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How Gaps in Data Quality Impact Reimbursement

Author: D'Amato, Cheryl

Source: AHIMA Convention

Publication Date: October 10, 2001

.. evaluate and reengineer Coding and data capture practic.. ..time-of-record intake or Coding as the demographic infor.. .. expertise in outpatient Coding is participating in char.. ..and oversight, acting as Coding consultants to outpatien.. ..ce areas doing their own Coding , and participating in de..

Home Health Prospective Payment Systems (HH-PPSs)

Author: Abraham, Prinny

Source: AHIMA Convention

Publication Date: October 10, 2001

.. Diagnosis Coding , Sequencing, and Docum.. ..s, according to ICD-9-CM Coding guidelines. The OASIS .. ..nosis. Applying ICD-9-CM Coding guidelines and letting.. .. go of past poor Coding habits has proven diffic.. ..ntation to support the Coding and billing PPS is a hug..

APC Validation Audits ... The Nitty Gritty Details

Author: Knowles, Lisa

Source: AHIMA Convention

Publication Date: October 10, 2001

..ion management director, Coding manager, and coder. The .. ..t is important that your Coding staff know that their wo.. ..s (those assigned by the Coding staff in the health info.. ..er-related and which are Coding /documentation issues. Th.. ..m the health information Coding staff of the results of ..

CPT "Monopoly" To Be Examined

Author:

Source: Journal of AHIMA

Publication Date: October 2001


Senate Minority Leader Trent Lott (R-MS) has forwarded a letter to HHS Secretary Tommy Thompson criticizing the American Medical Association's "statutory monopoly" on current procedural terminology (CPT) codes. Lott said that Congress will look at the CPT issue when it considers....

Choosing Consultants Without Compromising Compliance

Author: Hammen, Cheryl

Source: Journal of AHIMA

Publication Date: October 2001

.. Auditing Coding and DRG accuracy has bec.. ..o contract with external Coding consultants to perform t.. ..ement or to misinterpret Coding rules and regulations to.. ..pliance efforts, such as Coding compliance reviews. Comp.. ..se in selecting external Coding consulting companies. It..

Putting Productivity Plans to Work

Author: Dunn, Rose T

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2001

.. a series of three " Coding Notes" articles add.. .. and incentive plans for Coding professionals. The April.. ..mple incentive plans for Coding professionals. First T.. ..ps: Understand the Coding process at your facility.. ..e the amount of time the Coding process takes . Regardle..

Sample Coding Incentive Plan

Author:

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2001

..departments Coding notes.. ..This Coding incentive plan is design.. ..ed to compensate Coding professionals who demons.. .. ability and accuracy in Coding and achieve production a.. ..sample Coding incentive plan 1.. ..• overall Coding accuracy will not drop b..

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....

Sample Coding Incentive Plan 2

Author:

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2001

..all Coding specialists and the lead.. ..• Coding accuracy of 95 percent o.. ..Participants: All Coding specialists who are not .. ..• Coding and abstracting from ass.. .. Coding Specialist.. .. Coding Specialist.. .. Coding Specialist .. .. Coding Specialist ..

E-assistance for Coding Professionals

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2001

..tance learning to online Coding , coding professionals ca.. ..w ones. As a result, new Coding and abstracting systems,.. ..ait. Fortunately, online Coding resources continue to th.. ..rive. E- Coding Products and Services .. ..The latest challenges in Coding -APCs, OASIS, RUGs, HIPAA..

Journal Q&A (9/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: September 02, 2001

Q: I work in a home care agency and am developing a procedure on correcting errors on OASIS to comply with the Centers for Medicare and Medicaid Services' (CMS, formerly HCFA) new correction policy. Is it necessary to make a separate entry in the medical record? Our agency would like to make the co....

Critical Expeditions

Author: AHIMA

Source: AHIMA

Publication Date: August 2001

..oothold in the future of Coding practice. It's new .. ..ng from the work of the Coding Futures Task F.. .. in a leadership role as Coding practice evolves. .. ..iagnostic codes. Yet the Coding Futures Task Force .. ..ees that many of today's Coding processes will become au..

