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EHR in Place? Now the Real Work Begins

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: March 2014

With the deadline for ICD-10-CM/PCS on the horizon and electronic health records now in place in the majority of hospitals, HIM professionals may find themselves asking, “What comes next?” Until recently, the biggest challenges in electronic health information management were first to be able to collect the data, then to sort through the high volume of data coming from a variety of systems.

Take a "Deep Dive" into Information Stewardship

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: November 2014



Health Informatics and information management professionals have traditionally been focused on areas such as risk management, quality assurance, licensure, accreditation, privacy, and security requirements for their organizations. But compliance—conformance or obedience to procedures, rul....

The Power of Meaningful Practice

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: October 2013



Since AHIMA’s inception 85 years ago, access to complete and accurate health information has been a core tenet of health information management (HIM) practice.


As this practice continues to evolve, HIM professionals stand in a unique position with the ability to impact....

Leveraging Data to Improve Cost and Quality of Care

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: September 2013



The demands of the complex and ever-growing technology-based healthcare industry have created a sense of economic urgency. The competitive environment is driving organizations toward stronger accountability and a culture of high performance. The healthcare industry is shifting from volume-....

How to Prepare the Record for an E-Discovery Request

Author: Kearney, David

Source: Journal of AHIMA

Publication Date: February 2014



At a minimum healthcare organizations should identify the components of their legal health record. The legal health record is a consistent declaration of what patient care information is maintained within an organization and what information would be released during a legal or investigato....

Stealth Software Deters PHI Theft

Author: Kawles, Terrance L.

Source: Journal of AHIMA

Publication Date: July 2003


As the leading edge of digital portability advances, the protections afforded the “portability” portion of HIPAA become strained. Under the final security standards, covered entities (CEs) must establish procedures and mechanisms to protect the confidentiality, integrity, and availab....

Using Ambulatory Data to Shape Planning

Author: Katzenberger, Philip

Source: Journal of AHIMA

Publication Date: November 2002


The information age inundates us with data. The challenge is transforming the data into information that can be used for healthcare planning. In general, obtaining the data is easy but creating information from it begins by asking a few questions:
Who will use this data?
How does t....

CY 2011 Changes to the Hospital OPPS

Author: Karban, Karen M

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2011


The final rule for the calendar year 2011 Hospital Outpatient Prospective Payment System (OPPS) was released November 24, 2010. Changes in the rule went into effect with January 1, 2011, outpatient hospital-based services.

The changes to OPPS continue to reflect packaging adjustments....

New Job? More Money? Negotiating Pays Off

Author: Kaplan-Quinn, Genia

Source: Journal of AHIMA

Publication Date: June 2003


It’s true: everything is negotiable. How do you get your kids to eat their broccoli or your spouse to pick up his or her dirty socks? These everyday victories are achieved through the process of negotiation: we decide what we want, we plan the best way to approach the situation, we ask fo....

Advancing Secondary Data Uses through Data Standards: HL7 Project Advances the “Collect Once, Use Many Times” Paradigm

Author: Kallem, Crystal; Richesson, Rachel; DuLong, Donna; Sison, Luigi; Van Dyke, Patricia; Mon, Donald T.

Source: Journal of AHIMA

Publication Date: April 2011


Organizations must consider a multitude of data standards and reporting requirements when capturing and aggregating healthcare data. These standards and requirements are vast in scope and complex to implement.

To help address these challenges, healthcare desperately needs clearly de....

Needed: Data Content Standards. Data Content Standards Streamline Data Reporting for Performance Measurement Initiatives

Author: Kallem, Crystal; Fenton, Susan H.

Source: Journal of AHIMA

Publication Date: January 2007


Many performance measurement data collection and reporting initiatives are under way both nationally and locally through public and private partnerships. Healthcare providers are asked, and often required, to collect and report data for quality, public health, performance, and financial measure....

Transforming Clinical Quality Measures for EHR Use

Author: Kallem, Crystal

Source: Journal of AHIMA

Publication Date: November 2011




NQF Refines eMeasures for Use in EHRs and Meaningful Use Program

The meaningful use incentive program and increasing emphasis on improving healthcare quality have highlighted the need for clinical quality measures that are EHR-compatible. To address this need and advance th....

Analyzing Clinical Quality Measures for Meaningful Use

Author: Kallem, Crystal

Source: Journal of AHIMA

Publication Date: November 2010


One of the top health policy outcome priorities associated with meaningful use is to improve the quality and efficiency of care for Medicare and Medicaid populations. Eligible hospitals and providers that seek to apply for stage 1 meaningful use incentives will be required to capture and repor....

Benchmarks as the Signposts Along the Fraud Case Trail

Author: Kaldal, Karen

Source: Journal of AHIMA

Publication Date: November 1998


Traditionally, payers in the healthcare industry have relied on external tips or complaints for starting points for fraud investigations. But recently the number of leads on fraud activity has increased as the public becomes more aware of the issue. To combat this problem, payers have begun to....

HIM Metamorphosis

Author: Kalata, Marcia

Source: Journal of AHIMA

Publication Date: October 1998



Five years ago, if someone had told me my organization would construct a new building without a chart room and would require half as many medical record clerks and that coders would work without stacks of charts at their desks, I'd have thought they were from a different planet. But....

HIM Best Practices for Engaging Consumers in Their Overall Healthcare

Author: Kadlec, Lesley; Kirby, Annessa; Shaffer, Heidi; Warren, Paula

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2015


As a nation, the United States has been focused heavily on engaging consumers in their overall health and wellness. This has been propelled by federal initiatives such as the “meaningful use” Electronic Health Record (EHR) Incentive Program, mandated clinical quality measures based....

