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Realigning HIM to the New Healthcare Environment: Case Studies in HIM Transformation Due to Accountable Care and Pay-For-Outcomes Initiatives

Author: Bower-Jernigan, Patricia L; Chenoweth, Ann; James, Jaime

Source: Journal of AHIMA

Publication Date: August 2014



The Affordable Care Act has been a catalyst for the transition to pay for outcomes. Through the Centers for Medicare and Medicaid Services (CMS) Innovation Center, dozens of new payment and service models have emerged that promise to deliver better care throughout the United States at a l....

Roles for HIM Professionals in HIOs

Author: Bailey-Woods, Linda; Dooling, Julie A; Fabian, Diane; Kuehnast, Tanya; Luthi-Terry, Stephanie; Raymond, Jackie; Rhodes, Harry B.; Westhafer, Kathy J

Source: Journal of AHIMA

Publication Date: August 2014



Simply stated the goal of health information exchange (HIE) is very clear-cut and easy to understand—establish networks that connect healthcare providers electronically in order to facilitate higher quality healthcare.


However, actual implementation of HIE business mod....

Leveraging the Leader-Member Exchange Theory in HIM

Author: Hunt, T J

Source: Journal of AHIMA

Publication Date: August 2014



Editor’s note: This article is an excerpt from “Leader-Member Exchange Relationships in Health Information Management,” published in the Spring 2014 issue of AHIMA’s scholarly research journal Perspectives in Health Information Management.


Following the leader-member excha....

Don’t Deny the Denials: Experts Recommend Implementing a Strong Claims Denial Strategy to Offset ICD-10-based Coder Productivity Loss

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: June 2014



As organizations prepare for the implementation of ICD-10-CM/PCS next year, many are looking for creative strategies to mitigate anticipated decreases in coder productivity that will come with the switch. Some are ramping up education, others hiring additional staff members or implementin....

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