the legal health record.
Most managers know the importance of having up-to-date policies and procedures. Good pol....
Practice Toolkit: Public Health
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: May 2005
HIM professionals working in public health have the opportunity to make a difference in the health of neighbors, friends, and family members living in their communities. Public health includes both the care delivered to individuals and care delivered to populations of patients such as diabetic....
Time for a HIPAA Tune-Up?: Penalties Now in Effect for Noncompliance
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: May 2006
On February 16, 2006, the Department of Health and Human Services published the final rule adopting policies enforcing the HIPAA provisions. The rule imposes civil monetary penalties on covered entities that violate any of the HIPAA administrative simplification rules, not just the privacy rul....
How to Safely Recycle PCs
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: June 2005
Securing the privacy of both protected health information and personal information should be a primary concern when personal computers have outlived their usefulness. Recycling or disposing of a computer safely can be a challenge.
It’s not enough to simply give an old computer....
On the Line (3/04)
Author: Quinsey, Carol Ann
Source: AHIMA Q and A | Journal of AHIMA
Publication Date: March 2004
Q: What is meant by the term “system life cycle?”
A: The term “system life cycle” generally comes up in conversations about software development with our IT colleagues. However, it may also be used when assessing your organizational needs for computer systems.....
IT Angle
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: April 1999
Since my first years managing health information, it has been my goal to deliver information to clinicians in a format that is timely and useful. My current job is practically made to order to meet my personal goals as well as contribute to the vision that Kaiser Permanente, my employer....
Preparing for Suspension of Disclosure Accounting
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: July 2003
Are the rules for the suspension of disclosure accounting keeping your organization in suspense?
Section 164.528 of the privacy rule outlines the requirements for accounting of disclosures for individuals. Section 164.528 (a)(2)(i) calls for suspension of disclosure accounting....
In Case of a Crash ... Computer Backups
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: May 2004
If you ever experience significant problems with—or the outright death of—your computer’s hard drive, you will most likely suddenly remember how much material you saved in assorted folders that you did not back up. With luck, friends in your information technology department....
Managing Forms in the Legal Electronic Health Record
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: July 2007
Forms have always presented challenges for HIM professionals, and managing forms in an EHR implementation remains one of the most challenging and time-consuming tasks of that process. Healthcare organizations transitioning to an electronic record should carefully plan forms to streamline....
Avian Flu
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: June 2006
There has been a great deal of publicity about the avian flu. Whether you agree with the concerns being voiced, it behooves us all to learn as much as we can about anything that has the potential for an epidemic or pandemic. This column reviews the facts about avian flu as they are known today....
Using HL7 Standards to Evaluate an EHR
Author: Quinsey, Carol Ann
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2006
This practice brief has been retired. It is made available for historical purposes only.
HIPAA Security Overview
Author: Quinsey, Carol Ann
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2004
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Foundational Concepts of the Legal EHR
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: January 2007
The concept of a legal health record (whether paper or electronic) is generally well understood within the HIM profession. However, during the transition from paper to electronic records some organizations are expressing concern about the use of the terms “legal health record” and “legal....
Obtaining Satisfactory Assurance for PHI Disclosure
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: June 2003
Obtaining “satisfactory assurance” in the privacy rule may sound like something new, but the concept has been around for a long time. Do you know what it means and how it affects your HIM department? This article will explain what obtaining satisfactory assurance means and how it can....
Is 'Legal EHR' a Redundancy? Common Definitions and Key Issues in Migrating to EHRs as Business Records
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: February 2007
Some HIM professionals and legal counsel have questioned the use of the term “legal electronic health record.” By definition, isn’t a health record the organization’s business record and thus the record released in legal proceedings? The term “legal” would seem to be unnecessary. This art....
On the Line: Professional Practice Solutions (9/03)
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: September 2003
Q: Under HIPAA, how should covered entities respond to requests from public health officials who state that they need protected health information (PHI) to carry out their duties?
Q: Does HIPAA prohibit physicians from using cell phones to dictate reports?
Carol Quinsey....
On the Line (January 2005)
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: January 2005
Q: What is medical informatics, and is there a connection between it and health information management?
Q: Is there a standard addressing who should document in medical records?
Carol Ann Quinsey (carol.quinsy@ahima.org) is a professional practice manager at AHIMA.Article....
CCR--Not an EHR
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: March 2005
In 2003 the American Society for Testing and Materials (ASTM) kicked off the development of the Continuity of Care Record (CCR) standard, which was finalized in that year and passed by ASTM in April 2004. Sponsorship of the CCR brought together ASTM International, the Massachusetts Medical....