Review of E/M Guidelines

Author:

Source: Brief Encounter

Publication Date: July 02, 2001


The Evaluation and Management guidelines are found in the Medicare Carriers Manual in the following sections. You may download the entire manual from the Center for Medicare and Medicaid Services or CMS (formerly HCFA) Web site by going to http://www.hcfa.gov/, click on Medicare, select laws an....

E/M Options in the Outpatient Arena

Author: Jones, Lolita M.

Source: Journal of AHIMA

Publication Date: July 2001

..gic and tips for better Coding for care rendered. .. .. Hospital Outpatient E/M Coding In its final APC regu.. .. Hospital Outpatient E/M Coding Here are some tips fo.. .. hospital outpatient E/M Coding : Map to an E/M code th.. .. the physicians, nurses, Coding specialists, and other ..

Look at Modifiers for Hospital Use

Author: Philippou, Karla E.

Source: Brief Encounter

Publication Date: July 02, 2001

..d their correct usage by Coding prof.. .. outpatient Coding . Traditionally, less exp.. .. perform outpatient Coding . However with the advent.. .. CPT Coding guidelines, as well as c.. ..out the national Correct Coding Initiative edits ..

Navigating the Physician Services Maze

Author: Skurka, Margaret A.

Source: Journal of AHIMA

Publication Date: July 2001

..matic-in the area of E/M Coding . Medical practices repo.. ..their services using E/M Coding , yet there are many poi.. ..and examples for correct Coding .  Three for .. ..tegory has five levels. " Coding for New Patients" and "C.. .. erroneous consultation Coding and documentation. ..

Implementing a Mobile Coding Solution

Author: Colgan, Peter

Source: In Confidence (newsletter)

Publication Date: July 02, 2001

..em, and using the mobile Coding solution as an example... .. ensuring that physician Coding is complete and accurat.. ..resent to streamline the Coding of patient encounters c.. ... A successful mobile Coding solution should fit sea.. ..ficient charge capture, Coding , and billing process. It..

SNOMED Takes the Next Step

Author: Kudla, Karen M.; Blakemore, Margo

Source: Journal of AHIMA

Publication Date: July 2001

.. redundancy in Coding and simplify mapping tec.. ..ls). The Coding system breaks down when .. ..used by pathologists for Coding surgical pathology cases.. .. an alphanumeric Coding scheme in which the firs.. ..SNOP’s alphanumeric Coding scheme and expanded ..

DRG Analysis Reveals Potential Problems, Trends

Author: Osborn, Carol E.

Source: Journal of AHIMA

Publication Date: July 2001

..t have been subject to up Coding or are major consumers o.. ..record documentation and Coding for potential.. ..following the event. For Coding purposes and correct.. ..the requirements for Coding ischemic cerebrovascular.. ..As and strokes. ICD-9-CM Coding guidelines..

Can You Manage Managed Care?

Author: Willner, Sue

Source: Journal of AHIMA

Publication Date: July 2001

.. health care) and the Coding systems upon which they .. ..to DRGs and the accurate Coding of procedures .. ..ices is key to APCs, the Coding of chronic conditions .. ..r knowledge of Coding and reimbursement system.. .. a risk adjustment Classification system that requires MCO..

AHIMA Testifies in Support of ICD-10

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: July 2001

..rent state of procedural Coding and moving toward a sing.. ..g ICD-10-PCS (procedural Coding system) in May. The &qu.. ..3] with a new procedural Coding system for inpatient ser.. ..ffort to move procedural Coding into the 21st century an.. .. for a single procedural Coding system. 1,2 AHIMA was h..

Know Your APCs: Data Analysis Made Simple

Author: Stegman, Melinda

Source: Journal of AHIMA

Publication Date: July 2001

..ge, and other changes in Coding guidelines. So how can .. ..ed in hiring additional Coding staff or in educational .. ..vities for their current Coding staff.  .. ..ccurate and complete CPT Coding is the cornerstone of a.. ..e data generated by the Coding of these services is a p..

