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ICD-10 in the Big Picture

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: March 2008


As a professor at Temple University, Margaret (“Maggie”) Foley, PhD, RHIA, CCS, has to have an eye for details. But she also has an eye on the big picture—specifically on ICD-10 and the benefits it could offer to healthcare.

Before she became a professor, Foley was....

Key Issues in the 2008 OPPS Final Rule

Author: Clark, Andrea

Source: Journal of AHIMA

Publication Date: March 2008



The main objective of the Centers for Medicare and Medicaid Services (CMS) implementation of the 2008 Outpatient Prospective Payment System (OPPS) final rule was to address the recent explosion of growth in program expenditures for hospital outpatient services. CMS has created additional i....

New Focus on Process and Measure: Raising Data Quality with a Standard Coding Workflow and Benchmarks

Author: Wilson, Donna D; Hampton-Bagshaw, Kim; Jorwic, Therese M; Bishop, Jean; Giustina, Elizabeth

Source: Journal of AHIMA

Publication Date: March 2008




Establishing a standard coding workflow that incorporates continuous improvement and creating performance benchmarks is key to improving the quality of coded data.



HIM professionals who assign codes or manage coded data take responsibility for translating clinical....

Brushing up on ICD-10-PCS

Author: Bowman, Sue E

Source: Journal of AHIMA

Publication Date: March 2008


ICD-10-PCS is intended to replace ICD-9-CM volume 3 for facility reporting of hospital inpatient procedures. It has a seven-character alphanumeric code structure. The letters I and O are not used to avoid confusion with the digits 1 and 0. A character is a stable, standardized code component th....

US Organizations Look Ahead

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: March 2008


Transitioning to ICD-10-CM may seem like a distant problem. But SSM Integrated Health Technologies began its preparations about three years ago. Its reason is simple: “Something of this magnitude, you don’t want to be scurrying,” says Anne Stuckel, SSM’s manager of clini....

ICD-10 Preparation Checklist

Author: Bowman, Sue E

Source: Journal of AHIMA

Publication Date: March 2008




The content in this checklist has been updated. More recent information is available here.



Preparing for ICD-10 is a monumental process. But like any large task, it can be broken down into discrete steps. A multiyear plan can be approached in four major phases, begi....

Coding Preventive Care Services

Author: Wilkinson, Dianne

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2008


According to the Partnership for Prevention—a program-based organization of businesses, nonprofits, and government agencies—“the U.S. health care system suffers a quality deficit in part because too many patients do not get the effective preventive care they need when they ne....

2008 CPT Coding Update

Author: Jorwic, Therese M

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2008


The new CPT codes took effect January 1, 2008. Changes include 244 additions, 314 revisions, and 50 deletions. A comprehensive list of changes can be found in appendix B of the CPT book. Highlights of the changes by section are outlined here.
Evaluation and Management

A revised....

Coding Debridement Procedures

Author: McCullough, Dan

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2008


Coding debridement procedures can be difficult-even for the most experienced coding professional. Recent studies have documented inappropriate coding of debridement procedures that have resulted in millions of dollars in overpayments.

This article offers guidance on the app....

Computers, Coding, and Change

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: January 2008


Computer-assisted coding won’t eliminate the profession, but it will change it dramatically.

Mythily Srinivasan thought she was out of a job. Out with human coders, in with computer-generated coding. At first that seemed to be her facility’s master plan.

Statement on Quality Healthcare Data and Information

Author: AHIMA

Source: AHIMA position statement

Publication Date: December 14, 2007


Reviewed and Approved December 2007
AHIMA’s Position

Healthcare data and its transformation into meaningful information should be a central concern for consumers, healthcare providers, the healthcare industry, and the government. Standards, technologies, education, and research a....

Ensuring Proper Wound Care Service Coding: OIG Highlights Need for Organizations to Assess Wound Care Coding Practices

Author: Bryant, Gloryanne H.

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2007



This year the Office of Inspector General (OIG) issued two reports relating to wound care services and Medicare payments. As the OIG has included wound care services as part of its 2007 work plan, coding and HIM professionals should review each report and re-assess their organization̵....

Final Rule for FY 2008 IPPS: MS-DRGs and POA Top List in a Year of Major Change

Author: D'Amato, Cheryl; Garrett, Gail S.; Johnson, Laurie M.

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2007



The final rule for the fiscal year 2008 inpatient prospective payment system (IPPS) went into effect October 1, 2007. The rule includes ICD-9-CM code changes, implementation of the new Medicare severity-adjusted (MS) DRG system, and a number of quality-related changes that affect how Medic....

Four-Year Experience with Severity-Based DRGs: Vanderbilt University Medical Center

Author: Reeves, Mary G; Scott, Freda; Hallock, Kathy; Hays, Stephanie A.

