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CPR in Long Term Care

Author: Schoenfelt, Suzanne

Source: Journal of AHIMA

Publication Date: February 1999


Throughout the healthcare industry, the computer-based patient record (CPR) is in various stages of development. This article assesses the progress long term care facilities are making in moving toward the CPR. The article also suggests some ways HIM professionals can devel....

Managing PHI Content Standards

Author: Sawatsky, Elaine; Warner, Diana

Source: Journal of AHIMA

Publication Date: April 2016



Interoperability standards and their continuing adoption by e-health programs expand the capacity of information systems to capture, use, and exchange clinical data. For exchange to occur, the majority of data processing decisions need to take place both computationally and automatically.....

Are You Vulnerable to Hackers?

Author: Sardinas, Joseph L. Jr.; Muldoon, Jeannine D.

Source: Journal of AHIMA

Publication Date: November 2001


You might think computer hackers’ activities are restricted to viruses and hoaxes. Unfortunately, their repertoire is far larger, which puts your facility’s computer system-and patient privacy-at risk. This article provides a look at how hackers work and the best ways to protect your systems.....

What’s New with Coding Non-Pressure Ulcers

Author: Sanvik, Gina

Source: Journal of AHIMA

Publication Date: April 2018






Untitled Document




Many ICD-10-CM codes were added throughout code category L97, Non-pressure chronic ulcer of the lower limb, not elsewhere classified, and subcategory L98.4, Non-pressure chronic ulcer of the skin, not elsewhere classified, to provide....

CY 2018 OPPS Update

Author: Sanvik, Gina

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2018





Untitled Document



CY 2018 OPPS Update


By Gina Sanvik, MS, RHIA


Facilities had the ominous task of reviewing the Hospital Outpatient Prospective Payment System (OPPS) final rule at the beginning of the year to ensure their chargemaste....

Coding Viral Sepsis

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: November 10, 2016




How to code viral sepsis has been a topic of discussion on AHIMA’s Engage Coding, Classification and Reimbursement community, and has be the subject of several inquiries to AHIMA’s Code-CheckTM coding question service.


The viral sepsis coding confusion may com....

Survey Predicts Future HIM Workforce Shifts: HIM Industry Estimates the Job Roles, Skills Needed in the Near Future

Author: Sandefer, Ryan; Marc, David; Mancilla, Desla; Hamada, Debra

Source: Journal of AHIMA

Publication Date: July 2015



The American Health Information Management Association (AHIMA) conducted a study to assess the future needs of the health information workforce. The study was intended to define the current reality of HIM within the healthcare industry, how the market is shifting to meet future needs, and....

Ready or Not, HIM is Changing: Results of the New HIM Competencies Survey Show Skill Gaps Between Education Levels, Students, and Working Professionals

Author: Sandefer, Ryan; Karl, Ellen Shakespeare

Source: Journal of AHIMA

Publication Date: March 2015



In January 2014, the AHIMA Council for Excellence in Education (CEE) released updated curricular competencies for all accredited academic programs, including those at the associate, baccalaureate, and graduate levels. The curricular competencies were intended to better align education with....

Keeping Current in the Electronic Era: Data Age Transforming HIM’s Mandatory Workforce Competencies

Author: Sandefer, Ryan; DeAlmeida, Dilhari R; Dougherty, Michelle; Mancilla, Desla; Marc, David

Source: Journal of AHIMA

Publication Date: November 2014



Ponder this for a moment. From the beginning of recorded history to 2003, five exabytes (five billion gigabytes) of information was created by humans, according to recent IBM calculations. The rate at which that level of information is being created is increasing exponentially. In 2012, fi....

How to Write for Your Profession

Author: Sandefer, Ryan

Source: Journal of AHIMA

Publication Date: February 2019


By Ryan Sandefer, PhD, and Amy Watters, EdD, RHIA, FAHIMA


In the January issue of Journal of AHIMA, health information professionals were asked to take action by highlighting their work and the value of the health information management (HIM) profession through publishing. Yes, t....

