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HIPAA Marches On--Or Does It?

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2005


HIPAA has taught us that standardization is hard. When the act was signed into law in 1996, the optimists among us believed that within four years the healthcare industry would be using a variety of uniform national administrative transactions, most associated with what we now call the revenue....

Transactions Delay Prompts Concern Among Covered Entities

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2002


AHIMA recently attended a meeting of healthcare providers, payers, and staff representatives of the National Committee on Vital and Health Statistics (NCVHS) and the Centers for Medicare and Medicaid Services (CMS). Organized by the Association for Electronic Health Care Transactions, the meet....

AHIMA's Comments on CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems (PPS) and Fiscal Year 2003 Rates

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: July 01, 2002

.. Consistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..icipates in a variety of Coding usage and standardizatio.. ..iable interpretations of Coding instructions. The Cooper.. .. may represent incorrect Coding . II-B-4: Endocrine, ..

AHIMA Comments on Proposed Changes to the Medicare Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNFs) for fiscal year 2006

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: July 08, 2005

..CCS, AHIMA's director of Coding policy and compliance at.. ..inements to the Case-Mix Classification System (70FR29078) .. ..in inappropriate RUG-III Classification of beneficiaries receivi.. .. the proposed new RUG-53 Classification system. Software vendor..

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....

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..

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" ..

AHIMA Comments on IP-PPS and fiscal year 2005 Rates

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: July 06, 2004

.. Consistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..icipates in a variety of Coding usage and standardizatio.. ..r consistency in medical Coding and data integrity also .. .. Official Guidelines for Coding and Reporting when sequ..

Medicare Program: Prospective Payment System for Long-Term Care Hospitals: Proposed Annual Payment Rate Updates and Policy Changes

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: April 30, 2003

..formation, data, and Coding in our nation's provider.. ... Consistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..s health information Coding system is used to report.. ..ates in a variety of Coding usage and standardizatio..

AHIMA Comments on Proposed Changes to the Medicare Hospital Inpatient Prospective Payment Systems (IP-PPS) and fiscal year 2006 Rates

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: June 15, 2005

.. Consistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..icipates in a variety of Coding usage and standardizatio.. ..r consistency in medical Coding and data integrity leads.. ..ve complete and accurate Coding is necessary not only to..

AHIMA Comments on Proposed Changes to the Hospital Outpatient Prospective Payment System (PPS) for Calendar Year 2004

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: October 03, 2003

.. Consistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..icipates in a variety of Coding usage and standardizatio.. .. is because of incorrect Coding . It was noted that codi.. ..nned. AHIMA agrees that Coding instructions for this si..

Analysis of the Final Rule: HIPAA Administrative Simplification: Modification to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS

Author: Rode, Dan

Source: AHIMA regulation analysis

Publication Date: February 02, 2009

.. to edit on a single new Coding system for claims receiv.. ..Versus Date of Discharge Coding (74FR3336).. ..types of claims Coding , and date of discharge f.. ..or other types of claims Coding , would greatly disrupt .. ..a consistent approach to Coding medical ..

Taking the Next Step Forward for ICD-10

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2004

.. (NPRM) to upgrade the Coding systems from ICD-9-CM. .. ..o work with the Coding authorities and others t.. ..as been established. The Coding Roundtables will .. ..10-CM and the ICD-10-PCS Classification standards as re.. ..acement for the ICD-9-CM Classification currently used in the US..

Testimony of the American Health Information Management Association to the Workgroup on Quality of the National Committee on Vital and Health Statistics

Author: Rode, Dan; Siegel, Barbara

Source: AHIMA testimony and comments

Publication Date: September 14, 2004

..abstracting data and Coding .   We all recog.. ..ulation data is based on Coding .   Physicians a.. .. the abstracting and Coding .   HIM professional.. ..endering of care and the Coding that reflects this care... ..assification systems and Coding currently in place. ..

Unwrapping Data Standards

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: January 2007

..ts of HIM practice, from Coding and data analysis to per.. ..y of sources. The common Coding systems for claims proce.. ..g In the Coding arena, the greatest effe.. ..Bailey participates in a Coding forum collaboration betw.. ..SNOMED and ICD-9-CM, the Coding forum validates the reco..

Preparing for ICD-10-CM: A Clinician's Perspective

Author: Rose, Eric

Source: Journal of AHIMA

Publication Date: July 2009

..est change in healthcare Coding in decades: the replacem.. ..ifferences between these Coding systems of greatest rele.. ..nce it brings diagnostic Coding more in line with the wa.. ..l issues with diagnostic Coding systems: it is difficult.. ..ge. Diagnostic Coding in EHRs Every EHR ..

