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Electronic Copy versus Electronic Access

Author: Emery, Steven; McDavid, Jan P

Source: Journal of AHIMA

Publication Date: March 2011


Registration for the meaningful use program opened in January, and many HIM professionals and chief information officers are preparing their organizations to meet stage 1 meaningful use criteria. Two of the objectives directly affect an organization's release of information (ROI) process. Part....

Improving Performance, Managing Change

Author: Elliott, Chris

Source: Journal of AHIMA

Publication Date: February 2001




In today's world, there is no such thing as permanent stability. Change is the norm.

Like performance improvement, change can be thought of as a process to be understood and managed. Although definitions vary, change management can be defined as a group of techniques used to....

Your Resume: A Checklist for Today's Trends

Author: Ellie, Perry E.

Source: Journal of AHIMA

Publication Date: January 1997



Does your resume work for you?


As the owner of a recruiting firm specializing in health information management, I critique hundreds of resumes each year. By employing the common sense ideas in this article you can enhance your resume, find the work of your dreams, and ch....

Data Abstraction Unplugged: Taking Trauma Registry to the Point of Care with Wireless Technology

Author: Eisenhower, Cynthia; McElwee, Karen; Wargo, Christina; Woodruff, Tracy

Source: Journal of AHIMA

Publication Date: July 2005


Central to Geisinger Medical Center’s success with concurrent abstraction is wireless technology that enables registrars to work at the point of care.
Registry abstraction can have trouble keeping up with technology. Often located away from IT-intensive clinical departments and oper....

Physician Office Billing Compliance Program

Author: Eisenhauer, Sue

Source: Journal of AHIMA

Publication Date: October 1997


Physician offices try to adhere to the coding and billing guidelines as defined by Medicare. However, claims to commercial insurance carriers frequently are not handled as precisely. The passage of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) has brought to our atte....

Position Yourself to be a Player

Author: Eichenwald, Shirley

Source: Journal of AHIMA

Publication Date: October 1999


As a result of the rapidly changing healthcare information systems environment, a variety of career opportunities are emerging for HIM professionals. This is a sure sign that the transformation of the HIM profession, envisioned for more than a decade, is actually happening. To take ful....

Education: The Key to HIM Transformation

Author: Eichenwald, Shirley

Source: Journal of AHIMA

Publication Date: July 1998




Vision 2006 is pointing the way to the transformation of HIM practice. But without individual action, the vision will not bear fruit. Education and professional development are the keys to making the transition to HIM professionals' roles and responsibilities in the next century....

Use Data Mining Findings as a Tool to Support CDI Education

Author: Easterling, Sharon; Endicott, Melanie; Lojewski, Tedi; Maccariella-Hafey, Patricia C; Martin, Ginny

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

Publication Date: July 2014



Clinical validation involves the clinical review of a case to determine whether or not the patient truly possesses the conditions documented in the health record. Productivity and coding quality often suffer when the health record lacks accurate documentation to support the claim, and cur....

Busy Year for the RACs

Author: Easterling, Sharon

Source: Journal of AHIMA

Publication Date: March 2012



Learning from last year's denials and preparing for what's ahead will help providers avoid being stung in 2012.


When the Recovery Audit Contractor (RAC) permanent program began in 2009, providers were hopeful that the process for identifying underpayments and overpayments w....

The Privacy and Security of Non-Traditional Occupational Health Services

Author: Dunn, Rose T; Odia, Godwin

Source: Journal of AHIMA

Publication Date: November 2013

The AHIMA Practice Brief The Privacy and Security of Occupational Health Records focuses on the privacy and security related responsibilities of a healthcare provider that offers occupational health services for other employers in its community. This article supplements that practice brief and focuses on those entities that are not healthcare providers, in the traditional sense of the term.

Checks, Balances, and Ethics: Implementing Financial Controls for Associations

Author: Dunn, Rose T; Klaver, Jill Callahan; Rinehart-Thompson, Laurie A.

Source: Journal of AHIMA - website

Publication Date: November 2014


Health information management (HIM) professionals are recognized for their compliance-focused activities. Coding professionals, for example, assign codes based on the available documentation and the rules that define proper code application. When hospital coders are asked to resequence a condit....

Turning Production Data into Management Tools

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: October 2002


Staring down another backlog in your HIM department? Use routine data collection activities to strengthen your case for additional staff, increased budget dollars, or an incentive program.
Daily challenges in an HIM department include increasing workloads and accumulating backlogs withou....

When Health Information and Fiscal Management Meet

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: January 2001




HIM professionals have skills that can allow them to contribute to the bottom line in many ways. The author describes areas where HIM expertise can make a difference in evaluating an organization's fiscal performance through analysis of services driven by health information.
HI....

Calculating the Costs of E-Discovery

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: November 2007



The new electronic discovery rule requires organizations to calculate the costs associated with disclosing information that may not be readily accessible or, in the language of the rule, “reasonably accessible.” Determining those costs requires a thorough inventory of data stor....

Calculating Costs for Accounting of Disclosures

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: May 2003


The privacy rule allows a covered entity to charge a cost-based fee for providing an accounting of disclosure (AOD). Has your organization determined these costs? Calculating the actual costs may be more involved than you think. This article will discuss the requirements for setting the fee an....

Putting Productivity Plans to Work

Author: Dunn, Rose T

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2001




This is the last in a series of three "Coding Notes" articles addressing productivity measurement and incentive plans for coding professionals. The April Journal of AHIMA (vol. 72, no. 4) article discussed the general principles of developing facility-specific productivity m....

