985 results.
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Growing ICD-10: Seedling Transition Programs Take Root
Author: Dimick, Chris
Source: Journal of AHIMA
Publication Date: June 2011
There are two basic approaches to the ICD-10 transition: (1) a late, mad scramble to get systems converted before the deadline; or (2) an intentional cultivation that uses the transition to improve business processes, documentation, and clinical care. Three organizations offer a picture of the....
IT Implementation Requires HIM Expertise
Author: Didear, Kay
Source: Journal of AHIMA
Publication Date: October 1998
Implementing a computer-based patient record (CPR) begins long before the first installment of software is loaded. This process significantly benefits from the skills and expertise health information management professionals bring to the table. But don't assume that your healthcare m....
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....
Journey Continues: Server-based Speech Recognition
Author: Derynck, Arleen; Olevson, Pat; Owen, Betsy
Source: AHIMA Convention
Publication Date: September 23, 2002
Resource for Privacy and Security Programs: Version 5.0 of HIMSS CPRI Toolkit Expands to Include Privacy Topics
Author: Demster, Barbara
Source: Journal of AHIMA
Publication Date: July 2006
The breadth of available privacy and security literature can be daunting to even the most dedicated HIM professional. With the explosion of information on the Internet, access to authoritative-as well as questionable-resources is easy and instantaneous. The problem of access has morphed into o....
Ensuring Privacy and Security in Home Health
Author: Demster, Barbara
Source: Journal of AHIMA
Publication Date: January 2007
Every healthcare provider must customize its privacy and security program to fit its unique setting and needs. How an organization maintains its records (analog, paper, electronic, or mixed modes) drives its privacy and security procedures. While regulations provide the basic requirem....
Privacy Rule and the Clergy: Exploring the Dilemmas Surrounding HIPAA and Pastoral Care
Author: Demster, Barbara
Source: Journal of AHIMA
Publication Date: November 2006
On the surface, the HIPAA privacy rule's requirements dealing with disclosures to clergy appear straightforward. Three years after implementation, however, major hurdles still exist and processes need further clarification. Key issues center around how healthcare institutions assess and defi....
Managing a Data Dictionary (2016 update) - Retired
Author: Davoudi, Sion; Flanigan, Jill; Houser, Shannon H.; Kadlec, Lesley; Kirby, Annessa; VanSlyke, Daniel; Wendicke, Annemarie
Source: AHIMA practice brief
Publication Date: December 2016
This update supplants the 2012 practice brief “Managing a Data Dictionary.”
As healthcare organizations move to the electronic environment, the large volume and complexity of data collected is growing at unprecedented rates. While access to data has the potential to en....
Data Quality Management Model (2015 Update) - Retired
Author: Davoudi, Sion; Dooling, Julie A; Glondys, Barbara; Jones, Theresa D.; Kadlec, Lesley; Overgaard, Shauna M; Ruben, Kerry; Wendicke, Annemarie
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: October 2015
Editor’s Note: This Practice Brief supersedes the July 2012 “Data Quality Management Model (Updated),” the March 1998 “Checklist to Assess Data Quality Management Efforts,” and the June 1998 “Data Quality Management Model” Practice Briefs.
Business Associate Contract
Author: Davis Wright Tremaine LLP
Source: External web site
Publication Date: April 14, 2003
Identity Theft and Fraud--the Impact on HIM Operations
Author: Davis, Nancy; Lemery, Chrisann; Roberts, Kim
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2005
This practice brief has been retired. It is made available for historical purposes only.
Meeting the FTC’s Red Flag Requirements: How One Organization Developed Its Compliance Plan
Author: Davis, Nancy
Source: Journal of AHIMA
Publication Date: February 2009
Like many other privacy and security officers, I was vaguely aware of the Fair and Accurate Credit Transactions Act. I knew that the act, passed by Congress in 2003, was intended to provide consumers with protection from identity theft. I knew the Federal Trade Commission (FTC) was in charge o....
Stealing Time: Time Management Techniques Add Hours to Each Day
Author: Davis, Nadinia A.
Source: Journal of AHIMA
Publication Date: June 2003
Time not only flies when were having fun, but also when were filing paperwork, checking e-mail, and looking for our car keys. But you can add hours to your day by managing yourself rather than time. Heres how.
