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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. ..

HCFA Addresses Inpatient Payments, SNFs

Author:

Source: Journal of AHIMA

Publication Date: October 2000


HCFA's recently published interim final rule concerning the "Provisions of the Balanced Budget Refinement Act of 1999; Hospital Inpatient Payments and Rates and Costs of Graduate Medical Education" will provide a 2.3 percent increase in payment rates for most acute care hospital....

New Home Care PPS Brings Major Changes

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000

.. according to official Coding guidelines. Instead, tho.. ..ularly "up Coding ," if the quality an.. ..ot improve. As Coding becomes more of an indus.. ..rce Group (HHRG) Classification system. The 80 different.. .. Resource Group Case-Mix Classification Decision Tree Logic"..

APC Checklist (2000)

Author: Scichilone, Rita A

Source: AHIMA practice brief

Publication Date: September 2000

..service, or assigned by Coding professionals following .. .. review of compliance to Coding guidelines, interpretati.. ..CCS, practice managers, Coding products and services, A.. ..nd Ambulatory Payment Classification s (APCs) were implemented.. ..on of code selection and Reimbursement data that affect APC gro..

Where in the World Is ICD-10?

Author: Brouch, Kathy L.

Source: Journal of AHIMA

Publication Date: September 2000

..e newest version of this Coding system and how coder.. .. few more years, the new Coding system has been in pl.. ..e transition to a new Coding system been like for cod.. ..member states for the Coding of national mortality an.. ..and many elements of the Coding landscape have change..

Where Are They Now? CPR Leaders Assess Their Progress

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 2000


Five years ago the first recipients of the Davies awards showed us successes of CPR systems across the country. Where are they now? This article catches up with these CPR leaders.
Is your job exactly the same as it was five years ago? For most HIM professionals, the answer....

Catching Up with PEPP

Author: Bryant, Gloryanne H.; Fletcher, Robin

Source: Journal of AHIMA

Publication Date: September 2000

..es prevalent DRGs ( Coding errors and DRG upcoding).. .. methodology used for Coding and classification has b.. ..ROs conducting PRO Coding conferences to address D.. ..RG and ICD-9-CM Coding issues develo.. ..e systemwide director of Coding /HIM compliance for Catho..

Dot-com Coder

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: July 2000

.. the job. Davis is Coding specialist and knowledge.. ..s's team is working on a Coding inference engine that.. ..ing to perform automated Coding . The company has been de.. ..s develops rules for the Coding product to use in applyi.. ..appropriately. The Coding product is still in its ..

Making a Proactive Transition to APCs

Author: Willett, Lyn

Source: Journal of AHIMA

Publication Date: July 2000

..ate and timely Coding of all outpatient encoun.. .. codes and CPT/HCPCS Coding , which are unfamiliar to.. ..ust know ICD-9 diagnosis Coding . Clinical personnel work.. ..th the chargemaster, CPT Coding , and E&M coding. .. ..ccuracy of all Coding , are all outpatient rec..

Coding for APCs: Case Studies

Author: Scichilone, Rita A

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2000

..ncreased complexity when Coding outpatient encounters. E.. .. to APC payment may help Coding professionals .. ..orting process. Although Coding guidelines wil.. .. the National Correct Coding Initiative (NCCI) Edits,.. ... Fracture Care Coding in the ER Codin..

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