Developing E-Health Standards for Web Sites
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: January 2004
Healthcare consumers are increasingly turning to the Internet for information about services critical to their health. An estimated 80 percent of adult American Internet users (approximately 93 million people) have searched the Internet for information on at least one of 16 major health topics....
Digital Disclosure and Discovery: the Sedona Conference Counts the Ways that Electronic Documentation is Different
Author: Quinsey, Carol Ann
Source: Journal of AHIMA
Publication Date: September 2007
Capturing data digitally is one thing. Producing it later is another. Any organization required to produce electronic documentation for any reason—whether for discovery in a legal proceeding or disclosure in support of ongoing patient care—knows that producing documentation....
HL7 Overview
Author: Quinn, John
Source: Journal of AHIMA
Publication Date: July 1999
As one of the co-developers of Health Level Seven (HL7), I am very close to the issue. So in describing it, I'm going to start with the basics, beginning with the current definition that has evolved over HL7's brief existence:
"The Health Level Seven (HL7) Standard, an ANSI approved....
Rules of the Road Differ for Inpatient and Outpatient Coding
Author: Quick, Tara; Hickman, Stephani
Source: Journal of AHIMA
Publication Date: June 2015
As facilities approach the final laps in the race towards implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), they should heed the yellow caution flag warning of basic challenges with the vast differences between inpatient and....
Hypertensive Disorders of Pregnancy
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: September 1997
Hypertension complicates at least 10 percent of all pregnancies. The hypertensive disorder of pregnancy most likely to result in significant adverse clinical outcomes is preeclampsia.
Preeclampsia
Preeclampsia is unique to pregnancy and is characterized by elevated blood press....
ICD-9-CM Revisions -- Effective October 1, 1996
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: October 1996
The revisions to ICD-9-CM became effective with discharges occurring on or after October 1, 1996. Highlights of the changes are summarized below. Since not every revision is described in this article, it is important to review the official authorized addendum published in a special edition of....
ICD-9 Committee Explores New Technology, Drug Codes
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2002
This is part two in a two-part summary of proposals from the November ICD-9-CM Coordination and Maintenance Committee meeting. Part 1 was published in the March 2002 Journal of AHIMA.
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statis....
Is the FCA Effectively Fighting Healthcare Fraud?
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: May 2002
How effective has the False Claims Act (FCA) been in reducing healthcare fraud? A recent six-month study conducted by New Directions for Policy for Taxpayers Against Fraud sought to determine just that.1 What the study found is that the FCA is very effective in fighting fraud and should not be....
ICD-9-CM Revisions (effective 10/1/97)
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: November 1997
The revisions to ICD-9-CM became effective with discharges occurring on or after October 1, 1997. Highlights of the changes are summarized below. Since every revision is not described in this article, it is important to review the Official Authorized Addendum. The complete addendum is publish....
Coding Compliance: Practical Strategies for Success
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: January 1998
"Fraud," "abuse," "upcoding," "unbundling," and "compliance" have all become buzzwords in the news media. Eliminating healthcare fraud and abuse has become a top priority for the federal government. Government investigations are on the rise and providers everywhere tremble at the thought of b....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 1998
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Health Care Financing Administration (HCFA), met December 4-5, 1997, in Baltimore, MD. Donna Pickett, RRA, from NCHS, and Patricia Brooks, RRA, from HCFA, cochai....
FY1999 Inpatient PPS Changes: ICD-9-CM Revisions
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: October 1998
All of the inpatient DRG and other inpatient Prospective Payment System (PPS) changes described below became effective with discharges occurring on or after October 1, 1998. Complete details of these changes can be found in the Federal Register.1
Transfers to Postacute Settings
....
Disorders of the Breast
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: May 1996
Carcinoma
Breast cancer is the most common form of cancer in women. Risk factors include a personal or family history of breast cancer, delayed childbearing, and personal history of benign breast disease.
A tumor may be identified by mammogram or self-examination. Many tumors are d....
Roundtable Takes on Compliance Challenges
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1999
The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) and the Health Care Compliance Association conducted a one-day joint roundtable on healthcare compliance to gain new insights into the challenges of creating effective compliance programs. The ro....
Building a Better CPT
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: November 2000
The Health Insurance Portability and Accountability Act (HIPAA) presents numerous challenges to HIM processes and systems. Not least among these areas is coding. Among the concerns is whether the CPT system will be sufficient to meet the demands of HIPAA. The American Med....
