985 results.
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Disaster Planning and Recovery Toolkit (2013)
Author: AHIMA
Source: AHIMA toolkit
Publication Date: July 2013
This toolkit provides guidance in disaster planning and recovery, including release of information and record preservation, with the primary focus of collecting and protecting health information.
Transitioning Transcriptionists
Author: Person, Carol; Terlep, Minnette
Source: Journal of AHIMA
Publication Date: July 2013
Facing a diminished role, transcriptionists at Sanford Health worked with the organization to move into open, and in-demand, coding roles
The need for transcription was diminishing at Sanford Health, and transcriptionists needed to make a choice-transition into another....
Recruitment, Selection, and Orientation for CDI Specialists
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2013
A strong clinical documentation improvement (CDI) program begins with the proper recruitment, careful selection, and adequate orientation of CDI specialists. The purpose of a CDI program is to initiate concurrent and retrospective reviews of health records for conflicting, incomplete, or nonspe....
Leveraging CAC to Prepare for ICD-10-CM/PCS
Author: Scott, Karen S.
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2013
As the healthcare industry prepares for the transition to ICD-10-CM/PCS, many tools have been developed to assist in mitigating anticipated coding productivity losses. Computer-assisted coding (CAC) is an important tool that healthcare organizations can leverage to help counteract projecte....
Joining Forces on ICD-10-CM/PCS: Collaboratives Form to Help Handle Coding Transition
Author: Jahn, Mark
Source: Journal of AHIMA
Publication Date: June 2013
As providers and payers grapple with the complexities of ICD-10-CM/PCS (ICD-10), many are formally collaborating with one another to learn best practices and accelerate ICD-10 implementation.
Across the country, many different types and sizes of ICD-10 collaboratives have fo....
Telemedicine Services and the Health Record (2013 update)
Author: Johnson, Marlene L.; Warner, Diana
Source: AHIMA practice brief
Publication Date: May 2013
Editor's Note: This practice brief supersedes the April 1997 practice brief "Telemedical Records."
Telemedicine is a rapidly growing industry in the medical practice. Telemedicine is defined as telecommunications systems that link healthcare organizations and patients from d....
Regulations Governing Research (2013 update) - Retired
Author: Warner, Diana
Source: AHIMA practice brief
Publication Date: May 2013
This practice brief reviews the federal regulations that affect research and the requirements regarding the use and protection of an individual's information.
Putting the ICD-10-CM/PCS GEMs into Practice (2013 update)
Author: AHIMA
Source: AHIMA practice brief
Publication Date: May 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Release of Information Toolkit: A Practical Guide for the Access, Use, and Disclosure of Protected Health Information
Author: AHIMA
Source: AHIMA toolkit
Publication Date: May 2013
This toolkit is designed to help healthcare organizations and health information management professionals navigate their way through release of information (ROI) practices within today’s heavily regulated and rapidly changing environment.
Rules for Handling and Maintaining Metadata in the EHR
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2013
Metadata is the foundation on which information management systems are built. It is required to support the various uses of data, to manage the information and record lifecycle, to verify data integrity, authenticity, and reliability, and to evaluate the relative importance of data and informat....
Getting Serious About Information Governance
Author: Reno, Danielle; Kersten, Sandra K.
Source: Journal of AHIMA
Publication Date: May 2013
Information governance is becoming a priority for healthcare organizations. Today's healthcare organizations invest in information technology at unprecedented rates, and IT generates more data than ever before. Stakeholders expect healthcare organizations to use health IT to bring improvem....
Personal Check: Patients the New Ally in Data Integrity Management
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: May 2013
When Deborah Kohn recently logged onto her healthcare provider's patient portal to view her X-ray reports, she immediately knew something wasn't quite right. She'd undergone one X-ray of her left hand and another of her right hand. The problem?
Both X-ray reports were identi....
How Can I Help You? Top 10 Customer Service Tips for HIM Professionals
Author: Aschettino, Lucia; Birnbaum, Cassi L; Crocker, Janice; Grebner, Leah A.; McNicholas, Faith C.
Source: Journal of AHIMA
Publication Date: May 2013
Health information management (HIM) best practices state that it is important for HIM professionals to focus not just on the information but also on internal and external customers. Customers have varied, and ever-changing, needs that must be met by HIM professionals. Both internal and ext....
Healthcare Reimbursement Audit Toolkit - Retired
(The content in this toolkit has been retired. It is made available for historical purposes only.)
