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Trouble with DRGs: Part 2

Author: Mahoney, Robert J.

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2005


Last issue’s article presented some ways that DRG criteria redefine well-established clinical entities such as respiratory failure and sepsis. This article will discuss two other incompatibilities between DRG criteria and clinical practice: the clinical distinctions required by the DRG s....

Trouble with DRGs

Author: Mahoney, Robert J.

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2005


A major frustration among coding professionals, particularly in the inpatient setting, is the difficulty in translating physician documentation into diagnostic related group (DRG) data. Some hospitals have attempted to improve their coding effectiveness by establishing time-consuming physician....

Trouble with Audit Controls

Author: Amatayakul, Margret

Source: Journal of AHIMA

Publication Date: October 2004


The 2004 Phoenix Health System/HIMSS HIPAA compliance survey indicates that providers find audit controls the most difficult of the HIPAA security standards to implement.
While it is recognized that every organization must conduct a risk analysis to determine the systems or activities th....

Trend Watch: Coding for Nonphysician Services

Author: Hill, Emily

Source: Journal of AHIMA

Publication Date: January 2000


From physician assistants to nurse practitioners, the number of healthcare professionals offering patient care services has increased dramatically in recent years. With this increase comes a challenge to coders—accurately reporting the services provided by these prof....

Trends to Watch in Home Health Compliance

Author: Abraham, Prinny

Source: Journal of AHIMA

Publication Date: May 2001




The implementation of the Home Health Prospective Payment System (PPS) on October 1, 2001, has presented some unique compliance risks for HIM and billing managers. This article will briefly describe some of the compliance-related issues on the OIG's agenda that are of interest to HIM....

Treating Healthcare with Health "I"T

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: September 2012




Patient-Centric Stage 2 Meaningful Use Measures Considered Treatment for Ailing US Health System



The US healthcare system is ill. Higher costs, sicker patients, and struggling providers are the symptoms of the disease that has sent industry stakeholders scrambling t....

Translation Please: Mapping Translates Clinical Data between the Many Languages That Document It

Author: Foley, Margaret M.; Hall, Candace; Perron, Kathryn; D'Andrea, Rachael

Source: Journal of AHIMA

Publication Date: February 2007


Clinical mapping is essential because healthcare has no single medical terminology, making it difficult to understand and translate meanings across the different terminologies developed for different uses. Mapping allows the capture of data in the electronic health record (EHR) with the t....

Transition Management: Striking a Balance

Author: Helbig, Susan

Source: Journal of AHIMA

Publication Date: April 2003


Life in today’s healthcare organizations is challenging for everyone involved—patients, providers, third-party payers, vendors, and HIM professionals. As HIM professionals, we are constantly in a state of transition in some area of our practice, which can be both challenging and rewa....

Transitioning Transcriptionists

Author: Person, Carol; Terlep, Minnette

Source: Journal of AHIMA

Publication Date: July 2013



Facing a diminished role, transcriptionists at Sanford Health worked with the organization to move into open, and in-demand, coding roles



The need for transcription was diminishing at Sanford Health, and transcriptionists needed to make a choice-transition into another....

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