As a nonrenewable resource, time is precious. There neve....
Lowering Costs, Protecting Data through Content-based E-mail Encryption
Author: Dasher, John
Source: Journal of AHIMA
Publication Date: January 2007
DeKalb Medical Center, a not-for-profit hospital system in Decatur, GA, that serves approximately 500,000 patients annually, was looking for a way to secure HIPAA-covered personal health records. “We wanted to eliminate any potential risk of confidential information leaving the facility electro....
Three Steps to Increasing Employee Information Security Awareness
Author: Czirr, Karen
Source: Journal of AHIMA
Publication Date: July 2000
Driven by current and potential privacy regulations and legislation, the Children's Hospital of Philadelphia (CHOP) decided to address employee understanding of information security. In 1999, CHOP, comprised of a hospital, rehabilitation facility, physician offices, satellites, and ambulatory....
Verbal Orders Compliance and How We Achieved It
Author: Curry, Mary Pat; Trask, Lisa; Liederman, Eric; Hutchinson, David; Zeboski, Alice
Source: Journal of AHIMA
Publication Date: July 2004
Thoughtful software design and good communication are fundamental ingetting physicians to sign verbal orders within the 48-hour mandate. Fines help a lot, too.
What hospital in the United States hasn’t struggled to comply with mandates from their state and the Joint Commission on....
Best Practices in a Paperless HIM Environment
Author: Cunningham, Nancy
Source: AHIMA Convention
Publication Date: October 15, 2004
Introduction
This paper will review recommended best practices and suggested measurement criteria for consideration in determining an HIM department's proficiency in its use of a fully implemented electronic document management system (EDMS). As a complement to the recently released e-HIM wor....
Using Data to Survive RAC Attacks: Analyzing Audit Data Helps Mitigate Future RAC Risk
Author: Crump, Dawn
Source: Journal of AHIMA
Publication Date: January 2014
Medicare's Recovery Audit Contractor (RAC) program began as a three-year, three-state pilot program in 2005 and went nationwide in 2009. The American Hospital Association (AHA) began tracking data collection in January 2010 and since then, according to AHA, the RAC program has recouped $2.....
Remote Coding Solutions: Ensuring Bottom-line Results with Remote Control (A Case Study)
Author: Crossley, Linda
Source: AHIMA Convention
Publication Date: October 15, 2004
Introduction
Recognizing the key role that coding plays in maintaining the financial viability of healthcare organizations, health information management industry leaders are looking for ways to optimize available coding resources, as well as to increase student enrollment in academic pr....
Legal Health Record: a Component of Overall EHR Strategy
Author: Cottrell, Carlton
Source: Journal of AHIMA
Publication Date: March 2007
By now, most people working in healthcare are familiar with the term electronic health record, or EHR, as well as the various forms that it might take. The legal EHR is not as well understood, particularly outside the HIM department, because many are unfamiliar with the term legal health....
Re-engineering the Coding Workflow: Assessing Today with an Eye toward Tomorrow
Author: Coplan-Gould, Wendy; Carolan, Katie; Friedman, Beth
Source: Journal of AHIMA
Publication Date: July 2011
EHRs, CAC, ICD-10-coding is in the midst of profound change. Which makes this the best time to re-engineer coding workflow. Five steps help HIM professionals assess and evolve coding workflows with an eye toward tomorrow.
Synergism-where total outcome is greater than the s....
CPRI-HOST Toolkit: Developing New Guidance on Sound Security Practices
Author: Cooper, Ted
Source: In Confidence (newsletter)
Publication Date: April 02, 2003
In 1997, the Institute of Medicine (IOM) highlighted the value of electronic health records in The Computer-based Patient Record: an Essential Technology for Health Care. The Computer-Based Record Institute was created as a result of recommendations from the IOM study. Under the auspices of t....
Model Privacy Policies and Procedures for Health Information Exchange
Author: Connecting for Health
Source: External - used with permission
Publication Date: April 06, 2006
Guidelines for Achieving a Compliant ICD-10-PCS Query
Author: Combs, Tammy; DeVault, Kathryn; Easterling, Sharon; Endicott, Melanie; Isom, Crystal; Lojewski, Tedi; Simmons, Cortnie R.; Wolf, Beth
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2016
Editor’s Note. This Practice Brief has been updated. See the latest version at Guidelines for Achieving a Compliant ICD-10-PCS Query
. This version is made available for historical purposes only.
