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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....

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.....

Journal Q&A (10/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: October 02, 2001


Q: The nursing department has asked the HIM department for assistance in creating an organized process for thinning inpatient charts. Is there a standardized method that I could suggest?

A: HIM professionals are often asked for guidance in determining chart thinning practices, setting....

Journal Q&A (10/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: October 02, 2001


Q: Are there standards for establishing chart document order either during or after hospitalization?

A: Similar to chart thinning, there are no universal standards for chart order. Healthcare organizations are encouraged to develop a standardized arrangement that works well in offerin....

Journal Q&A (11/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2000

Q: Where can I find a benchmark for coding accuracy?
A: It's difficult to establish an industry standard for coding accuracy because accuracy is measured differently in every facility. Some facilities compute their accuracy rate by taking the number of correctly coded records and divi....

Journal Q&A (11/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 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?
A: If you work in a community where the physicians practice at more than one facility, it would be ideal if those facilities shared a common abbreviation....

Journal Q&A (11/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: November 02, 2001


Q: Where can I find an easy-to-use glossary for terms in the HIPAA regulations?


A: The Workgroup for Electronic Data Interchange (WEDI) has compiled an alphabetic glossary of HIPAA terms and definitions. It is approximately 24 pages long and can be downloaded from the WEDI Web sit....

Journal Q&A (1/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: January 02, 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?

A: Always remember to exhaust all avenues for resolving the matter....

Journal Q&A (1/99)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: January 02, 1999


Q: I hear a lot of technical terms being used lately by information systems staff and I feel like I'm not speaking their "jargon." Could you clarify the meaning of some of these terms? Specifically, they are SQL, Java, TCP/IP, and IPX.

A: SQL stands for structured query language, whi....

Journal Q&A (4/98)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: April 02, 1998


Q: I have a deposition scheduled for next week. The issue at hand is whether a preprinted manufacturer's instruction sheet on how to use a piece of medical equipment should be a part of the medical record. Our position is that it should not be included because it does not reflect ....

Journal Q&A (5/02)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: May 02, 2002

Q: Is there a standard or recommended source for abbreviations used in medical records?


A: There is no standard or recommended abbreviation list. Because of service and style variation, healthcare organizations are encouraged to create their own customized list. An optimal approach....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: What is a good source for looking up Internet-related terms?
A: One of the quickest and least expensive ways to look up an unfamiliar Internet term is by doing a search at www.whatis.com.

In addition to explaining terms such as "cookie" and "ISP," ....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: Where I can find sample policies and procedures for confidentiality, security, and disclosure of patient health information?
A: The Computerized Patient Record Institute (CPRI) and 3Com Corporation have partnered to publish a CPRI toolkit at http://healthcare.3com.com/securitynet/h....

Journey through Meaningful Use at a Large Academic Medical Center: Lessons of Leadership, Administration, and Technical Implementation

Author: Unger, Melissa D; Aldrich, Alison M; Hefner, Jennifer L; Rizer, Milisa K

Source: Perspectives in Health Information Management

Publication Date: October 2014


Abstract


Successfully reporting meaningful use of electronic health records to the Centers for Medicare and Medicaid Services can be a challenging process, particularly for healthcare organizations with large numbers of eligible professionals. This case report describes a successf....

Keeping HIM Current Through Re-engineering

Author: Myjer, D'Arcy

Source: Journal of AHIMA

Publication Date: June 2002


How should HIM departments organize to meet the challenges of the electronic medical record (EMR), compliance, HIPAA, and high-volume transcription?


The HIM department at Stanford Hospital and Clinics (SHC) in Stanford, CA, has evolved to meet the need for change. Here’s....

Key Points of the UB-04 (2010 update)

Author: AHIMA Clinical Terminology and Classification Practice Council; Garrett, Gail S.; Jorwic, Therese M; Novak, Natalie; Ruhnau-Gee, Becky; Safian, Shelly C; Zeisset, Ann M.

Source: AHIMA practice brief

Publication Date: April 2010


Editor’s note: This update replaces the October 2006 practice brief “Key Points of the UB-04.”

In 2005 the National Uniform Billing Committee (NUBC) approved the Uniform Bill (UB-04) paper claim and data set as the replacement to the UB-92 paper form.1 Currently, all paper claims must....

Leadership GPS – Growth, Performance, Sustainment

Author: Yount, Shane

Source: AHIMA Convention

Publication Date: October 02, 2011

1. Leadership GPS – Growth, Performance, Sustainment Overview

The economic downturn and austerity based thinking has created an organizational environment of leaders managing more and more responsibilities. Often open positions have not been filled, leaving existing leaders with mor....

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