16 results.
Hospital Discharge Status Codes: Risks and Rewards
Author: Haik, William E
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2015
It is a well known fact that ICD-9-CM diagnosis and procedure codes impact hospital reimbursement and compliance. But there is an additional code that often flies under the radar—the discharge status code. Inaccurate discharge status code assignments for Medicare post-acute care transfers....
EHR Adoption in LTC and the HIM Value. Appendix D: The HIM Professional as a Compliance Officer in LTC
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: January 2011
Hospitals developed compliance programs in response to a 1991 federal Sentencing Commission policy mandating penalties for organizations convicted of federal crimes. These federal crimes include fraud and abuse of the Medicare and Medicaid programs. If an organization's compliance program inclu....
ICD-9-CM Coding Guidance for LTC Facilities. Appendix B: Reporting and Sequencing Diagnoses on the Health Record and UB-04 Claim Form
Author: AHIMA
Source: AHIMA practice brief attachment
Publication Date: October 2010
The "ICD-9-CM Official Guidelines for Coding and Reporting" is updated annually, thought it may be changed more frequently. Coders should be familiar with the guidelines and use the most current version.
The guidelines provide the following guidance for principal/first-listed and con....
RAC Primer for LTC Facilities
Author: Leonard, Mary Ann
Source: Journal of AHIMA
Publication Date: January 2010
Last year the Centers for Medicare and Medicaid Services (CMS) began rolling out the Recovery Audit Contractor (RAC) program to all 50 states and all providers, including long-term care facilities. HIM professionals working in LTC facilities need to understand the basics of the program in....
Documenting for Dollars: How to Code Minimum Data Set (MDS) Assessments to Ensure Accurate Medicare Reimbursement
Author: Galias, Delores
Source: AHIMA Convention
Publication Date: September 23, 2002
Addressing HIPAA Across the Continuum
Author:
Source: Journal of AHIMA
Publication Date: February 2002
HIPAA is an issue in hospitals across the nation, but what about other kinds of facilities—such as long-term care, behavioral health, or home care organizations? They, too, need to address HIPAA. We asked three HIM professionals who work in these settings to briefly address how HIPAA is ch....
Understanding Release of Information in Long-Term Care Facilities
Author: Marsh, Carmilla
Source: Journal of AHIMA
Publication Date: February 2002
Release of information is a perennial challenge for HIM professionals in all care settings. However, long-term care offers some special challenges, especially in the light of the HIPAA privacy rule published in December 2000 (with a compliance date of April 2003). This article reviews the basi....
Using OIG Guidances for Long-term Success
Author: Foltz, Darline A.
Source: Journal of AHIMA
Publication Date: January 2001
Further, federal regulations and guidelines continue to be issued by Congress, the Health Care Financing Administration, the Office of the Inspector General (OIG), and state survey and Medicare agencies. One of the biggest challenges facing HIM professionals in LTC is keeping up with these cha....
New Directions for Long Term Care
Author: Anderson, Rhonda L.
Source: Journal of AHIMA
Publication Date: June 2000
Compliance has always been with us, from the days of routine chart audits and care evaluation processes. But today HIM professionals in long term care find themselves facing the challenges of compliance as never before.
In recent years, the Office of Inspector General (OIG) has inc....
Compliance Across the Continuum: What Works
Author:
Source: Journal of AHIMA
Publication Date: June 2000
Reducing fraud and abuse.
Making operations run more smoothly.
Improving services.
Keeping a lid on costs.
Compliance programs aim to do all of these things. And with expertise in coding, reimbursement, and regulatory matters, HIM professionals are natural members of....
OIG Issues Nursing Compliance Guidance
Author:
Source: Journal of AHIMA
Publication Date: May 2000
The Department of Health and Human Services Office of the Inspector General (HHS-OIG) has published the OIG Compliance Program Guidance for Nursing Facilities. Published in the Federal Register on March 16, 2000, the document contains seven fundamental elements for an effective complia....
OIG Compliance Program Guidance for Nursing Facilities
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Federal Register
Publication Date: March 16, 2000
Survey and Enforcement Process for SNF's and NF's
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: December 02, 1999
AHIMA Census Results: Focus on Compliance
Author: Lorence, Daniel P.
Source: Journal of AHIMA
Publication Date: April 1999
The Office of the Inspector General (OIG) has instituted compliance guidelines for medical laboratories, hospitals, and home healthcare agencies. Within this framework, these guidelines provide at least some compliance direction for individual providers and group practices ....
Survey and Enforcement Process for SNFs and NFs
(revisions through 1/99)
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: January 02, 1999
State Operations Manual Chapter 7 - Survey and Enforcement Process for SNFs and NFs
Table of Contents 7000 Introduction 7001 ....
Surveyor Procedures for Pharmaceutical Service Requirements in Long-Term Care...
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: September 02, 1990
State Operations Manual
Appendix....