Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2002

Q: When should a change to scanned documents in an information system be identified as a late entry?

A: An entry is not considered "late" in a set time frame. Generally, an entry should be made as close to the event as possible. The more time that passes, the more suspicious and vulnerab....

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

What are the documentation requirements for Observation Patients?
It is interesting to note that the observation service (OBS) did not originate from the government but by the healthcare marketplace in response to PPS/DRG conditions. When hospitals are not sure whether a patient will meet admi....

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

What guidance is available for determining an organization's definition of "attending physician" or "physician of record"?
The Department of Health, Education, and Welfare adopted the UHDDS (Uniform Hospital Discharge Data Set) as department policy for Medicare and Medicaid patient populations....

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

Where Can I Find Coding Guidelines for Use in Long Term Care or for Skilled Nursing Facility Reporting?

The official coding guidelines (see earlier question regarding who has the official guidelines for code assignment) are applicable in long term care. These guidelines have been develope....

Author: Hjort, Beth M.

Source: AHIMA Q and A | Journal of AHIMA

Publication Date: October 2002

Q: When are history and physical (H&P) requirements for outpatients necessary?


A: The scarcity of specific resources on this topic contributes to the difficulty of guidelines development. However, a number of standards and requirements, taken collectively, offer guidance.
....

Author: Tadwalt, Bobbi; Jackson, Joy

Source: AHIMA Convention

Publication Date: September 23, 2002

Author: Russo, Ruthann; Dunleavy, Kathleen

Source: AHIMA Convention

Publication Date: September 23, 2002

Author: Wenner, Allen

Source: AHIMA Convention

Publication Date: September 23, 2002

Author: Micheletti, Julie A.; Stegman, Melinda

Source: AHIMA Convention

Publication Date: September 23, 2002

Author: Dach, Denise

Source: AHIMA Convention

Publication Date: September 23, 2002