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On the Line: Professional Practice Solutions

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: October 1998


Q: I work in a skilled nursing facility and want to know if it is mandatory for all states to use Resource Utilization Groups III (RUGS III). If so, when was the deadline?
Q: Where can I find information about a system that will allow for the electronic transmission of Minimum....

On the Line: Professional Practice Solutions

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: May 2002


Q: Is there a standard or recommended source for abbreviations used in medical records?
Q: In light of HIPAA restrictions on protected health information, I’m concerned about our HIM department’s practice of accepting HIM students for professional practice experience. What shoul....

On The Line: Professional Practice Solutions

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: July 2001


Q: It's difficult to research and write organizational policies because of the myriad external forces governing the same healthcare issues. Do you have guidelines to help ensure we don't miss any mandates?

Q: How does a healthcare organization deal with conflicting directives betwee....

On the Line: Professional Practice Solutions

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 1998


Q: I am a coder in a hospital HIM department. I am being pressured to code in a manner I believe to be fraudulent in order to maximize reimbursement and improve the hospital's case mix. What should I do?

Q: I am employed as a coder and am concerned about my potential risk with....

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....

On the Line: Professional Practice Solutions (11/00)

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: November 2000


Q: My facility wants to adopt or modify an existing abbreviation list rather than develop its own. Where can I locate such a list?

Q: How long is an authorization to release information valid?

Q: Where can I find a medical record audit tool for physician practice....

On the Line: Professional Practice Solutions (2/00)

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: February 2000


Q: The ambulatory care facility where I work is considering implementing an electronic signature process. Is the use of electronic signature acceptable in ambulatory care? Also, what guidelines for this are available?

Q: What Internet security guidelines are available?
<....

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: 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....

On the Line: Professional Practice Solutions (5/00)

Author: Welch, Julie J.

Source: Journal of AHIMA

Publication Date: May 2000


Q: Within what time frame are verbal orders required to be authenticated?

Q: Is electronic record storage legal?

Q: Does the Joint Commission require an RHIT or RHIA to be employed in a hospital's HIM department?

Julie Welch is an HIM practice manager at A....

On the Line: Professional Practice Solutions (5/03)

Author: Burrington-Brown, Jill

Source: Journal of AHIMA

Publication Date: May 2003


Q: What is an organized health care arrangement (OHCA) and what are its advantages?

Q: What is multi-factor authentication?

Jill Burrington-Brown (jill.burrington-brown@ahima.org) is an HIM practice manager at AHIMA.Article citation:
Burrington-Brown, Jill. "On the Line....

On the Line: Professional Practice Solutions (6/03)

Author: Hjort, Beth M.

Source: Journal of AHIMA

Publication Date: June 2003


Q: Under the privacy rule, how should a physician’s office handle a request from parents for a written statement recommending limitation of their child’s activities at school?

Q: What are a covered entity’s legal responsibilities when a former employee breaches confiden....

On the Line: Professional Practice Solutions (7/00)

Author: Hughes, Gwen

Source: Journal of AHIMA

Publication Date: July 2000


Q: My state's laws say that health information may be made available to researchers who provide written evidence of approval of their projects by an institutional review board (IRB). What is an IRB?

Q: Where should informed consent forms for research and research-related ....

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 (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 (9/03)

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: September 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?

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

Carol Quinsey....

Opening Pandora's Box: Pure Coding vs. Charge Master Driven Coding--a Case Study at Duke University Health System

Author: Stone, Fabian; Egan, Jeanne M.; LeBoutillier, Richard; Blackwelder, Dean

Source: AHIMA Convention

Publication Date: October 31, 2006

Opening Pandora’s Box: Pure Coding vs. Charge Master Driven Coding
A Case Study at Duke University Health System
Fabian Stone, MBA, MHA, Duke University Hospital
Jeanne Egan, MBA, RHIA, CHP, CCA, BearingPoint
Richard LeBoutillier, MPA, CPHQ, BearingPoint
Dean Blackwel....

Opting for Opt Out: How One HIE Manages Patient Consent

Author: Bass, Deb

Source: Journal of AHIMA

Publication Date: May 2011



Every health information exchange must determine how it will gain consent from patients to share their information. The Nebraska Health Information Initiative chose opt out and with good communication and management has maintained a high rate of patient participation.

Even afte....

Organizational Restructuring: One HIM Team's Approach

Author: Smith, Carol F.

Source: Journal of AHIMA

Publication Date: February 1998


Organizational restructuring offers a number of challenges -- and opportunities -- to employees. This article describes how members of one organization's HIM staff participated in a systemwide restructuring process, from planning to implementation to assessment of results.
Today's era o....

ORYX and Other Elusive Quality Animals

Author: Rhodes, Harry B.

Source: Journal of AHIMA

Publication Date: June 1998


Edward I. Koch, former mayor of New York City, is known for asking, "How am I doing?" Koch, of course, was speaking of the positive progress of his administration. But he could have just as easily been talking about the state of performance measurement in healthcare today. Even though quality....

Patient Portal Toolkit

Author: AHIMA Work Group

Source: AHIMA toolkit

Publication Date: March 2016

The purpose of this toolkit is to provide guidance on the issues and challenges that should be considered when implementing a patient portal, such as the types of policies and procedures that will need to be put into place, workforce and consumer education and training, and the legal requirements and considerations that must be accounted for a successful portal implementation. Sample forms, portal use agreement, and patient portal FAQs are also included.

Performing a Breach Risk Assessment - Retired

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: September 2013


On August 24, 2009, the US Department of Health and Human Services (HHS) published 45 CFR Parts 160 and 164 Breach Notification for Unsecured Protected Health Information; Interim Final Rule to implement the breach notification provisions of the Health Information Technology for Economic and Cl....

Physician Coding Toolkit

Author: AHIMA Work Group

Source: AHIMA toolkit

Publication Date: September 2015

This provider practice coding toolkit provides multiple tools and resources to help providers successfully navigate through the many changes in today’s healthcare environment.

Physician Office Billing Compliance Program

Author: Eisenhauer, Sue

Source: Journal of AHIMA

Publication Date: October 1997


Physician offices try to adhere to the coding and billing guidelines as defined by Medicare. However, claims to commercial insurance carriers frequently are not handled as precisely. The passage of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) has brought to our atte....

Physician Record Completion Policy

Author: Lutz, Laurie J.

Source: AHIMA Foundation

Publication Date: December 16, 2003


The HIM Department has a commitment to provide accurate, timely and friendly customer service.
Our goal is to strive for excellence in our day-to-day activities. With this in mind the following is how we achieved our success in decreasing the numbers of delinquent medical records.
D....

Policies and Procedures for a Legal EHR

Author: Quinsey, Carol Ann

Source: Journal of AHIMA

Publication Date: April 2007


As organizations move from paper to electronic health records (EHRs), one of the most critical steps is ensuring that there are policies that support the EHR as the legal health record.

Most managers know the importance of having up-to-date policies and procedures. Good pol....

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