Another Career Avenue for HIM: Coding Compliance

Author: Lemire, Diane

Source: Journal of AHIMA

Publication Date: June 2001

..d with a background in Coding and management, a positi.. ..on in Coding compliance may be an exc.. ..reer. When I applied for Coding compliance manager posit.. .. set. Facilities seeking Coding compliance managers us.. ..erience, particularly in Coding inpatient and o..

Trends to Watch in Home Health Compliance

Author: Abraham, Prinny

Source: Journal of AHIMA

Publication Date: May 2001

..ducting regular ICD-9-CM Coding audits in which medica.. ..care PPS. Such audits of Coding data should be perform.. ..onitored. Initiating Coding audits in a formal way .. ..eed to understand that Coding audits can improve opera.. ..ct implementation, and Coding compliance audits nation..

Working Smarter with APCs

Author: Thoman, Deborah J.

Source: Journal of AHIMA

Publication Date: May 2001

..on complete and accurate Coding , and improve o.. ..e and accurate Coding as the conduit to reach .. ..lity and thoroughness of Coding to maximize re.. ..ng patterns of Coding that are in error or cau.. ..ur education and correct Coding efforts. Know W..

AHIMA Advocates for Physician Query Forms

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: May 2001

..in recent years with the Coding process behind some orga.. ..nizations' Coding of pneumonia. Unfortun.. ..ed physicians to approve Coding to a higher level. .. ..ical record. AHIMA's Coding policy and strategy co.. ..ical record and accurate Coding for their institutions" ..

PEPP: Collaborating to Improve Quality

Author: Poole, Laurie

Source: Journal of AHIMA

Publication Date: April 2001

..for reasons ranging from Coding errors to lack of comple.. ..l utilization review and Coding personnel. "Altho.. ..ation review checklists, Coding checklists, and other ed.. ..rectors, administrators, Coding personnel, and HIM perso.. .. to areas such as UR and Coding (see " UR, Coding in the..

New PPS Proposed for Inpatient Rehabilitation Facilities

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: March 2001

..e after discharge, the en Coding date is day seven after .. ..te is seven days after en Coding . In calculating the date.. ..strument (MDS-PAC) a Classification system (case mix groups .. ..or the patient's stay. Classification System Based on the an.. ..inning on April 1, 2001. Reimbursement for IRFs will be based o..

Conduct is Their Business

Author: Byrd, Katherine

Source: Journal of AHIMA

Publication Date: March 2001




Suppose you were asked to do something unethical on the job. What if you were asked by your supervisor to hide delinquent charts just prior to a Joint Commission survey? What would you do?

As a profession, HIM professionals understand our moral obligation to the patient to p....

Remote Coding at Home: Tips for Success

Author: Shearer, Jennifer

Source: Journal of AHIMA

Publication Date: February 2001

.. Inova Fairfax Hospital, Coding at home had long been an.. ..could not afford to have Coding vacancies and .. ..ounts receivables due to Coding backlogs. .. ..lly implemented a remote Coding program, boost.. .. of an Internet-based Coding application that would e..

Final ERISA Rules Published

Author:

Source: Journal of AHIMA

Publication Date: February 2001


The Department of Labor published two final rules in November 2000 that will affect the information received and the appeals available to those receiving healthcare benefits under the Employee Retirement Income Security Act of 1974 (ERISA).

The two final rules are "Amend....

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....

Preparing the Physician Office for HIPAA

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2001

..een a constant factor in Coding and reimbursement with t.. ..ntrol. Out of necessity, Coding professionals in physici.. ..informal survey of eight Coding supervisors from large c.. ..ities. Conversely, three Coding supervisors indicated th.. ..their organizations. Two Coding supervisors referred me ..

Sorting Out the Inpatient Rehabilitation PPS

Author: Youmans, Karen

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2001

..mple but will permit the Coding of all MDS-PAC fields, t.. ..aren Youmans is an AHIMA Coding practice manager. She ca.. .. (AMRPA), "The only Classification system that has been pro.. ..announced plans to use a Classification system based upon FRGs. .. ..re too broad. However, a Classification system has to balance ac..

Understanding HIPAA Transactions and Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2001

..ectronic transaction and Coding standards as e.. ..transactions and medical Coding sets included in the reg.. .. Are the Transaction and Coding Standards? The.. ..tration Common Procedure Coding System (HCPC.. .. there will be the usual Coding updates before..

