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The Year That Was and the Year to Be

Author: Asmonga, Donald D.

Source: Journal of AHIMA

Publication Date: February 2011


The second session of the 111th Congress began with the Democrats in firm control of the House and Senate. Working from their position of power enabled the Democrats to pass healthcare reform.

Although Congress was mired in contentious debates, AHIMA still advocated for its public po....

HIPAA Electronic Data Interchange Transactions: The Impact on Healthcare Billing Processes with Special Emphasis on 837 Electronic Claims Transactions and 835 Electronic Remittance Transactions

Author: Kubas, Debbie; Buck, Shawna

Source: AHIMA Convention

Publication Date: October 21, 2005


Rules for HIPAA-compliant electronic transactions were finalized on October 16, 2000. The finalized HIPAA transaction standards required that claims filed electronically after October 16, 2002 (or after October 16, 2003, if you filed for an extension) had to be in the HIPAA-compliant electroni....

HIPAA Marches On--Or Does It?

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2005


HIPAA has taught us that standardization is hard. When the act was signed into law in 1996, the optimists among us believed that within four years the healthcare industry would be using a variety of uniform national administrative transactions, most associated with what we now call the revenue....

CPT Category III Codes Cover New, Emerging Technologies: New Codes Developed to Address Issues in Light of HIPAA

Author: Beebe, Michael

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2003


In 1998, the American Medical Association (AMA) initiated the CPT-5 Project. This project was a broad-based and comprehensive effort to make needed and practical enhancements to the CPT code set that would address challenges presented by emerging user needs and HIPAA. One of the initiatives tha....

AHIMA Advantage E-alert [Special edition]

Author: AHIMA

Source: AHIMA newsletter

Publication Date: February 13, 2003

HHS to Release Final HIPAA Security Rule February 20; HIPAA Transaction and Code Set Standards Modifications Announced

Take Another Look: Proposed Changes to Privacy Rule

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: May 2002


In late March, the Department of Health and Human Services (HHS) released proposed changes related to the HIPAA privacy standards. By the time you read this column, the 30-day comment period for these regulations will have already passed, although debate on these changes will still be in full....

Envisioning Consistent Coding for All

Author:

Source: AHIMA Advantage

Publication Date: April 2002


What if...a single entity oversaw all of the coding systems in use today? What if...all payers and providers were required to adhere to code set rules and guidelines in the same way? What if...there was one definitive set of coding rules, definitions, and guidelines that all users could easily....

Transactions Delay Prompts Concern Among Covered Entities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2002


AHIMA recently attended a meeting of healthcare providers, payers, and staff representatives of the National Committee on Vital and Health Statistics (NCVHS) and the Centers for Medicare and Medicaid Services (CMS). Organized by the Association for Electronic Health Care Transactions, the meet....

Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on Medical Code Sets

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: February 06, 2002

February 6, 2002
Opening Comments

Good morning Mr. Chairman, members and staff of the National Committee on Vital and Health Statistics (NCVHS) Standards and Security subcommittee, ladies and gentlemen.   I am Sue Prophet, director of coding policy and compliance for the American Heal....

HIPAA Compliance Extension Postpones Simplification Benefits

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: February 2002



Under the terms of the Health Insurance Portability and Accountability Act of 1996, February 2002 would mark the second anniversary of administrative simplification for all but the smallest of health plans, and one year of rules related to claims attachments. Instead, Congress just approve....

Journal Q&A (11/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: November 02, 2001


Q: Where can I find the updated data elements and data definitions for the Uniform Hospital Discharge Data Set (UHDDS)?

A: At this time, the 1986 UHDDS data elements and definitions are not available electronically though the information is considered to be in the public domain. The fi....

On the Line: Professional Practice Solutions

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2001


Q: Where can I find the updated data elements and data definitions for the Uniform Hospital Discharge Data Set (UHDDS)?

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

Michelle Dougherty (michelle.dougherty@ahima.org) is an HIM practice manager....