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

..ation, and comprehensive Coding Once t.. ..severity at the point of Coding . These efforts range fro.. ..ve the documentation and Coding that reflects a higher l.. ..to support comprehensive Coding .. .. Lack of comprehensive Coding due to previous limited ..

Global Language for Pharmaceutical Regulation

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: January 2000

..heir products. Coding systems used for this pu.. .. Terminology), COSTART ( Coding Symbols for a Thesaurus .. ..uating Computer-Assisted Coding of Adverse Events." Dru.. ..quires Clean Data in the Coding Process." Drug Informat.. ..habet soup" of Classification s: WHO-ART (World Health ..

Evolution of HEDIS: 3.0 and Beyond

Author: Rulon, Vera; Sica, JoAnn

Source: Journal of AHIMA

Publication Date: June 1997

..of nationally recognized Coding guidelines, bu.. ..sues), and the Coding Panel (examination of pr.. ..ir physicians' Coding practices. Health plans .. ..nd nationally recognized Coding guidelines. The effect o.. ..f inaccurate Coding on HEDIS rates calculate..

Medicare APCs 2007: Where We Are Seven Years Later

Author: Russell, Jean C.

Source: AHIMA Convention

Publication Date: October 10, 2007

.. as the National Correct Coding Initiative (“CCI”) and t.. ..payments due to improper Coding . History P.. ..iption Master (“CDM”) to Coding and billing. Therefore i.. ..manage their outpatient Coding and billing accordingly... .. a number of particular Coding and billing issues that ..

Improving self-efficacy and organizational performance: Identifying the differences that may exist from educational interventions crafted to utilize two versus all four self-efficacy constructs

Author: Russo, Ruthann

Source: External - used with permission

Publication Date: June 07, 2007

..documentation and Coding for 20 years. She has de.. ..can reduce Coding errors by (1) educating .. ..themselves on proper Coding , (2) hiring a well train.. ..) continuously assessing Coding procedures to identify t.. .. Official Guidelines for Coding and ..

Coding Viral Sepsis

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: November 10, 2016

..ussion on AHIMA’s Engage Coding , Classification and Reim.. ..MA’s Code-Check TM   Coding question service. .. .. The viral sepsis Coding confusion may come into .. .. Also, based on Coding guidelines, it states to.. ..tion that this makes the Coding more complete. ..

CPR in Long Term Care

Author: Schoenfelt, Suzanne

Source: Journal of AHIMA

Publication Date: February 1999

..ement rates are based on Classification : scores are equiva.. ..t system (PPS), Medicare Reimbursement for services is ba.. ..acility to receive Reimbursement . The RAI is composed of .. ..the criteria jeopardizes Reimbursement . In 1998, all nurs..

FY 2009 Hospital IPPS Final Rule

Author: Schwab, Linda

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2008

..care, documentation, and Coding practices. Cha.. ..e importance of accurate Coding of all diagnoses and POA.. ..7;s Standards of Ethical Coding that require accurate co.. .. Documentation and Coding Adjustment As ou.. ..ule, a documentation and Coding adjustment of -0.9 perce..

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 We've Been, Where We're Going

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: July 1999

... In more ways than one, Coding professionals are making.. ..y. And today, changes in Coding requirements are part .. ..he role of the Coding professional in the last.. ..unities from a Coding professional's perspecti.. ..s no easy task. Clinical Coding continues to be a proces..

Getting Ready for APCs

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: September 1999

..tioners support accurate Coding , the challenge r.. ..ssionals: how to achieve Coding accuracy in a system .. .. Greater emphasis on Coding specificity and complete.. ..es that minimize Coding errors and omissions and.. ..53 percent for incorrect Coding , with insuffic..

Coders Wanted, Experience Required

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: September 2006

..d for qualified clinical Coding professionals. It also r.. ..respondents who had open Coding positions in the precedi.. ..e your unfilled clinical Coding positions open? .. .. region lacked qualified Coding professionals. Shortages.. .. is lacking in qualified Coding professionals? (“Y..

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..

Clarifying Selected CPT Modifiers

Author: Scichilone, Rita A

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2000

.. RHIA, CCS, CCS-P Coding for professional service.. .. complicated enough when Coding professionals are cha.. ..ifier usage will help Coding professionals understand.. .. Rita Scichilone is a Coding practice manager at AHIM.. .. the Ambulatory Patient Classification groups are used for Medi..

Developing an Effective Compliance Audit Process

Author: Scichilone, Rita A

Source: AHIMA Convention

Publication Date: October 10, 2001

..or compliance related to Coding , reimbursement, and rela.. ..nuals and structures for Coding and reimbursement evalua.. ..recognized. Unidentified Coding problems translate into .. ..zations choose to review Coding accuracy and conduct cla.. ..ims review separately. Coding accuracy requires indivi..

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