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Managed Care in the Age of Accountability

Author: Tercero, Wendy

Source: Journal of AHIMA

Publication Date: April 1999


Additionally, as managed care grows, quality and cost will reach equilibrium, and today's economically driven model will have stabilized, turning into one that truly balances cost and quality. Healthcare organizations of the future will need to implement information systems that support decisi....

A New Era for Clinical Quality Measurement Data: Standardization, Automation of Clinical Quality Measurement and Reporting

Author: Taylor, Lisa Brooks

Source: Journal of AHIMA

Publication Date: October 2013



Set on course by the National Quality Strategy (NQS) and fueled by the "meaningful use" EHR Incentive Program, clinical quality measurement is entering a new era. A primary objective of the NQS, which was developed by a multistakeholder collaboration convened by the National Quality Forum....

Show Me the Data

Author: Taylor, Lisa Brooks

Source: Journal of AHIMA

Publication Date: September 2013



With the establishment of the National Quality Forum's National Quality Strategy, which sets the direction for achieving better, affordable care and healthier people and communities, providers, payers, and patients are seeing a shift in payment methodologies from volume-based to value-base....

Simplifying Your Data Visualizations

Author: Tabisula, Braden

Source: Journal of AHIMA

Publication Date: May 2018







By Braden Tabisula, MBA, RHIA, CHDA


Editor’s Note: This is the first installment of the new Advancing Analytics department, which will feature articles that provide best practices and practical resources for HIM professionals who are involved i....

Compliance Efforts Lead to Process Improvements

Author: Swope, Shana

Source: Journal of AHIMA

Publication Date: June 2000




After Medicare regulations and the accompanying paperwork threatened to overwhelm an outpatient rehabilitation center, staff took steps to simplify the recertification process. The result was improved efficiency plus increased commitment to the electronic medical record. He....

Linking Medical Librarians and PHRs

Author: Sweet, David A.

Source: Journal of AHIMA

Publication Date: June 2009


Medical librarians are a key source of information on healthcare topics. Their role is expanding with the boom in personal health record (PHR) products. In May 2007 Jean Shipman, president of the Medical Library Association (MLA), and Donald Lindberg, MD, director of the National Library of Me....

Knowing Where to Look: an Overview of Search Engines

Author: Sweet, David A.

Source: Journal of AHIMA

Publication Date: September 2001


"The next best thing to knowing something is knowing where to find it,” said eighteenth-century English lexicographer Samuel Johnson. This axiom is as true today as it was in Dr. Johnson’s time; perhaps more so, due to the ever-growing store of knowledge on the Internet.

Search....

Mind Your Business Associate Access: Six Steps

Author: Sullivan, Tori E.

Source: Journal of AHIMA

Publication Date: October 2002


It's April 10, 2003, and a privacy officer is reviewing her policies for the imminent privacy regulations, title II of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The compliance deadline is April 13, 2003, and she is already feeling stressed about meeting the date.....

Enterprise Content and Records Management

Author: Strong, Karen

Source: Journal of AHIMA

Publication Date: February 2008


The convergence of litigation and electronic records is raising the bar on managing content from multiple systems and multiple departments. That need is introducing healthcare to the practice of managing content and records enterprise-wide.
We’ve come a long way since the days of microfil....

Informatics in Managed Care: HIM Adds Value to Data

Author: Stratton, Scott D.

Source: Journal of AHIMA

Publication Date: September 2001

The third installment of the Journal of AHIMA’s special series on managed care focuses on informatics-methods that add value to data, turning it into useful information. How do informatics and managed care fit together, and what is HIM’s role in this picture?

The HIM professional’s knowl....

Encryption Basics

Author: Stine, Kevin; Dang, Quynh

Source: Journal of AHIMA

Publication Date: May 2011


Healthcare and health IT professionals are entrusted with protecting the privacy and confidentiality of patient data. To provide this protection, these professionals frequently look to commonly accepted technologies and methodologies to safeguard the data while at rest and in transit. One tech....

Power of Networking

Author: Stewart, Margaret

Source: Journal of AHIMA

Publication Date: March 1998


As I look at my year as president of AHIMA, and all that I want to accomplish, my feeling is that I do not want to waste one day as I fulfill my commitments. One of my driving passions and goals is to enhance the position, respect, and perceived value of the HIM professional in the mar....

