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Coders Wanted, Experience Required

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: September 2006


A recent AHIMA survey confirms a critical need for qualified clinical coding professionals. It also reveals the high value employers place on experience and credentials.

Opportunities abound for skilled coders throughout the US-particularly in the Southwest-but candidates need demon....

Perfect Time for Documentation Improvement

Author: Hagland, Mark

Source: Journal of AHIMA

Publication Date: July 2006




When new IT systems come online, the time couldn’t be better to assess and improve clinical documentation.

Electronic health record system implementations offer a perfect opportunity to assess and improve an organization’s clinical documentation. The renewed attention is ne....

Testimony of Gloryanne Bryant to the Health Subcommittee of the Committee on Ways and Means, U.S. House of Representatives

Author: Bryant, Gloryanne H.

Source: AHIMA testimony and comments

Publication Date: April 06, 2006


April 6, 2006

Chairman Johnson, Congressman Stark, members of the Health Subcommittee, ladies and gentlemen, good afternoon. I am Gloryanne Bryant, corporate director for coding and Health Information Management (HIM) compliance with Catholic Healthcare West (CHW). I speak to you tod....

Codes for Chronic Kidney Disease: Help in Distinguishing between Renal Failure and Renal Insufficiency

Author: Gold, Robert S.; Bowman, Sue E

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: January 2006


Coders assign codes to disease processes for many reasons, including capturing diseases treated at facilities, accurate representation of illness severity, and specificity of causes of symptoms and justification for treatment. To this end, we have been perplexed by terminology used by physicia....

Experts: Clinical Terminology Mapping Will Be Essential Tool

Author:

Source: Journal of AHIMA

Publication Date: January 2006


Clinical terminology mapping is essential for creating an effective nationwide health information infrastructure, Simon Cohn, MD, MPH, told attendees at the first-ever institute on clinical vocabulary mapping methods, held October 15. Cohn, chair of the National Committee for Vital and Health....

2006 CPT Coding Update

Author: Hull, Susan

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: January 2006


A number of changes to CPT codes take effect January 1, 2006. These changes affect category I, II, and III codes, with a total of 277 additions, 110 deletions, and 71 code revisions.
Evaluation and Management

Within the evaluation and management (E/M) section, the codes for fol....

DRG Changes for FY 2006

Author: Leary, Renee; D'Amato, Cheryl

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2005


The final Medicare DRG changes for fiscal year (FY) 2006, which were published in the August 12, 2005, Federal Register, include 16 new DRGs, the deletion of 10 existing DRGs, and numerous changes to DRG assignments of current diagnosis and procedure codes. These DRG changes, along with other....

ICF: Representing the Patient beyond a Medical Classification of Diagnoses

Author: Giannangelo, Kathy; Bowman, Sue E; Dougherty, Michelle; Fenton, Susan H.

Source: Perspectives in Health Information Management

Publication Date: November 2005


The World Health Organization (WHO) family contains two core, or reference, classifications: the International Classification of Diseases (ICD) and ICF. A third classification, the International Classification of Health Interventions (ICHI), is under development. The core WHO classifications c....

ICD-10: Managing Data Quality through Change

Author: Johnson, Kerry

Source: AHIMA Convention

Publication Date: October 21, 2005

Introduction

As HIM professionals, one of our major concerns is data quality. We are charged with the responsibility of ensuring that the quality of coded data in our facilities and data in healthcare in general is of the highest quality in order to accurately reflect our organization&rsq....

Where Bad Billing Can Lead You

Author: Potter, Jeanne

Source: AHIMA Convention

Publication Date: October 21, 2005

Overview

In this day and age, any company that does not have a process in place to ensure their business practices are compliant with federal and state laws and regulations are putting themselves at serious risk. A physician’s billing practices are subject to federal and state rules....

Developing the Coder's Role in Revenue Cycle Management

Author: Hattan, Dorothy

Source: AHIMA Convention

Publication Date: October 21, 2005


In 1995, AMC combined the hospital and clinic to become a hospital-based provider facility in addition to becoming an affiliate of the Mayo Health System. This required a complete retooling of the financial system, and the CFO had the foresight to realize that this was going to require many st....

Health Information Management Improving the Revenue Cycle: Practical Applications for Acute Care Facilities

Author: Curtis, Elizabeth; Osborn, Carol E.; Maxim, Dorothy

Source: AHIMA Convention

Publication Date: October 21, 2005

Introduction

The broad ownership of the revenue cycle within a healthcare organization complicates management. In any healthcare setting, the revenue cycle consists of a complex set of processes that involve multiple departments coordinating reviews of multiple monitors to ensure a health....

Clinical Documentation Improvement Program Strategies

Author: Mills, Mary

Source: AHIMA Convention

Publication Date: October 21, 2005

Introduction
What Is CDIP?

Aclinical documentation improvement program (CDIP) is a program focused on improving clinical documentation on a concurrent basis where a coder or documentation specialist, such as a nurse, reviews the medical record and consults with physicians regarding....

Understanding How to Analyze Case Mix

Author: Fennick, Kathy

Source: AHIMA Convention

Publication Date: October 21, 2005

Introduction

Case mix analysis has been an ongoing challenge for hospital chief executive officers, chief financial officers, HIM directors, and case managers since the implementation of diagnostic related groups (DRGs) and the Medicare prospective payment system (PPS). Because no better....

Using the 3MTM APRTM DRG Classification System in Healthcare Payment and Performance Measurement: Maryland's New Payment System and Other State Initiatives

Author: Rothermich, Cheryl; Lessig, Robbyn

Source: AHIMA Convention

Publication Date: October 21, 2005

Session Objectives
Learn about new state and provider initiatives to adopt more precise classification methodologies for setting reimbursement rates and measuring provider performance.
Evaluate the key attributes of the 3M APR DRG Classification System, which expands basic DRG classificat....

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....

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