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Accounting for Disclosure Cost Analysis Worksheet

Author: Dunn, Rose T

Source: External - used with permission

Publication Date: May 02, 2003

This worksheet has been developed to provide guidance on components to consider in developing the basis for a reasonable, cost-based charge for the Accounting for Disclosure (164.528). This worksheet is not intended to be all inclusive. Users are encouraged to discuss inclusions to this analysis with their facility’s cost accountant.

Calculating Costs for Accounting of Disclosures

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: May 2003


The privacy rule allows a covered entity to charge a cost-based fee for providing an accounting of disclosure (AOD). Has your organization determined these costs? Calculating the actual costs may be more involved than you think. This article will discuss the requirements for setting the fee an....

Putting Productivity Plans to Work

Author: Dunn, Rose T

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2001




This is the last in a series of three "Coding Notes" articles addressing productivity measurement and incentive plans for coding professionals. The April Journal of AHIMA (vol. 72, no. 4) article discussed the general principles of developing facility-specific productivity m....

Managing Care, Managing Change, Managing Information

Author: Dunham, Larry

Source: Journal of AHIMA

Publication Date: April 1998


Under managed care, information is often required on a longitudinal—not an episodic—basis. As a result, we need to rethink our approach to data storage and use. The author identifies ways to look at the demand for data in a managed care environment and shows how process as....

Data Dictionaries: An Overview

Author: Duffy, Philip G.

Source: Journal of AHIMA

Publication Date: February 1997


Healthcare is one of the most information-intensive industries in the economy but less automated than other industries such as banking and insurance. Modern healthcare delivery is governed by ad hoc teams of professionals assembled to address each case, which further complicates information a....

Information Asset Inventory for Information Governance - Retired

Author: Downing, Kathy; Fahy, Kristi; Foster, MeShawn; Hermann, Michelle; Meehan, Ann M.; Washington, Lydia; Woebkenberg, Jami

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: February 2017


When an organization begins to implement an enterprise information governance (IG) program, one of the major initial tasks is to understand the scope and types of information in its possession. An inventory of an organization’s information is necessary in order to facilitate decision maki....

Navigating a Compliant Breach Management Process

Author: Downing, Katherine

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: June 2014

The purpose of AHIMA’s new Breach Management Toolkit is to provide a comprehensive collection of resources and best practices to help healthcare organizations and health information management (HIM) professionals navigate their way through the Health Insurance Portability and Accountability Act (HIPAA) Breach Notification Rule and the overall breach management process. The toolkit is intended to raise awareness of the importance and responsibility of everyone within the organization to report HIPAA breaches to the appropriate designated personnel, as well as provide breach prevention education and training.

On the Line: Professional Practice Solutions (10/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000


Q: Can an emergency room exam serve as an inpatient history and physical?

Q: What is the retention period for billing records, such as explanations of benefits, charge slips, invoices, etc.?

Michelle Dougherty is an HIM practice manager at AHIMA. She can be reache....

Linking Anti-fraud and Legal EHR Functions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2007


The following statement could easily come from any material written on the legal electronic health record: “EHRs and information available through the NHIN [nationwide health information network] must fully comply with applicable federal and state law and meet the requirements of reliability an....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: June 2002


Q: Is it true that the method for calculating the delinquent chart rate has changed and it is no longer necessary to carry a delinquent chart from month to month?
Q: Recently, a discharged patient fell two days after discharge from the inpatient rehab facility where I work. He went to the....

It's Time to Finalize Your Privacy Policies

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2002


You've attended seminars, read articles, outlined systems, and developed forms for implementing the privacy rule, but there is still one step left--actually writing the policies and procedures. For many practitioners, policies and procedures are important but are often put off, then forgotten.....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2002


Q: Where can I find federal regulations, interpretive guidelines, and Medicare manuals online?
Q: Where can I find information regarding auto-authentication?
Q: When should a change to scanned documents in an information system be identified as a late entry?
Michelle Dougherty (....

On the Line: Professional Practice Solutions (9/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: September 2000


Q: Is it legal to allow physicians within a group practice to authenticate records for each other?

Q: I have the opportunity to consult for a long-term care facility, though I have never worked in long-term care. What resources should I have?

Michelle Dougherty i....

On the Line: Professional Practice Solutions (4/00)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2000


Q: When are rubber-stamp signatures acceptable? I read in a Part A newsletter that Medicare no longer accepts rubber-stamp signatures on documents that certify, order, or justify a service billed to Medicare. The newsletter cited the Medicare Conditions of Participation for hospitals (42CFR4....

On the Line (September 2004)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: September 2004


Q: We are having trouble with the discharge status codes on some of our claims. In order to get the claim paid, the fiscal intermediary (FI) requires the discharge status code be changed. If we change the code, it will not correspond with documentation in our medical record.
Q: We are h....

On the Line: Professional Practice Solutions (7/03)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: July 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?

Q: How can I find the Medicare manuals, program memorandums, and the Conditions of Participation on the new CMS Web site?
Michelle Dougherty (michelle. dougher....

On the Line: Professional Practice Solutions (4/03)

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: April 2003


Q: Does reporting cancer surveillance to the state have to be tracked under the accounting of disclosure requirement in the HIPAA privacy rule?


Q: An attorney recently told our facility that we need to retain records for at least 10 years to comply with the False Claims Act (FC....

Benchmarking a World-class Image

Author: Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: February 1999


This time of year may find us longing for a chair by a cozy fireplace or lounging on a sunny beach. When we find time for reflection, it's good to periodically reflect on ourselves and the image that we project as HIM professionals.

Authority Robert Camp defines benchmarki....

Common (and Uncommon) Ground

Author: Dixon-Lee, Claire

Source: Journal of AHIMA

Publication Date: June 1999


On a trip to Dublin this spring, I met with several officers of the Healthcare Informatics Society of Ireland. During this visit, we talked about health information management, finding common ground on topics like:
Year 2000 compliance
the need for clinical vocabulary....

Drafting Policy on Business Ethics

Author: Dingman, Barbara

Source: Journal of AHIMA

Publication Date: April 2001




The Office of Inspector General’s (OIG) attention to fraud and abuse has certainly changed the way hospitals and their vendors conduct business. For many years, it has been common practice for vendors to court their clients with gifts and outings to get their product purchased, and....

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