Few of Our Favorite Things

Author: Stewart, Margaret

Source: Journal of AHIMA

Publication Date: June 1998


When I walk into a bookstore I see titles like 14,000 Things to Be Happy About. Such books remind us that birthday parties, sunsets on the beach, puppies, and other things can help us renew our resources of happiness. With that in mind, this month I decided to write about things that....

If Your Ship Has Not Come In...

Author: Stewart, Margaret

Source: Journal of AHIMA

Publication Date: November 1998


As I write my last message, it seems hard to believe that my year as president will soon be over. It has been a great experience—one that I would highly recommend to anyone. I have enjoyed every minute of it, and I have the wonderful Board of Directors, the great AHIMA staff, and....

CIO Calling: How Much IT Does an IT Project Require?

Author: Stein, Todd

Source: Journal of AHIMA

Publication Date: April 2006


When IT projects start, CIOs say they turn to HIM for detailed workflow knowledge combined with a high-level understanding of technology.
When Chicago's Northwestern Memorial Hospital decided to go paperless with an electronic record two years ago, CIO Tim Zoph saw that the key to the hos....

Taking ICD-10-CM in Parts

Author: Steindel, Steven J

Source: Journal of AHIMA - website

Publication Date: January 01, 2011




On October 1, 2013, healthcare providers will start reporting HIPAA claims using the ICD-10 counterparts to the current ICD-9 code sets. The vastly expanded code space of ICD-10-CM should prove familiar to most ICD-9-CM users and very approachable for new learners. With the exception....

Learning and Using ICD-10-PCS

Author: Steindel, Steven J

Source: Journal of AHIMA - website

Publication Date: February 09, 2011



On October 1, 2013, healthcare providers must begin reporting HIPAA claims using the ICD-10 counterparts to the current ICD-9 code sets. In presenting these code sets two points come to the forefront: the code structure has changed and the number of codes has drastically increased. This ar....

Know Your APCs: Data Analysis Made Simple

Author: Stegman, Melinda

Source: Journal of AHIMA

Publication Date: July 2001



You’ve adapted processes to the APC system, but do you really understand the financial impact of APCs on your organization? The author shows you how to analyze your billing data to assess the impact of APCs on your facility’s bottom line.



Since the implement....

What’s the Difference? SNOMED CT and ICD Systems are Suited for Different Purposes

Author: Stearns, Mike; Fuller, Jan C.

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

Publication Date: November 2014



The International Classification of Diseases (ICD) and SNOMED CT are similar in that both systems have alphanumeric codes associated with clinical concepts. But the systems differ in their purpose and structure, and are best used in different ways in healthcare. For starters, ICD is a cla....

Value of ICD-10 at the Point of Care

Author: Stearns, Michael

Source: Journal of AHIMA - website

Publication Date: September 2015



The ICD-10-CM/PCS code set offers substantial clinical value to healthcare which includes new diagnoses and treatments. There has been a fair amount of emphasis on ICD-10’s value in clinical research and population health, but less on its value at the point of care—while a physician is car....

MACRA and the Role of Clinical Data Integrity

Author: Stearns, Michael

Source: Journal of AHIMA

Publication Date: January 2016



President Obama signed into law the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 on April 16, 2015. This legislation repealed the sustainable growth rate (SGR) but also introduced a number of provisions designed to compensate physicians and other healthcare professionals ba....

Coders and Physician Liaisons: a Winning Combination

Author: Stavely, Starla

Source: Journal of AHIMA

Publication Date: July 1999


Never have so many HIM professionals had so much to worry about in the area of coding. Combine the need to keep an eye on case mix and a vigilant effort to prevent fraud and abuse, throw in a lack of physician documentation, increasingly stiff competition for the chart on nursing units, and co....

Anthrax: What Every Coder Should Know

Author: Stanfill, Mary H

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2002


The inhalation anthrax identified by a Florida physician in October 2001, during the recent series of bioterrorist attacks, was the first case of reported inhalation anthrax in the United States in more than 25 years.1 With the threat of anthrax as a biological weapon, correct coding could be....