Source: AHIMA Convention

Publication Date: October 10, 2007

Background

We implemented concurrent usage of severity -based software and a Clinical Documentation Program to facilitate improvement in our Risk of Mortality (ROM) and Severity of Illness (SOI) scores. We wanted to stay ahead of the regulatory reforms and also understand the proposed ch....

Coding for Renal Failure

Author: Zarick, Andrew Jr.

Source: AHIMA Convention

Publication Date: October 10, 2007


Acute renal failure is present in one to five percent of all hospitalized patients and as many as 20 percent of ICU patients. The causes may be pre-renal, intra-renal or post renal. Pre-renal causes are the most common. Lab findings will help identify the specific cause of acute renal failure.....

Getting Quality Clinical and Coded Data: How UMHS's CDIP Improved Clinical Coded Data and Clinical Staff Relationships

Author: Blackford, Gwendolyn; Whitehouse, Rosanne

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: October 2007


Obtaining codeable clinical documentation at the point of care in a large teaching facility can be challenging. However, the HIM department at the University of Michigan Health System (UMHS) in Ann Arbor, MI, took on the task, implementing a clinical documentation improvement program (CDI....

Coder Takes e-HIM to the People

Author: AHIMA

Source: AHIMA Advantage

Publication Date: October 2007

Interview with Bonnie Sher, RHIA, CCS, CCS-P, CPC, and one of the first AHIMA members to join the Action Community for e-HIM® Excellence (ACE) program.

Accuracy Imperative: New Stakes for Coded Data

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2007


The requirements for coding accuracy have always been high, even before coding became the basis for reimbursement. HIM professionals have championed improvements to medical record documentation and classification systems essential to accurate coding, and the profession has also led the wa....

Clinical Documentation Specialists

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2007


Clinical documentation improvement programs are growing, moving some HIM professionals to the clinic floor.
With sharp eyes, clinical documentation specialist Sharnetha White calmly combs through a patient’s chart. She isn’t fazed by the organized chaos that surround....

Effectiveness of ICD-10-CM in Capturing Public Health Diseases

Author: Watzlaf, Valerie J.M.; Garvin, Jennifer Hornung; Moeini, Sohrab; Firouzan, Patricia Anania

Source: Perspectives in Health Information Management

Publication Date: June 2007

This research study examined the usefulness of the ICD-10-CM system in capturing public health diseases (reportable diseases or the nationally notifiable infectious diseases, leading causes of death, and morbidity/mortality related to terrorism), when compared to ICD-9-CM. It also examined agreement levels of coders when coding public health diseases in both ICD-10-CM and ICD-9-CM.

ICD-10 Preparation Checklist

Author: Bowman, Sue E; Zeisset, Ann M.

Source: AHIMA

Publication Date: June 02, 2007


The content in this checklist has been updated. More recent information is available here.

Editor's note: This article updates information contained in "ICD-10 Preparation Checklist, parts 1 and 2," originally published in the June and July-August 2004 issues of the Journal of AHIMA....

IRF PPS Coding Challenges

Author: Trela, Patricia

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: May 2007


Inpatient rehabilitation facility (IRF) coding can be a challenge due to the Medicare Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS), which was implemented in 2002 to cover patients paid under Medicare Part A. IRF PPS requires completion of the IRF-Patient Assessment In....

Choosing the Right Coding Credential

Author: Buck, Stacie L

Source: AHIMA community resource

Publication Date: January 02, 2007


As the demand for qualified coders has increased, so has the number of coding programs and coding certifications available to coding professionals seeking to demonstrate their coding proficiency. The business of offering credentials is indeed a lucrative one with many organizations competing....

FY 2007 IPPS Overview: Comprehensive Changes in Effect for Inpatient Prospective Payment System

Author: Johnson, Laurie M.; Garrett, Gail S.

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2006


The Inpatient Prospective Payment System (IPPS) final rule for fiscal year 2007 will prove challenging for inpatient providers. The rule (published in the August 18 Federal Register and available at www.access.gpo.gov/su_docs/fedreg/a060818c.html) includes some of the most comprehensive changes....

Opening Pandora's Box: Pure Coding vs. Charge Master Driven Coding--a Case Study at Duke University Health System

Author: Stone, Fabian; Egan, Jeanne M.; LeBoutillier, Richard; Blackwelder, Dean

Source: AHIMA Convention

Publication Date: October 31, 2006

Opening Pandora’s Box: Pure Coding vs. Charge Master Driven Coding
A Case Study at Duke University Health System
Fabian Stone, MBA, MHA, Duke University Hospital
Jeanne Egan, MBA, RHIA, CHP, CCA, BearingPoint
Richard LeBoutillier, MPA, CPHQ, BearingPoint
Dean Blackwel....

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