The complex and highly specific nature of ICD-10-PCS has changed....
Practice Brief: A Summary of the AHIMA CDI and Coding Collaboration in Denials Management Toolkit
Author: Combs, Tammy
Source: AHIMA practice brief attachment
Publication Date: March 2018
Untitled Document
A Summary of the AHIMA CDI and Coding Collaboration in Denials Management Toolkit
Healthcare insurance payment structures in the United States have processes in place to monitor for appropriate payments to submitted insurance cla....
Documentation Detective: Seven Steps to CDI Foundational Success
Author: Combs, Tammy
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: January 27, 2016
When an architect draws up plans for a building, they pay close attention to the details of the foundation. This provides the support to the building and prevents it from crashing down at any moment. If the building later has structural damage it is easy to fix when the foundation is not i....
Measuring CDI Productivity
Author: Combs, Tammy
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: March 23, 2016
When calculating the productivity guidelines for a clinical documentation improvement (CDI) program it is important to remember both quantitative and qualitative perspectives. Sometimes it is very easy to focus solely on the quantity of reviews that are performed. If the quality of those r....
Understanding CDI Metrics
Author: Combs, Tammy
Source: AHIMA blog post | Journal of AHIMA - website
Publication Date: February 24, 2016
Understanding clinical documentation improvement (CDI) metrics can be confusing, especially when you first start reviewing them.
Let’s dive a little deeper into the topic and take a closer look at some frequently reported CDI metrics and evaluate how these measures can reflect the....
Success with Speech Recognition
Author: Clawson, Cathy
Source: AHIMA Convention
Publication Date: September 28, 2010
Introduction: Since Mountain States Health Alliance implemented the Dolbey Speech Recognition platform in October 2007; gains in productivity, decrease in outsourcing, and financial savings have confirmed the successful implementation of this technology.
Background/History: Mountain Sta....
Provider’s Condensed Resource for Revenue Cycle, Coding Tools, and More
Author: Clack, Crystal; Freeman, Rae; Lewis, Laquette
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: January 2017
A cyclone of regulatory requirements for providers has officially touched down in the United States. The Affordable Care Act (ACA), Medicare Access and CHIP Reauthorization Act (MACRA), patient-centered medical home (PCMH), and value-based purchasing (VBP) initiatives are contributing to dramat....
Small Hospital Uses Data for Big Improvements
Author: Cinquegrani, Kelly
Source: Journal of AHIMA
Publication Date: September 2013
In order to take full advantage of health information technology, data, and analysis, an organization needs a standardization of protocols and its health IT systems must be built to support specific processes. FirstLight Health System (FLHS) has learned this first-hand over the last severa....
Does Your Forms Committee Need a Facelift? Standardizing Best Practices for HIM-focused Committees—A Case Study in the Physician Practice Setting
Author: Chou, Edgar; Montroy, Tami
Source: Journal of AHIMA
Publication Date: February 2017
In most healthcare settings, health information management (HIM) initiatives are led by HIM professionals with collaboration from other organizational leaders. At Drexel University College of Medicine, it is no different. Representatives with expertise in risk management, privacy, complian....
In-house Coding Education Program Pays off for Faculty, Staff
Author: Choate, Dana M.; Rudd, Jessica
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2002
Faced with a severe coder shortage, Baylor University Medical Center of Dallas, TX, decided to do something radically different. With the support of administration and financial backing of the center, we developed the Coding Education Program (CEP).
The program targets existing empl....
HIM Practice Transformation
Author: Cassidy, Bonnie S.; Hanson, Susan P.
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2005
This practice brief has been retired. It is made available for historical purposes only.
Privacy and Security in Health Information Exchange
Author: Carter, Patricia; Lemery, Chrisann; Mikels, Debra A; Bowen, Rita K.; Hjort, Beth M.
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: November 2006
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Best Practices: What Works
Author: Carrier, Danielle
Source: Journal of AHIMA
Publication Date: July 1999
Medical record accuracy, record completion time, physician satisfaction—all of these are indicators of how well an HIM department is performing. The findings of a UHC benchmarking study may point the way to best practices that can be shared and adapted.
What....
