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Journal Q&A (9/04)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2004


Q: We are having trouble with discharge codes 03 and 04 for skilled nursing facility and intermediate care facilities. I don’t think we have skilled nursing facilities in our area, so we have used the discharge code for intermediate care facility when a patient goes to the nursing home. <....

Journal Q&A (2/04)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: February 02, 2004

Q: Can you explain the difference between the terms “addressable” and “required” as they are used in the final security rule?
A: The final security rule and the privacy rule use the terms “standards” and “implementation specifications.” Standards....

Journal Q&A (2/04)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: February 02, 2004

Q: Our organization is building an electronic health record. What do we need to consider as we develop a printing policy?
A: As the evolution to the electronic health record will likely include points at which a hybrid, or part-electronic, part-paper, record exists, the printing of all or part....

Journal Q&A (1/04)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 2004

Q: I am a compliance officer in a for profit healthcare organization. How will this law [the Sarbanes-Oxley Act] affect my job?
A: The effect the law will have on your job function will vary, depending on job function and scope within your organization as well as skill level in the financial....

Journal Q&A (11/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2003

Q: How does AHIMA plan to be involved in the development of a functional model for the EHR?

A: AHIMA has been a voting member of HL7 for approximately 10 years and attends the group’s regularly scheduled plenary meetings three times a year. This year AHIMA increased staff attendance....

Journal Q&A (1/04)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2003

Q: What is the Sarbanes-Oxley Act and how does it apply to healthcare?
A: The Sarbanes-Oxley Act of 2002 is federal legislation that was signed into law on July 30, 2002. The law was enacted in response to the Enron and WorldCom scandals. It has changed business practices for financial profes....

Journal Q&A (11/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2003

Q: I heard about meetings held around the country to discuss a functional model for the EHR. What are these about and who sponsored them?

A: The Centers for Medicare & Medicaid Services (CMS) asked Health Level 7 (HL7) to develop a model—specifically concerning functionality....

Journal Q&A (9/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2003

Q: Under HIPAA, how should covered entities respond to requests from public health officials who state that they need protected health information (PHI) to carry out their duties?

A: The privacy rule recognizes that PHI may be needed to respond to threats to public health, including the....

Journal Q&A (9/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2003

Q: Does HIPAA prohibit physicians from using cell phones to dictate reports?

A: The privacy rule does not address the use of cell phones. Generally, cell phones transmit unencrypted information over insecure lines. These factors alone could be the basis for a policy prohibiting dictation....

Journal Q&A (7/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2003

Q: When is a new history and physical (H&P) needed when moving a patient between an acute care bed to a swing bed?

A: The key to determining when an H&P is needed is to find out how the swing bed is being used and the regulations that apply. Section 1883 of the Social Security Ac....

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