Author: AHIMA
Source: AHIMA toolkit
Publication Date: May 02, 2013
This toolkit provides guidance for developing policies and procedures, establishing an educational program and managing record requests, denials, and appeals. It highlights some of the government entities and programs that focus on medical record audits.
Meaningful Use Vocabulary Toolkit
Author: AHIMA
Source: AHIMA toolkit
Publication Date: April 02, 2013
This toolkit provides guidance to health information management (HIM) professionals and the industry on vocabularies as
defined by ARRA’s meaningful use criteria. It includes a table of standard vocabularies required for Meaningful Use, a case
study that shares lessons learned from Stage 1, and sample job descriptions to address the need for mapping professionals
in the workplace.
CSA ICD-10-CM/PCS Resource Guide - Retired
(The content in this toolkit has been retired. It is made available for historical purposes only.)
Author: AHIMA
Source: AHIMA toolkit
Publication Date: April 02, 2013
The Privacy and Security of Occupational Health Records
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2013
The Occupational Safety and Health Administration (OSHA) defines an “occupational medical record” as an occupation-related, chronological, cumulative record, regardless of the form or process by which it is maintained (i.e., paper document, microfiche, microfilm, or automatic data processing me....
Assessing and Improving EHR Data Quality (2013 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2013
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Embracing the EHR’s Challenges and Benefits: Grace Award Winner Reviews EHR Implementation Best Practices
Author: Duckert, Jane; Rose, Angela Dinh
Source: Journal of AHIMA
Publication Date: February 2013
The University of Wisconsin Hospital and Clinics’ (UWHC) motto of “great information, great care” has been the underlying force behind their health information technology (IT) adoption achievements since 2008. Besides attaining the highest level of the Healthcare Informat....
Identity Crisis: Organizations are Implementing Medical Identity Theft Teams to Combat Rising Incidents
Author: Bowe, Robin
Source: Journal of AHIMA
Publication Date: January 2013
Copyright © 2012 by Kern Medical Center, County of Kern, CA. All rights reserved. Printed with permission.
Medical identity theft is a growing concern for healthcare providers and healthcare consumers. Defined under the Fair and Accurate Credit Transaction Act of 2003 as....
Understanding the HIE Landscape
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2013
The health information exchange (HIE) landscape has changed dramatically since HIE and the Nationwide Health Information Network (NwHIN) was first conceptualized in 2001. The National Committee on Vital and Health Statistics (NCVHS) published recommendations in 2001 on nationwide electronic hea....
AHIMA's Long-Term Care Health Information Practice and Documentation Guidelines
Author: AHIMA Long Term Care Task Force
Source: AHIMA Task Force
Publication Date: 2013
Using Medical Scribes in a Physician Practice
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: November 2012
With the push to develop and deploy electronic health records (EHRs) and the need for more detailed documentation, there is a growing concern in the medical community regarding the time expended to capture information-electronic or otherwise. The time providers spend during a patient visit capt....
Using Medical Scribes in a Physician Practice. Appendix B: Sample Scribe/Provider Agreement
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: November 2012
Electronic Documentation Templates Support ICD-10-CM/PCS Implementation
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Electronic Documentation Templates Support ICD-10-CM/PCS Implementation. Appendix C: Checklist for Template Review
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2012
This checklist may be used by the requestor prior to submission of the template and by health information management services (HIMS) or the informatics department prior to the release of the template for testing. It could also be an electronic document used in conjunction with the request form.....
Electronic Documentation Templates Support ICD-10-CM/PCS Implementation. Appendix B: Request Form for Note Title and Templates
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2012
Date submitted:
Date needed:
Contact Information:
(include name, e-mail address; department; telephone number)
Type of Request (circle one):
Note Title Template
If revision, include original note title or....
Electronic Documentation Templates Support ICD-10-CM/PCS Implementation. Appendix A: Electronic Note Title and Template Policy Considerations
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2012
This model policy recommends important legal and compliance considerations for healthcare organizations when establishing electronic note titles, templates, and/or prompts.
PURPOSE: To provide guidance on the development and maintenance of electronic note titles, templates, and p....
Document Management and Imaging Toolkit
Author: AHIMA e-HIM Work Group on Electronic Document Management as a Component of EHR
Source: AHIMA toolkit
Publication Date: September 25, 2012
Patient Portals: Express Lane on the Health Information Highway
Author: Eramo, Lisa A
Source: Journal of AHIMA
Publication Date: September 2012
No information request traffic jams.
No toll road trips to the physical HIM department.
Just an open and instant route to patient health information.
But building and managing a patient portal requires HIM knowledge and expertise.
Patient portals are rapid....