In Pursuit of Compatible Coding Audit Benchmarks

Author: Stanfill, Mary H

Source: Journal of AHIMA

Publication Date: January 2019


By Mary H. Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA


People like benchmarkS. They like to know how they are doing in comparison to someone else. In health information management (HIM), a common benchmark is the de facto standard of 95 percent accuracy rate for medical coding. HIM pr....

Leading the Mad Dash to HIPAA Compliance

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: February 2003


When many HIM professionals might have shuddered at the thought of taking on HIPAA implementation, LaVonne Wieland, RHIT, decided to stare it right in the face. For Wieland, the information privacy director for HealthEast Care System in St. Paul, MN, the privacy director position seemed like a....

Educator Type

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: May 2003


“[Teaching] attracted me because I had always liked school,” she says, matter-of-factly. Bowman also liked explaining things to people and has been doing it for almost 30 years as a professor in the College of Allied Health Sciences at the University of Tennessee Health Science Cente....

Documentation Coordinators Put it All Together

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: July 2003


There are very few medical records departments that have a position as unique as mine,” says Karen Santoro, documentation coordinator at Banner Thunderbird Medical Center in Glendale, AZ. The fact that many organizations don’t have a documentation coordinator position on their roster....

Becoming a New Voice in HIM

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: April 2002

“I became a strong advocate for HIM when I was a junior [in college],” she says. “I really wanted to give HIM a voice and create awareness for it.”
—Erin Blume, RHIA, director of quality management at The Ambassador Health System
Not too many recent college gradua....

Joy of Teaching

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: May 2003


“When I was director of medical records, the part I seemed to like the most was the training of new employees,” says Ellen Jacobs, MEd, RHIA. Though Jacobs began her HIM career in a professional setting and is now an educator, it seems as though she’s been teaching all along.

Following Interests Yields Dynamic Career

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: October 2003


If you don’t like it, you can always go back,” says Michelle Morgan, RHIA, about trying new roles in HIM. She would know—she’s jumped from a traditional HIM setting into the IS realm to the vendor world and back again.


Morgan is currently the director of cl....

Best of Both Worlds

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: May 2003


“Teaching is one of the best jobs that I ever had,” says Cathy Flite, MEd, RHIA, assistant professor at Temple University in Philadelphia, PA. When Flite says that, she’s speaking from experience.


She entered the academic world midway in her HIM career, after wor....

Keeping Up with the Pace of Change

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: September 2002

"I envision the future of the HIM profession through an IT perspective. HIM managers need to focus on the quality, security, and access to patient information. The profession is expanding beyond the medical record."
--Genet Kidane, RHIA, product manager, Mobile Computing Group, McKesson I....

Rolling with the Changes

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: June 2003

“Managing change is always going to be a challenge. We're always learning and there's always going to be change.” —Christina Janus, MBA, RHIA, manager of medical record services at Akron General Medical Center in Akron, OH
Christina Janus, MBA, RHIA, has a steadfast approach....

1990s: Visions of the Future

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: October 2003

For the American Medical Record Association (AMRA), the 1990s started at a fast pace and never slowed down. The decade saw a change in the Association's name, a change in credentials, a focus on technology, and the advent of HIPAA.

AHIMA Supports Patient Friendly Billing Project

Author: Squazzo, Jessica

Source: Journal of AHIMA

Publication Date: September 2003


Joining the American Hospital Association, the Medical Group Management Association, and others, AHIMA announced its endorsement of the Patient Friendly Billing Project. Led by the Healthcare Financial Management Association (HFMA), the project was established in 2000 to help create a more pat....

Getting to Stage 1

Author: Spooner, Bill

Source: Journal of AHIMA - website

Publication Date: October 10, 2011




For some healthcare providers, meaningful use is a carrot being offered in reward for implementing an EHR system. For other organizations, however, meaningful use is affirmation that their EHR strategies—often devised before the HITECH Act and meaningful use program—are on the right t....

Enhancing Patient Care through Data Analysis

Author: Spencer, Gregory

Source: Journal of AHIMA

Publication Date: June 2010


Healthcare organizations, just like individuals, can suffer from information overload. Increasingly tasked with linking quality data to reimbursement parameters, providers now attempt to capture every piece of possible data.

The problem is that data collection has a price tag. Someti....

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