16 results.
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Optimizing Data Representation Through the Use of SNOMED CT
Author: Bronnert, June; Daube, Julie L; Jopp, Gretchen; Peterson, Kathleen; Rihanek, Theresa; Scichilone, Rita A; Tucker, Vanna
Source: Journal of AHIMA
Publication Date: March 2014
Electronic health records (EHR) have changed the landscape for data representation. For many years health information management (HIM) professionals have relied on classifications for data representation and the support of clinical documentation. SNOMED CT is a data standard frequently used in electronic systems and has been included in the requirements for the Centers for Medicare and Medicaid Services’ (CMS) “meaningful use” EHR Incentive Program. SNOMED CT is maintained and distributed by the International Health Terminology Standards Development Organisation (IHTSDO). SNOMED CT is recognized throughout the world, and the terminology is available at no cost. The National Library of Medicine (NLM) serves as the US release center and the IHTSDO member country representative.
Disaster Planning and Recovery Toolkit [2016 version]
Author: Dooling, Julie A; Rihanek, Theresa; Warner, Diana; Wiedemann, Lou Ann
Source: AHIMA toolkit
Publication Date: November 2016
The Disaster Planning Toolkit outlines disruption recovery plan components and
how to address items including strategies, responsibilities, requirements, and procedures for the processes of recovery.
Coding Root Operations with ICD-10-PCS: Understanding Insertion, Supplement, and Removal
Author: Rihanek, Theresa
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2014
Editor’s note: This is the eighth in a series of 10 articles discussing the 31 root operations of ICD-10-PCS.
In this article, the Journal of AHIMA continues the 10-part Coding Notes series focusing on the 31 root operations of ICD-10-PCS. This article will describe three....
Nuances in ICD-10-CM Will Affect Some MS-DRG Assignments
Author: Rihanek, Theresa
Source: CodeWrite | AHIMA newsletter article
Publication Date: January 2012
ICD-10-CM guidelines and instructions note that differences from ICD-9-CM do impact MS-DRG assignment in some cases. The Centers for Medicare and Medicaid Services’ (CMS) conversion of the MS-DRGs from ICD-9-CM to ICD-10-CM/PCS replicated the MS-DRGs, so the majority of MS-DRG assignments....
Coding Obstetrical Procedures in ICD-10-PCS (Part 1 of 2)
Author: Rihanek, Theresa
Source: CodeWrite | AHIMA newsletter article
Publication Date: March 2012
The Obstetrics section of ICD-10-PCS captures procedures performed on the products of conception. This section follows the same conventions established in the Medical and Surgical section. The seven characters within the Obstetrics section retain the same meaning as those in the Medical an....
Coding Obstetrical Procedures in ICD-10-PCS (Part 2 of 2)
Author: Rihanek, Theresa
Source: CodeWrite | AHIMA newsletter article
Publication Date: April 2012
Part 1 of this article, discussing the root operation Abortion, appeared in the March 2012 issue. Part 2 discusses root operations Delivery and Extraction.
In addition to Abortion, Delivery is the other unique root operation in the Obstetrics section. The definition of D....
Coding Sequelae of Cerebrovascular Disease in ICD-10-CM
Author: Rihanek, Theresa
Source: CodeWrite | AHIMA newsletter article
Publication Date: August 2012
Sequelae are residual effects or conditions produced after the acute phase of an illness or injury has ended. Therefore there is no time limit on when a sequela code can be assigned. Residuals may be apparent early on such as in cerebral infarction, or they can occur months or years later.....
Coding Percutaneous Coronary Intervention Procedures
Author: Rihanek, Theresa
Source: CodeWrite | AHIMA newsletter article
Publication Date: February 2013
The Current Procedural Terminology (CPT) 2013 updates included a major revision of the Coronary Therapeutic Services and Procedures section. The previous percutaneous coronary intervention (PCI) codes 92980-92984 have been deleted and replaced with 13 new codes and guidelines. These new c....
FY 2013 ICD-10-CM and ICD-10-PCS Updates
Author: Rihanek, Theresa
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2013
Updates have been released for the 2013 ICD-10-CM code set, approved by the ICD-9-CM Coordination and Maintenance Committee, as well as the 2013 ICD-10-CM/PCS updates maintained by the Centers for Medicare and Medicaid Services (CMS). There were minimal changes to the draft code sets in li....
Coding Root Operations with ICD-10-PCS: Understanding Fusion, Alteration, and Creation
Author: Rihanek, Theresa
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2014
With this article the Journal of AHIMA concludes its 10-part Coding Notes series focusing on the 31 root operations of ICD-10-PCS. This installment focuses on three root operations in the Medical and Surgical Section that define other objectives:
- Fusion
- Alteration
- Creation
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