Managing Care, Managing Change, Managing Information

Author: Dunham, Larry

Source: Journal of AHIMA

Publication Date: April 1998


Under managed care, information is often required on a longitudinal—not an episodic—basis. As a result, we need to rethink our approach to data storage and use. The author identifies ways to look at the demand for data in a managed care environment and shows how process as....

Communicating with Physicians: Something to Talk About

Author: Dunaway, M. Tray

Source: Journal of AHIMA

Publication Date: September 2002


Ask a physician: "Doctor, are your detailed history and physicals comprehensive?" Now ask: "Doctor, are your comprehensive history and physicals detailed?" Chances are, you'll get two affirmative replies. To a physician, detailed workups are comprehensive, and comprehensive workups are detaile....

Making Patient Safety Number One

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: January 2004

"We once did many things after patients were discharged, but now there's a push to do the work closest to the exam. Work was batched--now things are shifting to point-of-care and continuous flow. Coding will have to shift, too." —Julie King

The way Julie King,....

Designing Effective Training

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: June 2005



Creating a successful training program begins with asking the right questions and taking time on the plans, as one expert testifies.
Imagine sitting at your desk. The phone rings. It's your boss. You've just been tasked with an electronic health record (EHR) training initiative inv....

Mind-boggling Change

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: January 2004



Mind-boggling. It’s a word that comes from Debbie Fernandez's mouth time and again when she discusses the sheer volume of hospital correspondence, the transition from paper to electronic environments, and the dedication of her staff.

For nearly 20 years Fernandez, RHIA, has....

Power of Clinical Document Specialists: New Role Combines Clinical, Coding Knowledge to Improve Documentation

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: January 2007



Incomplete documentation is a fact of life in healthcare facilities. With more than 20 years of experience in HIM, Kathy Sauer, MBA, BS, RHIA, agrees. “Absolutely-across the board!” says Sauer, HIM director at Mount Sinai Hospital in Chicago, IL. “I’ve been a director at several facilities....

"Find the Passion"

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: November 1999


Not many children grow up in doctors' lounges, but as a cardiologist's daughter, Bertine Colombo McKenna did. In fact, McKenna, ART, MBA, PhD, called the hospital "home" and knew healthcare would play a role in her future.

Today she's right at home at Vermont's F....

Constancy of Change

Author: Duggan, Christina Mayer

Source: Journal of AHIMA

Publication Date: January 2004



Change is constant in Kathleen Cleary's career and something she welcomes and embraces. Throughout her 15-year medical-records career, she’s moved from Wisconsin to California to Texas. Cleary, RHIA, has also helped implement electronic records management systems for two large ambula....

Data Dictionaries: An Overview

Author: Duffy, Philip G.

Source: Journal of AHIMA

Publication Date: February 1997


Healthcare is one of the most information-intensive industries in the economy but less automated than other industries such as banking and insurance. Modern healthcare delivery is governed by ad hoc teams of professionals assembled to address each case, which further complicates information a....

Privacy Holes in the 'Hidden Healthcare System': Students' PHI-laden Education Records that are Stored and Shared Electronically Don’t Have the Same Safeguards as most EHRs

Author: DuBravec, Daniel A; Daigle, Matt

Source: Journal of AHIMA

Publication Date: June 2015



With student safety and privacy an increasing parental concern, school administrators nationwide are sitting on a powder keg of potential backlash because of a gray area of student privacy protections that Julia Lear, senior advisor for the Center of Health and Health Care in Schools at G....

Can EHRs Handle Genomics Data?

Author: DuBravec, Daniel A

Source: Journal of AHIMA

Publication Date: November 2015



Virginia’s Inova Fairfax Hospital recently announced plans to open a $245 million genomics research center as part of Inova’s Center for Personalized Health. The research center will sequence nearly 20,000 whole genomes by the end of 2016. Whole genome sequencing, a process where a specia....

Why Don't We Have Computer-Based Patient Records

Author: Drazen, Erica

Source: Journal of AHIMA

Publication Date: June 1996


In 1991 the Institute of Medicine produced a report that came to the unequivocal conclusion that to make advances in the quality of care, efficiency of process, and containment of costs, we needed to adopt computer-based patient records. They even subtitled the report "An Essential Technology....

Checking In on Accounting of Disclosures

Author: Downing, Kathy; McLendon, Kelly

Source: Journal of AHIMA

Publication Date: November 2013



Accounting of disclosures (AOD) is one "patient right" listed within the HIPAA Privacy Rule. Since the rules were implemented in 2003, AOD has been a topic of much discussion but has not generated much regulatory action from the US Department of Health and Human Services' (HHS) Office for....

ONC Targets Information Blocking

Author: Downing, Kathy; Mason, Jessica

Source: Journal of AHIMA

Publication Date: July 2015



A NEW REPORT to Congress from the Office of the National Coordinator for Health IT (ONC), released in April, has put information blocking in the spotlight.1 The ONC report comes out on the heels of a recent article written by five US senators titled, “Where Is HITECH’s $35 Billion Dollar....

Information Asset Inventory for Information Governance - Retired

Author: Downing, Kathy; Fahy, Kristi; Foster, MeShawn; Hermann, Michelle; Meehan, Ann M.; Washington, Lydia; Woebkenberg, Jami

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2017


When an organization begins to implement an enterprise information governance (IG) program, one of the major initial tasks is to understand the scope and types of information in its possession. An inventory of an organization’s information is necessary in order to facilitate decision maki....

Privacy Officer Evolution

Author: Downing, Kathy

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: September 25, 2015



Within my 20 years in the realm of privacy officer, we called work in privacy first “appropriate access,” then “information protection,” and now, thanks to the Health Insurance Portability and Accountability Act (HIPAA), have finally settled on the term “priva....

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