Fraud and Abuse: What You Can Do
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: January 1998
During AHIMA's National Convention, HIM professionals convened to network and share practical ideas on issues pertaining to fraud and abuse. While most of the participants worked in hospitals, other work settings, including colleges, consulting firms, and government agencies were als....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: September 1997
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Health Care Financing Administration (HCFA), met on June 5, 1997, in Baltimore, MD. NCHS's Donna Pickett, RRA, and HCFA's Patricia Brooks, RRA, cochaired the meeting. <....
Committee Debates ICD-10-PCS Implementation
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2001
Proposed changes, if approved, would not become effective until October 1, 2002.
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Fina....
ICD-10 on the Horizon
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 2002
ICD-10 has taken hold around the globe, so why is the US still using ICD-9-CM? This article reviews the history of ICD-10 in the US.
Other countries are using it. Why aren't we? Coding professionals across the country and around the world are wondering why ICD-10-CM hasn't been....
ICD-9-CM Code Revision for 2001
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2000
Effective October 1, 2000, 100 new ICD-9-CM diagnosis codes and nine new ICD-9-CM procedure codes have been implemented. Because there were no ICD-9-CM revisions last year, these new codes are the result of two years’ worth of revisions. Coding professionals should familiarize themselves with....
Fraud and Abuse Implications for the HIM Professional
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: April 1997
Healthcare Fraud and Abuse Legislation
On August 21, 1996, President Clinton signed into law the Health Insurance Portability and Accountability Act. This law addresses several issues including the creation of a Health Care Fraud and Abuse Control Program. This program is intended to com....
OIG Medicare Review Offers Pointers for Compliance Programs
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 2002
With the lowest error rate to date and less money being reimbursed for improper payments, the Office of Inspector General’s (OIG) 2001 review of Medicare fee-for-service claims has become a model from which to build compliance programs. The review, which was the sixth such review conducte....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: February 1999
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Health Care Financing Administration (HCFA), met on November 2, 1998, in Baltimore, MD. Donna Pickett, RRA, from NCHS, and Patricia Brooks, RRA, from HCFA, cochaired the....
Make Clinical Research Top Priority
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: January 2002
Whenever biomedical or behavioral research is conducted and supported by government agencies, it’s critical to comply with federal regulations designed to protect human subjects. For compliance officers, this means understanding and constantly monitoring a number of federal laws, regulati....
Developing a Physician Query Process (2001)
Author: Prophet, Sue
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2001
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Hot Spots in the 2002 OIG Work Plan
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: March 2002
Organizational compliance programs are never static. Rather, they must continually be refined and updated to respond to changes in healthcare delivery and system vulnerabilities. The 2002 Work Plan of the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) pr....
ICD-9-CM Committee Discusses New Diagnosis Proposals
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2002
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS), met on April 18-19, 2002, in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, co-....
Rheumatoid Arthritis
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: November 1998
Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, and other organs in the body. An autoimmune disease is one in which the body tissues are mistakenly attacked by the body's own immune system. Patients have antibodies in....
Comparing the OIG Guidances
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: June 2000
One of the first places to begin when creating a compliance program is the Office of Inspector General (OIG) compliance program guidances, designed to help healthcare organizations develop and implement effective programs. These documents (available online at http://www.hhs.gov/oig) include s....
What is Gulf War Syndrome (Part I)
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1998
In 1990 and 1991, nearly 700,000 members of the US armed forces served in the Persian Gulf. Since their return home, thousands of these veterans have reported illnesses they believe are related to their service in the Gulf. Due to the nature of these illnesses, there has been considerable deb....
Proposed Changes to Hospital Inpatient PPS Include Expanded Definition of Transfers
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1998
The proposed rule for changes to the Medicare Hospital Inpatient Prospective Payment System (PPS) for fiscal year 1999 was published in the May 8 Federal Register. These changes would become effective with discharges as of October 1, 1998. A significant provision in this proposed rule....
New ICD-9-CM Committee Presents New Codes, Changes
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: September 2002
This is part 1 of a two-part summary of proposals from the April 2002 ICD-9-CM Coordination and Maintenance Committee meeting and includes procedure proposals. Part 2 will include diagnosis proposals and will be published in the October Journal of AHIMA.
The ICD-9-CM Coordination and Main....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: September 1998
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Health Care Financing Administration (HCFA), met on June 4, 1998, in Baltimore, MD. NCHS's Donna Pickett, RRA, and HCFA's Patricia Brooks, RRA, co-chaired the meeting. P....