Consumer-Facing Health Information Practices - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2012
Increased adoption and use of health information technology by healthcare providers has made greater consumer access to health information possible, as well as increased general engagement in health maintenance and care. The opportunities for improving quality and efficiency afforded by this ne....
Amendments in the Electronic Health Record
Author: Brown, Linda; Komara, Priscilla; Warner, Diana; Wiedemann, Lou Ann; Young, Linda
Source: AHIMA toolkit
Publication Date: August 15, 2012
This toolkit is designed to provide guidance to HIM professionals when
addressing the amendment functionality in an EHR.
Verbal/Telephone Order Authentication and Time Frames (2012 update)
Author: AHIMA
Source: AHIMA practice brief
Publication Date: August 2012
Editor’s note: This update replaces the June 2010 practice brief “Verbal/Telephone Order Authentication and Time Frames.”
It is important for a healthcare facility to review and understand all applicable federal and state laws and accreditation standards when de....
Climbing Higher: Bridging the Gap to Advanced Degrees in HIM
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: August 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Best Practices for Coding Productivity: Assessing Productivity in ICD-9 to Prepare for ICD-10
Author: DeVault, Kathryn
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2012
As organizations begin to prepare for ICD-10 implementation, the question of coder productivity is usually close to the top of everyone's list. Addressing productivity in ICD-9-CM will provide a baseline of information crucial for the transition to ICD-10-CM/PCS.
The AHIMA e-HIM Cod....
Data Quality Management Model (2012 update) - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Copy Functionality Toolkit
Author: AHIMA
Source: AHIMA toolkit
Publication Date: June 06, 2012
Information Integrity in the Electronic Health Record
Author: AHIMA
Source: AHIMA toolkit
Publication Date: June 02, 2012
Health Information Management Staff Transformation Toolkit: A Practical Guide for Transitioning Staff to the Electronic Health Record
Author: AHIMA
Source: AHIMA toolkit
Publication Date: June 02, 2012
Transitioning to ICD-10-CM/PCS in the Classroom: Countdown to 2014
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Transcription Toolkit
Author: AHIMA
Source: AHIMA toolkit
Publication Date: June 02, 2012
This toolkit provides resources and guidance with regard to transcription and its role in supporting the electronic health record (EHR).
10 Security Domains (2012 update)
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2012
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Start Implementing ICD-10
Author: AHIMA
Source: AHIMA
Publication Date: April 2012
You’ve arrived! Now just determine your position in healthcare to get your ICD-10-CM/PCS implementation needs.
A brief list of the job types, organized by facility type.
Physician’s Office
Physician Champion
You are the resource physicia....
Role-based Model for ICD-10 Implementation: Timeline for Physician's Office
Author: AHIMA
Source: AHIMA
Publication Date: April 04, 2012
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Mobile Device Security (Updated) - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2012
Editor's note: This brief supersedes the June 2003 and October 2000 practice briefs "Portable Computer Security."
Mobile devices have pervaded the everyday work environment in healthcare. An organization may use mobile devices to improve clinician workflow, bedside infor....
Using Data to Improve Healthcare: Translating Publicly Available Data into Quality Improvement Initiatives
Author: Jenkins, Kristin
Source: Journal of AHIMA
Publication Date: April 2012
Data are of no value unless they drive action. Action in healthcare has limited positive impact when it is uninformed or uncoordinated.
Publicly available data can help organizations improve healthcare quality. However, getting the most out of these data requires the right tools. A....
Managing Copy Functionality and Information Integrity in the EHR - Retired
Author: AHIMA
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2012
There are high expectations for electronic health records (EHRs) to improve patient healthcare. However, as the industry implements EHRs, it is recognizing that adoption and implementation alone do not guarantee data integrity. In this rapidly changing environment, the use of the copy functiona....
ICD-10-CM/PCS Implementation Toolkit. Appendix B: Listing of Resources for Physician Practices and Users of Only ICD-10-CM
Author: AHIMA
Source: AHIMA toolkit
Publication Date: February 2012
ICD-10-CM/PCS Implementation Toolkit Appendix A: Listing of Resources
Author: AHIMA
Source: AHIMA toolkit
Publication Date: February 2012
Identifying Issues in Facility and Provider Mergers and Acquisitions. Appendix A: Information Management Checklist for Mergers and Acquisitions
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: February 2012
Action Item Responsible Party Comments Completion Date
Obtain a list of all health information and technology systems. For example:
Practice A Encoder
Practice B Encoder
Practice A Lab Module
Practice B Lab Module
Practice A Billing System
Practice B Billing Syste....
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