Managing Health Information Relating to Infection with the Human Immunodeficiency Virus (HIV)
Author: Carpenter, Jennifer E.
Source: AHIMA practice brief
Publication Date: May 1999
This practice brief has been retired. It is made available for historical purposes only.
Writing an Effective Request for Proposal (1998)
Author: Carpenter, Jennifer E.
Source: AHIMA practice brief
Publication Date: July 1998
The content in this practice brief has been retired. It is made available for historical purposes only. More recent information is available here.
Managing Multimedia Medical Records: a Health Information Manager's Role
Author: Carpenter, Jennifer E.
Source: AHIMA practice brief
Publication Date: February 1998
This practice brief has been retired. It is made available for historical purposes only.
Information Security: a Checklist for Healthcare Professionals (2000)
Author: Carpenter, Jennifer E.
Source: AHIMA practice brief
Publication Date: January 2000
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Patient Photography, Videotaping, and Other Imaging (1999)
Author: Carpenter, Jennifer E.
Source: AHIMA practice brief
Publication Date: January 1999
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Glossary of Terms
Author: Canadian Institute for Health Information. Partnership for Health Information Standards
Source: External web site
Publication Date: January 01, 2004
Conduct is Their Business
Author: Byrd, Katherine
Source: Journal of AHIMA
Publication Date: March 2001
Suppose you were asked to do something unethical on the job. What if you were asked by your supervisor to hide delinquent charts just prior to a Joint Commission survey? What would you do?
As a profession, HIM professionals understand our moral obligation to the patient to p....
Understanding Publicly Available Healthcare Data (2016) - Retired
Author: Buttner, Patty; Houser, Shannon H.; Flanigan, Jill; Mikaelian, Raymound; Ryznar, Barbara; Smith, Clarice Pittillo
Source: AHIMA practice brief
Publication Date: June 2016
This update supersedes the September 2013 practice brief, Understanding Publicly Available Healthcare Data, which replaced the January 2010 practice brief with the same title.
Healthcare organizations increasingly collect and utilize data for internal and external reporting on pa....
Reading the Fine Print on ICD-10 Conversions: Even Highly Automated Conversions Require Review
Author: Butler, Rhonda R.; Mills, Ronald E; Averill, Richard F.
Source: Journal of AHIMA
Publication Date: June 2011
Automation is a major help in converting to the ICD-10 code set, but it is not a magical solution. In fact, skipping a human review of converted systems exposes an organization to legal and financial risk.
People who are secondary users of coded medical records-who see only the resul....
AHIMA Releases Information Governance Graphic
Author: Butler, Mary
Source: Journal of AHIMA - website
Publication Date: March 2015
For the uninitiated, information governance can be a somewhat abstract concept to explain and visualize. To help health information management (HIM) professionals grasp the importance of information governance—a set of principles designated to better organize and protect healthcare da....
Survey: Coding Productivity Dipped After ICD-10 Implementation
Author: Butler, Mary
Source: Journal of AHIMA - website
Publication Date: June 13, 2016
The implementation of ICD-10 did result in a perceived loss of coding productivity, with a minimal dip in coding accuracy, according to a recent coding productivity and accuracy survey. The survey was conducted by the AHIMA Foundation in the first three weeks of May, and was released today....
"CDI: Miami" Hunts Down Documentation Offenders
Author: Butler, Mary
Source: Journal of AHIMA - website
Publication Date: October 2015
The HIM Problem
To get physician buy-in on clinical documentation specificity, one provider formed an all-physician CDI team
The HIM Problem Solvers
Lorena Chicoye, MD, RPh, corporate medical director, managed care network development and medical....
Coding Checkup: Determining the New Normal for Coding Accuracy in a Post-ICD-10 World
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: June 2017
In many ways ICD-10 coding professionals share a lot in common with college students preparing to spend a semester abroad. Both spend invaluable hours in a classroom learning the nuances and permutations of a new language, as well as months of practicing their new skills in workshops with....
Fixing a Broken EHR: HIM Working in the Spotlight to Solve Common EHR Issues
Author: Butler, Mary
Source: Journal of AHIMA
Publication Date: March 2015
Accounts of mistaken identity, anecdotally at least, seem to happen to everyone at least once in the healthcare realm with both paper and electronic records. But in an increasingly electronic world employing electronic health record (EHR) systems and other health IT where patients ar....
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