Author: Hedges, Ron

Source: Journal of AHIMA

Publication Date: March 2015

AHIMA's Information Governance Principles for Healthcare (IGPHC), published in late 2014, can be seen as a set of best practices for litigation. Attorneys and litigation support personnel would do well to keep the activities outlined in these principles in mind when responding to litigati....

Author: Quinsey, Carol Ann

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: April 2006

This practice brief has been retired. It is made available for historical purposes only.

Author: Rose, Angela Dinh

Source: Journal of AHIMA

Publication Date: February 2018

By Angela Rose, MHA, RHIA, CHPS, FAHIMA

From encoders to electronic health records (EHRs), health information management (HIM) professionals are often tasked with enterprise-wide project management including new technologies, changing workflows, and centralized operations. Information techn....

Author: Smith, Cheryl M.

Source: Journal of AHIMA

Publication Date: April 2001

Office ergonomics are not new to the healthcare industry. Medical transcriptionists and data entry employees are just two groups of healthcare workers that are affected by ergonomics on a daily basis. With a growing number of healthcare organizations implementing the computerized pati....

Author: Picard, Angela

Source: Journal of AHIMA

Publication Date: September 1999

Hiring the right employees for HIM jobs presents a unique challenge for employers. However, electronic resources offer more options for an employer's searching and recruiting efforts. With these tools, employers can go beyond the traditional methods of print advertising and/or retaining the se....

Author: Clark, Jill S

Source: Journal of AHIMA

Publication Date: April 2009

For many organizations, document imaging is the first step toward implementing a fully electronic health record. Document imaging allows staff members across an organization to access electronic documents simultaneously. Three practitioners share their experiences on how this accessibility can....

Author: Wang, Tiankai; Biedermann, Sue E.

Source: Journal of AHIMA - website

Publication Date: April 04, 2011

In the August 2010 print edition, Tiankai Wang and Sue Biedermann applied the cost-benefit analysis model to EHR adoptions. Here the authors describe the decision tree model, another tool to aid in the complex considerations that come with choosing to implement—or delay implementing&....

Author: Crump, Dawn

Source: Journal of AHIMA

Publication Date: January 2014

Medicare's Recovery Audit Contractor (RAC) program began as a three-year, three-state pilot program in 2005 and went nationwide in 2009. The American Hospital Association (AHA) began tracking data collection in January 2010 and since then, according to AHA, the RAC program has recouped $2.....

Author: Jenkins, Kristin

Source: Journal of AHIMA

Publication Date: April 2012

Data are of no value unless they drive action. Action in healthcare has limited positive impact when it is uninformed or uncoordinated.

Publicly available data can help organizations improve healthcare quality. However, getting the most out of these data requires the right tools. A....

Author: Fountain, Vernessa

Source: Journal of AHIMA

Publication Date: November 2014

Healthcare providers are facing a swelling tide of patient-generated health data (PGHD). Growing mobile health technology and personal electronic health records are allowing consumers to become more involved not just in making appointments with physicians, but with tracking and reporting....

Author: Yoder, Lois M.

Source: Journal of AHIMA

Publication Date: January 2000

You may want to consider a focused review of how your practice assigns CPT modifier -25, "a significant, separately identifiable Evaluation & Management (E&M) service by the same physician on the same day of the procedure or other service."1 The Health Care Financing Admini....

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: April 2010

For most organizations, patient-identifiable source data include data from interpretations, summaries, or notes. These data are usually maintained within the originating department, separate from the HIM department and the health record, and sometimes in a different database. Examples incl....

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: January 2013

Clinical documentation is the foundation of every health record, specifically outlining the reasons for treatment and the quality of care provided to the patient. The lack of consistent and standard clinical content within the health record has been an ongoing challenge to health informati....

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: December 2014

Editor's note: This practice brief has been updated. See the latest version here.

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: June 2013

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2019

The goal of this Practice Brief is to provide an explanation of the complication/comorbid condition and major complication/comorbid condition (CC/MCC) capture rate, review the calculation, and introduce the uses of this key performance indicator (KPI) by different functions of the mid-revenue c....

Author: Berry, Tracy Bennett

Source: Journal of AHIMA

Publication Date: November 1998

Successful benchmarking can create opportunities to improve performance through discovering best practices. The author offers an overview of benchmarking and best practices and how they apply to HIM—and ways to get started on your own.
Are you looking for a way to jump....

Author: Hughes, Gwen

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2003

This practice brief has been retired. It is made available for historical purposes only.

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....

Author: Barrett, Charlotte S; Beidler, Aurae; Davis, Nancy; Glondys, Barbara

Source: Journal of AHIMA

Publication Date: November 2016

Developing policies and standard procedures when working with patient aliases is one way to both respect patient privacy but also ensure the accuracy and integrity of patient data.


As defined in AHIMA’s Pocket Glossary, an “alias” is “a name added to,....

Author: Rhodes, Harry B.; Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: May 2009

Current health information exchange (HIE) initiatives continue to develop data exchange models and adopt standards required to support them. Their progress is complicated by the independent nature of the initiatives and a lack of common agreement for data content.

Metadata registries....

Author:

Source: Journal of AHIMA

Publication Date: July 2002

This year, AHIMA introduces a new coding credential—the Certified Coding Associate (CCA). The credential is different from AHIMA’s other coding credentials—the Certified Coding Specialist (CCS) and the Certified Coding Specialist—Physician-based (CCS-P)—in some importan....

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....

Author: Campbell, Susan E

Source: Journal of AHIMA

Publication Date: January 2016

Information for general health information managers about the standards development framework and process—with a focus on mobile health For Patient and Self Care

Author: AHIMA Staff

Source: Journal of AHIMA - website

Publication Date: September 30, 2014

Suzanne Paone, MBA, DHA, and Dilhari DeAlmeida, PhD, RHIA, both professors at the University of Pittsburgh, presented a well-attended session on information governance (IG) Tuesday afternoon. The session, “Information Governance, Best Practices and Lessons Learned,” demonstrated how i....