How to Code Symptoms and Definitive Diagnoses
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2000
Determining when a symptom, definitive diagnosis, or both should be coded can be challenging for coding professionals. This challenge is complicated by the varying rules regarding the coding of symptoms versus definitive diagnoses, according to the type of encounter and the particular service r....
Alternative Medicine: Growing Trend for the New Millennium, Part II
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: May 1999
Please note that the information contained in this article concerning alternative medicine treatments and their underlying principles and theories is provided for educational purposes only. It does not represent a position of either AHIMA or the author regarding the efficacy or scientific val....
Laboratory Services Regulations Carry HIM Implications
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: September 2002
This is Part 1 of a two-part article on national coverage and policies for clinical diagnostic laboratory services payable under medicare Part B. Part 1 concentrates on the administrative policies. Part 2, which will appear in the October issue of the Journal, will focus on the national covera....
OIG Releases Compliance Program Guidelines for Hospitals
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: April 1998
On February 11, 1998, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) released its Compliance Program Guidance for Hospitals. This document is intended to assist hospitals in developing corporate compliance programs that assure the establishment of e....
Group Builds Consensus on Laboratory Test Policies
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1999
The Balanced Budget Act of 1997 (BBA) mandated that the Health Care Financing Administration (HCFA) use a negotiated rulemaking process to develop national administrative and coverage policies for clinical diagnostic laboratory tests under Medicare Part B. The BBA stipulates that the p....
Committee Considers ICD-9-CM Changes for 2002
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2001
by Sue Prophet, RHIA, CCS
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Health Care Financing Administration (HCFA), met on November 17, 2000, in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patri....
ICD-9-CM Committee Proposes New Codes, Changes
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2002
This is part one in a two-part summary of proposals from the November ICD-9-CM Coordination and Maintenance Committee meeting. Part 2 will be published in the April 2002 Journal of AHIMA.
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Hea....
Myocardial Infarctions: Frequently Asked Questions
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1996
Myocardial Infarctions
Many coders still have questions regarding the correct coding and sequencing of myocardial infarctions (MI), particularly in relation to the use of the fifth digits, transfers, underlying diagnosis, and performance of procedures. The following information is provide....
What is Gulf War Syndrome (Part II)
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: September 1998
Presidential Advisory Committee on Gulf War Veterans' Illnesses
President Clinton established the Presidential Advisory Committee on Gulf War Veterans' Illnesses in May 1995 to ensure an independent, open, and comprehensive examination of health concerns related to Gulf War service....
Growing Demand for Accurate Coded Data in New Healthcare Delivery Era
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: January 1997
Under DRGs, coding enjoys considerable status and prestige due to its direct impact on an acute care facility’s financial success. In an era of major changes in our healthcare delivery system and reimbursement methodologies, will the limelight gradually shift away from coding to something else....
On the Line: Professional Practice Solutions
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: January 1998
Q: I am a coder in a hospital HIM department. I am being pressured to code in a manner I believe to be fraudulent in order to maximize reimbursement and improve the hospital's case mix. What should I do?
Q: I am employed as a coder and am concerned about my potential risk with....
Meeting the Challenge: Implementing a Company-wide Compliance Program
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: January 2001
Convention attendees gained valuable insights into the development of a compliance program during "Meeting the Challenge: Implementing a Company-wide Compliance Program," a presentation by Susan Postal, MBA, RHIA. Postal provided an overview of the major components of the e....
GAO Evaluates Implementation of False Claims Act Guidance
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: November 1999
With the increased attention to healthcare fraud and abuse in recent years, the Department of Justice (DOJ) has been using the False Claims Act to prosecute healthcare providers for practices that, in the past, might have been dealt with by seeking repayment. The damages and penalties....
Alternative Medicine: Growing Trend for the New Millennium
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: April 1999
Please note that the information contained in this article concerning alternative medicine treatments and their underlying principles and theories is provided for educational purposes only. It does not represent a position of either AHIMA or the author regarding the efficacy or scientific val....
Stevens-Johnson Syndrome
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 1998
The term "erythema multiforme" was first used by von Hebra in 1866 to describe a disease characterized by symmetrically distributed, pleomorphic, evolving cutaneous lesions, located primarily on the extremities, and by a proclivity for recurrence. In 1922, Stevens and Johnson....
Observation Services Present Compliance Challenges
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA
Publication Date: March 2003
Observation services have been a top fraud and abuse target of the Office of Inspector General (OIG) of the Department of Health and Human Services, primarily due to the complexity of the Medicare billing regulations and the potential for abuse. New regulations regarding reimbursement for thes....
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