Why You Need to Write for Your Profession

Author: Sandefer, Ryan

Source: Journal of AHIMA

Publication Date: January 2019


By Ryan Sandefer, PhD, and Amy Watters, EdD, RHIA, FAHIMA


The May 2014 cover of Journal of AHIMA featured an image of a chameleon and the words “Adapt or Disappear.” This hyperbolic warning for health information management (HIM) professionals was delivered in the context of the r....

Information Governance for Offsite Data Security

Author: Saharia, Devendra

Source: Journal of AHIMA

Publication Date: April 2016



Disruptive technology can turn any industry on its head—virtually overnight. Just five years ago, summoning a taxi was an inefficient, time-consuming effort that often involved dialing up a dispatcher, who contacted a driver, who would then make their way to your location, perhaps in an h....

Coding Under the HIPAA Umbrella

Author: Russo, Ruthann

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2001





Although coding professionals are not ultimately responsible for ensuring appropriate release of patient-protected information, it is important that they understand that coded data is not only one of the most desired pieces of information in the patient’s record, it is also the....

Teamwork and Compliance Go Hand in Hand

Author: Ruppersburg, Patricia L.

Source: Journal of AHIMA

Publication Date: April 1999



Compliance is an issue that has earned much respect from healthcare professionals. It has become imperative to all HIM professionals to focus on providing the best possible solution for compliance. The ultimate goal: to create a scenario in which compliance supports the existing heal....

Evolution of HEDIS: 3.0 and Beyond

Author: Rulon, Vera; Sica, JoAnn

Source: Journal of AHIMA

Publication Date: June 1997


History of HEDIS
Employer Issues Leading to HEDIS
The Health Plan Employer Data and Information Set (HEDIS) is a set of standard performance measures designed to provide purchasers and consumers with the information they need to compare the performance of managed healthcare plans.....

Partnering for Quality Healthcare

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: October 2005


HIM cannot claim an exclusive domain any more. No longer a “back end” function, HIM is part of a larger continuum. Author Daniele Bolelli writes: “The age of specialization is over. Mixing together aspects of life that have apparently little to do with each other will be the....

HIM’s Role in Maintaining Privacy and Security

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: February 2009


In the past several years medical information has made the news, though not in the way HIM professionals would like. Consider the following headlines:
“Data Breach Hits Close to Home” from the February 22, 2007, Washington Post
“Staff Suspended for Leaking George C....

HIM’s Role in Reducing Health Disparities

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: April 2009


Health disparities are a major concern in the healthcare industry. Many studies related to health disparities cite the need for accurate and accessible data to identify where the differences in health exist.

“The National Healthcare Disparities Report” from the Agency for....

Awe-Inspiring Year: AHIMA’s 2009 Achievements

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: November 2009


What an overwhelming year it has been.

Not only have I learned a lot, I have also had the privilege of getting to know many of AHIMA’s members. I am in awe of our association and how we have responded to the many challenges our healthcare system is facing and will continue to f....

Taking a Stand on Sanctions

Author: Rulon, Vera

Source: Journal of AHIMA - website

Publication Date: April 2009


The Journal of AHIMA kicks off our Health Information Privacy and Security Week series with a post from AHIMA president Vera Rulon, MS, RHIT, CCS, FAHIMA. Rulon is director of strategy and communications in the chief medical office of Pfizer, Inc.

So I get this communication that my c....

Communities of Practice—HIM’s Social Network

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: March 2009


Social media has boomed with the advent of online networking sites such as Facebook, MySpace, and LinkedIn. Now healthcare is getting involved, too.

One can only imagine the impact the new ways of patient-doctor, consumer-consumer, and doctor-doctor communications will have on health....

Gauging Coding’s Evolution

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: July 2009


The influx of information technology in the healthcare industry has led many to wonder what the future holds for coding and what coders must do to remain vibrant and knowledgeable.

Back in 2000, the coding futures task force asked the same questions. In the Journal article “A C....

Global Language for Pharmaceutical Regulation

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: January 2000


What will facilitate medical product regulation and related electronic data interchange worldwide? For some regulatory authorities, the answer is the Medical Dictionary for Drug Regulatory Affairs—also known as MedDRA.