HIM's Role in Health Data Analysis

Author: Kadlec, Lesley

Source: Journal of AHIMA

Publication Date: June 2016



In today’s healthcare environment, data abounds. From the time of admission through the patient care episode, discharge, and aftercare, the volume of clinical data in healthcare continues to grow and expand. Regardless of whether the data results from a patient office visit, the lab,....

Coming Soon to Your Healthcare Facility: Information Governance. A Look at Healthcare Information Governance Trends through Practical Case Studies

Author: Kadlec, Lesley

Source: Journal of AHIMA

Publication Date: August 2014



The growing momentum of information governance (IG) initiatives in healthcare provider organizations raises many questions. What are the goals of information governance? Why have some organizations decided they need formal IG programs? How do healthcare organizations expect to benefit from....

Keeping Your "I" on Information Governance

Author: Kadlec, Lesley

Source: Journal of AHIMA

Publication Date: January 2014



Information governance is gaining increased momentum in healthcare. Health information management (HIM) professionals have the necessary skills in all aspects of information management to become experts in the facilitation, planning, and execution of information governance initiatives with....

New Year, New HIM Goals

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: January 2016


The best part about a professional new year’s resolution is that it can be much easier to stick to than a personal resolution—there is more motivation (i.e., your boss, personal ambition) and less temptation to slack (i.e., co-worker accountability).


To get a sense of what 2016....

Beware the Dark Side of the Web

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: May 2015


Unless they know exactly what to look for, most Internet users wouldn’t know that a “Dark Web” exists or what it is—let alone the potential for harm that can be done with it.


But the dark side of the web is out there, and its proprietors want your medical information.

....

Long and Winding Road to ICD-10

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: September 2015


The long and winding road that AHIMA members have journeyed toward ICD-10-CM/PCS implementation took some exciting and unexpected turns this year during an otherwise frustrating wait.


The ICD-10 grassroots campaign launched by AHIMA during the 2014 Leadership Symposium resulted i....

Visualizing Information Governance

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: August 2015


Information governance (IG)—like so many concepts in health IT and health information management—can be hard to understand, visualize, and articulate. Fortunately, AHIMA has developed an infographic that helps with all three. From defining IG to demonstrating how and why it works, t....

Voices from the ICD-10 Zeitgeist

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: June 2015


As it starts to appear likely that ICD-10-CM/PCS will finally be implemented this year, prominent advocates for the transition are striking a more optimistic tune in public statements. Overall, the ICD-10 zeitgeist has steadily swung toward an implementation date of October 1, 2015 after years....

Copy and Paste Run Amok—EHRs and Malpractice

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: September 2016


As if physicians needed another reason to be wary of electronic health records (EHRs), a new study finds that malpractice claims related to EHR use have risen in accordance with increased EHR adoption.


The study, which was conducted by The Doctors Company, a malpractice insurance....

Send in the (Potentially Life-Saving) Drones

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: February 2017


None of the incredible advances in medical technology or pharmacology are any good if they’re inaccessible to people who need them the most. But that’s exactly what’s happening in rural Appalachia, especially in southwestern Virginia’s economically depressed coal counties, where large swaths of....

Keep Out: Unsecured PHI Inside

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: March 2017


Crumbling, decaying, and abandoned hospitals aren’t just physically dangerous examples of urban decrepitude—they also could be prime targets for medical identity thieves who know what they’re doing.


Take the case of Chicago, IL’s Edgewater Medical Center, a....

Semper Hi-Tech

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: May 2017


As a small group of US Marines come under fire in fierce house-to-house fighting through an all but deserted urban terrain, a frantic shout of “Medic!” rings through the air. Ducking for cover, a medic comes running with a bag of supplies and… a mobile device with the injured....

Health IT Preparing for 'The Big One'

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: April 2017


For the past several years, seismologists have been warning that California is overdue for “The Big One”—an earthquake with a Richter scale Level 8 or greater magnitude in densely populated parts of the state.1 In anticipation of this sort of event or other natural disaster, l....

Reporting Live from Your Stomach

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: August 2017


While millions of health conscious consumers are strapping health tracking devices around their wrists, doctors are prescribing a more invasive device for another group of consumers. To boost compliance with life-saving medications for people with chronic conditions like high blood pressure, de....

Convention Jambalaya

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: November 2015


Running from September 26 to September 30 in New Orleans, LA, the 87th Annual AHIMA Convention and Exhibit created many notable quotes. Here, in honor of its host city’s famous cuisine, is a media jambalaya from the AHIMA convention.

Bethany Bultman, president of the New Orleans Music....

Rare and Unlikely ICD-10 Codes are Needed

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: October 2015


This summer, if you listened very closely, you could almost hear a vast chorus of coders saying “I told you so,” after a freak accident alarmed local boaters in Southern California. On June 21, an over-excited dolphin accidentally jumped into a California family’s speed boat and broke both ankl....

Virtual Doctor Explains All

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: July 2017


Anyone who has ever tried to sort through the tables and charts that accompany laboratory results in their patient portal has wished they had a doctor standing over their shoulder. 


This type of help would be especially beneficial to senior citizens who arguably have more blo....

2008 CPT Coding Update

Author: Jorwic, Therese M

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2008


The new CPT codes took effect January 1, 2008. Changes include 244 additions, 314 revisions, and 50 deletions. A comprehensive list of changes can be found in appendix B of the CPT book. Highlights of the changes by section are outlined here.
Evaluation and Management

A revised....

E/M Options in the Outpatient Arena

Author: Jones, Lolita M.

Source: Journal of AHIMA

Publication Date: July 2001


Under the Medicare ambulatory payment classification (APC) system, hospitals must establish criteria for mapping the medical care rendered in the emergency department and hospital-based outpatient settings to appropriate CPT medical visit codes. Do you know how to establish a sound rationale f....

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