NCVHS Groups Explore CPR, Privacy Rule Possibilities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2001




HIPAA's fifth anniversary was marked by meetings of two key subcommittees of the National Committee on Vital and Health Statistics (NCVHS): the standards (transactions) and security subcommittee and the privacy and confidentiality subcommittee. At the security subcommittee, experts fr....

Early Word on HIPAA Claims Attachments

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2001


If we could look into a crystal ball and see into the future, it would be much easier to prepare for HIPAA, particularly the electronic transaction standards. Because of the rarity of crystal balls these days, we must rely on other predictors at our disposal, such as the white paper issued by t....

Who's Covered by HIPAA (HIPAA on the Job)

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2001




One of the mysteries of the administrative simplification section of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) is determining who is covered or comes under the requirements of the act. This article will examine HIPAA to unravel some of the mystery of &quo....

Preparing the Physician Office for HIPAA

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2001




Change has been a constant factor in coding and reimbursement with the intensified focus on billing, compliance, and cost control. Out of necessity, coding professionals in physician settings have learned to be organized, adaptable, and armed with the latest information. The mandates....

On the Line: Professional Practice Solutions

Author: Smith, Cheryl M.

Source: Journal of AHIMA

Publication Date: February 2001




Q: Where can I find information on the interpretation of Joint Commission on Accreditation of Healthcare Organization standards?

Q: How does the Health Insurance Portability and Accountability Act of 1996 (HIPAA) define health information in the final rule for healthcare elec....

Quick Take on Clearinghouses

Author: McLaughlin, Mark

Source: Journal of AHIMA

Publication Date: January 2001




HIPAA's provisions have brought healthcare clearinghouses into the spotlight. What is a clearinghouse, and how is its role affected by the new regulations? This article answers these questions.

A clearinghouse is typically used to collect, validate, and distribute insurance c....

Understanding HIPAA Transactions and Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2001


The recently published final regulations for transactions and code sets under HIPAA are the light at the end of the tunnel in the quest for uniform healthcare standards-and the first step on a long road to HIPAA implementation. What are the standard transactions and code sets? This article tak....

HHS Releases Final Rules for HIPAA Transactions, Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2000


HIM professionals have new HIPAA challenges to prepare for: this summer, the Department of Health and Human Services (HHS) released the highly anticipated final rule for certain transaction sets and codes.1 The rule was effective on October 16, 2000, and under HIPAA legislation, most....

Standards Organizations Plan Collaboration

Author:

Source: Journal of AHIMA

Publication Date: June 2000


In March, the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards and Security reached an agreement with six standard-setting organizations. The six organizations include the Accredited Standards Committee X12, Dental Content Committee, Health Level Seven,....

Code Sets: Improving the Quality of Coded Data

Author: Prophet, Sue

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

2000 HIPAA Conference Presentation
Code Sets: Improving the Quality of Coded Data
The Healthcare Provider Perspective
Sue Prophet, RHIA, CCS
Director, Classification and Coding, AHIMA Current Problems with Use of Code Sets
Lack of acceptance of valid codes (e.g., V and E co....

Code Sets

Author: Brooks, Patricia E.

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

2000 HIPAA Conference Presentation
Code Sets
Presented by Pat Brooks, RHIA
HCFA Standards for Electronic Transactions
HCFA-0149-P Published May 7, 1998 Final not yet published To be enacted 2 years after final notice (3 years for small plans)
Proposed Initial Standards for....

Transactions Standards

Author: Braithwaite, Bill

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

2000 HIPAA Conference Presentation
Transactions Standards

Presented by Bill Braithwaite, MD, PhD, FACMI, Senior Advisor on Health Information Policy, US Dept. of HSS
Transaction Standards
NPRM published in 1998 (5/7/98 - 7/6/98) Adopts ASC X12N standards for transactions (e....

HIPAA Electronic Transactions

Author: Miller, Susan A

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

2000 HIPAA Conference Presentation
HIPAA Electronic Transactions
Presented by Susan A. Miller, Esquire, Corporate Regulatory & Compliance Manager, IDX Systems Company HIPAA Summary
Title II, Subtitle F—Administrative Simplification of the Health Insurance Portability and Accoun....