CPT Changes for 2001

Author: O'Hara, Karen

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2001




CPT 2001 Professional Edition (CPT® 2001) is complete and should be landing on your desk soon. As an introduction to the new book, this article provides a brief summary of the changes in 2001. A complete listing of the code and guideline changes can be found in CPT Changes 2001:....

First Annual Hospital OPPS Update Published

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2001

..nd HCFA Common Procedure Coding System (HCPCS) codes wil.. ..evisions will not affect Coding , but they could affect r.. ..anding about appropriate Coding . Less invasive versions .. ..ncludes rules covering en Coding and specific rules relat.. ..r late assessments and en Coding . In addition, to receive..

Payers Guide Articles

Author: AHIMA

Source: AHIMA bibliography

Publication Date: 2001

..ity by AHIMA’s Coding Policy and Strategy .. .. Coding Compliance: Practical St.. ..or of classification and Coding .. .. of classification and Coding , and Gloryanne Bryant, A.. .. Society for Clinical Coding ..

When Health Information and Fiscal Management Meet

Author: Dunn, Rose T

Source: Journal of AHIMA

Publication Date: January 2001

..t and diagnostic testing Coding , primary payer billing, .. ..t and diagnostic testing Coding , and denial management--.. ..t and diagnostic testing Coding . Ensuring that accurate .. ..y and who are trained in Coding will allow for more accu.. ..rate Coding of admitting and testing..

Medicare Reimbursement Reference Grid

Author:

Source: AHIMA web extra

Publication Date: January 02, 2001

.. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and.. .. Coding Systems and..

HFMA Tackles Hospital Billing Chaos

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: January 2001




Hospital bills are lengthy, often incorrect, and potentially confusing-to no one's surprise. A hospital bill is the result of a long process with numerous participants, beginning at pre-intake and ending with final collections.

Richard L. Clarke, FHFMA, president and CEO o....

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....

Guide to State Implementation of ICD-10 for Mortality. Part II: Applying Comparability Ratios

Author: National Center for Health Statistics; U.S. Centers for Disease Control and Prevention

Source: Government (U.S.)

Publication Date: December 04, 2000

.. been regrouped; 5) some Coding rules have been changed... ..from double- Coding a large sample of the na.. ..from introducing the new Coding and.. ..cation systems. A double- Coding exercise using 1996 data.. ..y ratios from the double- Coding exercise using 1996 data..

Building a Better CPT

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: November 2000

.. among these areas is Coding . Among the concerns is w.. ..re of CPT to reflect the Coding demands of the mode.. ..f the current system for Coding the provision of health .. ..ility of adopting a Coding hierarchy; reviewed and .. ..luated official CPT Coding rules and guidelines and..

Journal Q&A (11/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2000

..n I find a benchmark for Coding accuracy? A: It'.. ..an industry standard for Coding accuracy because acc.. .. they calculate facility Coding error rates and pattern .. .. are due to ignorance of Coding guidelines, incorrect co.. ..entation at the time Coding is performed, as well as..

ICD-9-CM Code Revision for 2001

Author: Prophet, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2000

..ars’ worth of revisions. Coding professionals should fam.. ..gory instructs Coding professionals to code fi.. ..code 440.23, instructing Coding professionals .. .. the Coding and sequencing of Alport.. ..torial Advisory Board of Coding Clinic..

HHS Releases Final Rules for HIPAA Transactions, Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2000

..ired to do so. Two Coding Changes Initially,.. ..ot; including medical Coding , presently occurring. Ho.. ..need to be contacted for Coding information. AHIMA and .. ..ration. Common Procedure Coding System. US Government.. ..stration. International Classification of Diseases: Ninth Ed..

Next Generation of E/M Guidelines

Author: Hill, Emily

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2000

..their staff hurry to E/M Coding seminars in hopes of fin.. ..and encourage consistent Coding . This guidance too.. ..d in the future. 1 Coding expertise demands experi.. .. firm specializing in Coding and regulatory complianc.. .. e-mail address is Emily@ Coding andcompliance.com. ..

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