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Role of Coding and Documentation in the Quality Payment Program
Author: DeVault, Kathryn; Easterling, Sharon; Huey, Kim
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: January 2017
In the current era of healthcare transformation, the continuing importance of documentation and coding cannot be overstated. With the multitude of acronyms being added to the healthcare vocabulary, one may wonder where documentation and coding fits in. It’s important to remember that....
Sample Coding Incentive Plan
Author:
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2001
Sample Coding Incentive Plan 2
Author:
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2001
SARS Tops Healthcare Concerns
Author: Kennedy, James S.; Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2003
HIM professionals serve a vital public health role as they capture and report illnesses, including the newly discovered Severe Acute Respiratory Syndrome (SARS). Accurate reporting of SARS and its comorbid or complicating conditions facilitates optimal disease tracking, use of resources, and p....
Sepsis, Related Terms Cause Confusion for Coders: Set the Record Straight About Sepsis, SIRS, Septic Shock
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2003
Sepsis, severe sepsis, SIRS, and septic shock have long been a source of confusion for coders. New ICD-9-CM codes established recently for Systemic Inflammatory Response Syndrome (SIRS), and additional proposed code revisions have added to the confusion regarding the differentiation among these....
Sepsis Under the ICD-10-CM Microscope
Author: Kulanko, Jill
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: September 2015
Sepsis is arguably the most challenging condition to code correctly in ICD-9-CM. The condition itself is complex and the definitions regarding sepsis, SIRS, and severe sepsis have evolved over time, keeping coders on their toes. The guidelines are also difficult to understand. Complicatin....
Sharing Resources for Coding Quality Improvement
Author: Mills, Sharon
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2000
Hospital leaders who truly understand the challenge of achieving high-quality coding and are willing to commit resources to promote continuous quality improvement can be difficult to find. However, four years ago, visionary leaders in a not-for-profit healthcare system recognized that....
Six Months and Counting: Are You Ready for ICD-10-CM/PCS Implementation?
Author: DeVault, Kathryn
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2015
With just six months until the implementation of ICD-10-CM and ICD-10-PCS, now is the time for HIM professionals to re-evaluate the state of their facility’s implementation plan and make any necessary adjustments to ensure a successful transition. Previous delays may have slowed down....
SNOMED CT Helps Drive EHR Success
Author: Giannangelo, Kathy; Berkowitz, Lyle
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2005
With the advent of electronic health record (EHR) systems, IT solutions are needed to ease the recording of standard codes for clinical encounters. The basis for these products is a standard terminology, without which the full benefits of an EHR are unlikely to be realized. One expert notes th....
SNOMED CT Integral Part of Quality EHR Documentation
Author: Kostick, Karen M.
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2012
The use of many distinct standardized clinical vocabulary terminologies and classifications is integral to the development of a nationwide health IT infrastructure that allows for electronic use and exchange of health information. SNOMED CT is one of the key clinical terminologies designated f....
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