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ICD-9-CM Coding Guidance for LTC Facilities. Appendix C: Regulatory Guidance for Reporting Diagnoses Related to Reimbursement

AHIMA
AHIMA Practice Brief Attachment, Web extra
10/2/10
Excerpts from The Medicare Claims Processing Manual providing direction on how to comply with the HIPAA Transaction and Code Sets

ICD-9-CM Coding Guidance for LTC Facilities. Appendix B: Reporting and Sequencing Diagnoses on the Health Record and UB-04 Claim Form

AHIMA
AHIMA Practice Brief Attachment, Web extra
10/2/10
Reviews the guidelines for principal/first-listed and continued stay diagnosis.

Automated Coding Workflow and CAC Practice Guidance

AHIMA
AHIMA Practice Brief, AHIMA Journal
7/2/10
This practice brief explores computer-assisted coding technology in the current healthcare environment and outlines considerations for automating the coding process.

Guidance for Clinical Documentation Improvement Programs

AHIMA
AHIMA Practice Brief, AHIMA Journal, Web extra
5/2/10
This practice brief provides an overview of key elements in establishing, maintaining, or enhancing a CDI program, which can be achieved through a variety of methods and structure that are tailored to the unique needs of the healthcare entity.

Key Points of the UB-04 (Updated)

AHIMA Clinical Terminology and Classification Practice Council, et al.
AHIMA Practice Brief
4/15/10
This practice brief addresses what the latest update to the UB form means for HIM professionals, discusses the two data elements that will have the biggest impact on HIM, and provides a brief overview of the ANSI ASC X12N 837 version 5010.

APC Checklist (Updated)

American Health Information Management Association
AHIMA Practice Brief
3/30/10
This practice brief provides guidance on how organizations can use HIM processes to optimize success with the Outpatient Prospective Payment System.

Care and Maintenance of Chargemasters (Updated)

American Health Information Management Association
AHIMA Practice Brief
3/30/10
The chargemaster is a financial management form that contains information about the organization’s charges for the healthcare services it provides to patients, collecting information on all the goods and services the organization provides to patients.

Evolution of DRGs (Updated)

American Health Information Management Association
AHIMA Practice Brief
3/30/10
This practice brief provides an overview of the DRG system and its evolution from a grouping system for reimbursement to a tool for severity and risk measurement.

Transitioning ICD-10-CM/PCS Data Management Processes

AHIMA e-HIM Workgroup on the Transition to ICD-10-CM/PCS
AHIMA Practice Brief, AHIMA E-HIM Task Force Report, AHIMA Journal
10/2/09
This practice brief outlines the technical differences of ICD-10-CM and ICD-10-PCS and the mapping tools that facilities can use with their implementations.

Understanding HACs and SREs for Quality Reporting and Reimbursement

AHIMA Practice Councils (Clinical Terminology/Classification, Quality Initiatives/Secondary Data)
AHIMA Practice Brief
9/2/09
This practice brief discusses present on admission indicators, hospital-acquired conditions, and serious reportable events, highlighting the distinctions for each and how organizations should report and track them for quality reporting and reimbursement.

Applying the Teaching Physician Guidelines 

AHIMA
AHIMA Practice Brief
8/2/09
This practice brief outlines the basics of the teaching physician guidelines, including the role of the trainee and teaching physician, and what HIM professionals should look for in clinical documentation to properly code and bill services.

Transitioning to ICD-10-CM/PCS— An Academic Timeline

AHIMA ICD-10-CM/PCS Academic Transition Workgroup
AHIMA Practice Brief, AHIMA Journal
4/2/09
This practice brief provides a timeline of when and how academic institutions should start implementing ICD-10-CM/PCS in their curriculum over the next four years.

Managing an Effective Query Process

AHIMA
AHIMA Practice Brief, AHIMA Journal
10/2/08
This practice brief offers HIM professionals important components to consider in the management of an effective query process. It is intended to offer guiding principles to implement the query process while in no way prescribing what must be done.

Quality Data and Documentation for EHRs in Physician Practice

AHIMA
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
8/2/08
This practice brief explores the issues and user practices that can affect data and documentation quality in the EHR, and outlines recommendations for addressing those issues and practices to maintain and improve the quality of patient care provided.

Collecting Root Cause to Improve Coding Quality Measurement

e-HIM Work Group on Benchmark Standards for Clinical Coding Performance Measurement quality subgroup
AHIMA Practice Brief, AHIMA E-HIM Task Force Report
3/2/08
This practice brief explores methods for reporting coding quality and shares highlights from a survey on coding quality measurement. It provides a model for reporting coding errors by root cause.

Data Content for EHR Documentation

Kallem, Crystal; Burrington-Brown, Jill; Dinh, Angela K
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
7/2/07
This practice brief guides HIM professionals and organizations in selecting and developing documentation applications for health information systems.

Key Points of the UB-04

AHIMA Clinical Terminology and Classification Practice Council, et al.
AHIMA Practice Brief, AHIMA Journal
10/2/06
This practice brief is made available for historical purposes only. The content in the brief has been updated.

Evolution of DRGs

Boucher, Anne, et al.
AHIMA Practice Brief, AHIMA Journal
7/2/06
This practice brief is made available for historical purposes only. The content in the brief has been updated.

Maintaining a Legally Sound Health Record: Paper and Electronic

E-HIM Work Group on Maintaining the Legal EHR
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
11/2/05
The health record is the legal business record for a healthcare organization. This practice brief reviews the legal documentation guidelines for entries in and maintenance of a legally sound health record, applicable to paper-based and electronic records.

Delving into Computer-assisted Coding

AHIMA e-HIM^TM Work Group on Computer-Assisted Coding
AHIMA Practice Brief, AHIMA Journal, AHIMA E-HIM Task Force Report
11/2/04
This practice brief discusses computerized tools available to automate the assignment of certain medical or surgical codes from clinical documentation that are traditionally assigned by coding or HIM professionals as well as clinical providers.

Delving into Computer-assisted Coding. Appendix F: Resources