MedDRA (the name is a trademark of the International Federat....

FY 2017 Updates to ICD-10-CM

Author: Rugg, Donna

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

Publication Date: November 2016



The ICD-10 Coordination and Maintenance Committee’s code freeze, first implemented after the October 1, 2011 annual update, has finally thawed. For fiscal year (FY) 2017 the ICD-10-CM classification is back on track with annual code and guideline updates. Due to the thousands of new/....

FY 2018 Changes to Acute Care Hospital IPPS

Author: Rugg, Donna

Source: Journal of AHIMA

Publication Date: February 2018

By Donna Rugg, RHIT, CDIP, CCS

The fiscal year (FY) 2018 Hospital Inpatient Prospective Payment System (IPPS) final rule was released August 3, 2017 and impacted discharges beginning October 1, 2017. This is version 35 of the MS-DRG grouper. The Centers for Medicare and Medicaid Services (C....

Integrating Medical and Dental Records: A New Frontier in Health Information Management

Author: Rudman, William J.; Hart-Hester, Susan; Jones, Warren A.; Caputo, Nadine; Madison, Mary

Source: Journal of AHIMA

Publication Date: October 2010


Integrating records of systemic and oral health would improve patient care. It would also open up a new frontier in health information management.

A fully integrated patient record and care model for both systemic health (medical) and oral health (dental) is needed for health informa....

Weaving Together a Healthcare Improvement Tapestry: Learning Health System Brings Together Health IT Data Stakeholders to Share Knowledge and Improve Health

Author: Rubin, Joshua C; Friedman, Charles P

Source: Journal of AHIMA

Publication Date: May 2014



As the “Vision” section of AHIMA’s website states, AHIMA aims to “lead the advancement and ethical use of quality health information to promote health and wellness worldwide.” In many ways, the Learning Health System’s (LHS) overarching vision represents....

Moving Toward a Unified Information Security Program

Author: Ruano, Michael

Source: Journal of AHIMA

Publication Date: January 2003


Is your organization up to the challenge of creating a unified information security program?


A unified information security program has been all but mandated for healthcare organizations by the federal government. HIPAA requires that electronic, paper, and oral patient identif....

Getting 'Hip' to Other Privacy Laws: Part 2

Author: Roth, Julie A.

Source: Journal of AHIMA

Publication Date: March 2004


The HIPAA privacy rule is just one of several federal laws that protect the privacy of non-public information. But privacy is not a new concept in healthcare. Healthcare workers have long protected medical information under a varety of state and federal laws, accreditation standards, and rules....

Preparing for ICD-10-CM: A Clinician's Perspective

Author: Rose, Eric

Source: Journal of AHIMA

Publication Date: July 2009


America’s physician practices are facing the biggest change in healthcare coding in decades: the replacement of ICD-9-CM by ICD-10-CM. This article discusses ICD-10-CM from a clinical perspective and reviews how electronic health record (EHR) systems will need to adapt to the transition.....

HITECH Frequently Asked Privacy, Security Questions: part 2

Author: Rose, Angela Dinh; Greene, Adam H

Source: Journal of AHIMA

Publication Date: February 2014

The final HITECH-HIPAA Omnibus Rule was released in January 2013 and expanded some of HIPAA’s original requirements involving its privacy, security, and enforcement components. The Omnibus also finalized the Breach Interim Final Rule as well as the Genetic Information Nondiscrimination Act (GINA).

The following are some commonly asked questions about the HITECH Omnibus Rule implementation and compliance requirements, specifically regarding the rule’s areas addressing business associates, breaches, and GINA.

HITECH Frequently Asked Privacy, Security Questions: Part 3

Author: Rose, Angela Dinh; Greene, Adam H

Source: Journal of AHIMA | AHIMA Q and A

Publication Date: March 2014

This article concludes a three-part series discussing the most commonly asked questions regarding compliance requirements surrounding the final HITECH Omnibus Rule, released in January 2013. It highlights the updated requirements and provides answers to questions regarding decedent protected health information (PHI), the release of immunization records to schools, and the enhanced request for restrictions requirements.

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