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Best Practices in Revenue Cycle Management

Author: Amatayakul, Margret; Work, Mitch

Source: AHIMA

Publication Date: August 01, 2005

..HIM/ Coding departments which may di.. ..inpatient Coding process and with a focus.. ... It is clear that AHIMA Coding .. ..ed to hospital inpatient Coding . Subsequent domains to b.. ..thcare organization. The Coding process, .. ..the revenue cycle beyond Coding in which HIM professiona..

Environmental Scan: Unique Health Plan Identifier And Operating Rules for Health Information Transactions

Author: Amatayakul, Margret

Source: U.S. National Committee for Vital and Health Statistics

Publication Date: July 11, 2010

..(i) Classification of components. .. .. Classification s for health care provide.. ..stical and reimbursement Classification s, formal and systematic .. ..ly or through insurance, Reimbursement , or otherwise, that has .. .. broader statistical and Reimbursement classifications, formal ..

Use of Automated SNOMED CT Clinical Coding in Clinical Decision Support Systems for Preventive Care

Author: Al-Hablani, Bader

Source: Perspectives in Health Information Management

Publication Date: January 2017

..mated SNOMED CT clinical Coding in clinical decision sup.. ..nagement (HIM), clinical Coding , and biomedical informat.. .. on the basis of disease Coding and allergy medical codi.. ..ther classifications and Coding systems could also be ut.. ..the previously mentioned Coding systems. It is estimated..

New Study Illuminates the Ongoing Road to ICD-10 Productivity and Optimization

Author: Alakrawi, Zahraa M; Watzlaf, Valerie J.M.; Nemchik, Scot; Sheridan, Patty Thierry

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

Publication Date: March 2017

..CD-10-CM/PCS (ICD-10) on Coding productivity, Ciox Healt.. ..IMA on ICD-10 inpatient Coding productivity, and examin.. ..ed average inpatient Coding times using a total of 1.. ..for better management of Coding operations. .. ..t of ICD-10 on inpatient Coding productivity over time. ..

Computer-assisted Coding Toolkit

Author: AHIMA Work Group

Source: AHIMA toolkit

Publication Date: May 2014

..Computer-Assisted Coding .. .. Computer-Assisted Coding .. .. Computer-Assisted Coding TOOLKIT.. ..Computer-Assisted Coding TOOLKIT.. ..Computer-Assisted Coding TOOLKIT.. ..Computer-assisted Coding or CAC (pronounced as “C.. ..HCPCS) for billing and Coding purposes.1..

Coding Roundtable Coordinators Toolkit

Author: AHIMA Work Group

Source: AHIMA toolkit

Publication Date: 2017

.. Coding ROUNDTABLE COORDINATORS .. .. Coding ROUNDTABLE COORDINATORS.. .. Coding ROUNDTABLE COORDINATORS .. ..AHIMA’s Vision for Coding in Health Information Ma.. ..A’s Standards of Ethical Coding ........................... ..AHIMA Strategic Plan for Coding Roundtables...............

Physician Coding Toolkit

Author: AHIMA Work Group

Source: AHIMA toolkit

Publication Date: September 2015

..Physician Coding .. ..Physician Coding .. .. Physician Coding TOOLKIT.. ..SECTION I: PROVIDER Coding TOOLKIT .................. ..SECTION II: Coding SYSTEMS IN PROVIDER PRAC.. ..HealthcareCommonProcedure Coding System(HCPCS) ............. ..SECTION III: Coding GUIDELINES IN PROVIDER P..

Journal Q&A (11/01)

Author: AHIMA Staff

Source: AHIMA Q and A

Publication Date: November 02, 2001


Q: Where can I find the updated data elements and data definitions for the Uniform Hospital Discharge Data Set (UHDDS)?

A: At this time, the 1986 UHDDS data elements and definitions are not available electronically though the information is considered to be in the public domain. The fi....

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....

CodeWrite (October 2015)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: October 2015

..MORE Coding NEWS AND RESOURCES.. .. Help with Your Toughest Coding Questions.. .. help with your toughest Coding questions... ..physician Coding , offering the ability to.. ..asked "How do I get into Coding ?".. .. Coding Challenges for Discussio..

CodeWrite (August 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: August 2016

..For Coding professionals who code o.. ..epairs. Recent advice in Coding Clinic has raised questi.. ..ons about Coding these.. ..MORE Coding NEWS AND RESOURCES.. ..iscussion among medical, Coding , and clinical documentat.. .. Coding Challenges for Discussio..

CodeWrite (April 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: April 2016

..uired Conditions (HACs), Coding professionals must.. ..MORE Coding NEWS AND RESOURCES.. .. Official Guidelines for Coding and Reporting states the.. .. Coding professionals are someti.. ..uideline that allows the Coding professional to make thi.. .. Official Guidelines for Coding and Reporting, FY..

CodeWrite (June 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: June 2016

.. Coding . This article discusses .. ..MORE Coding NEWS AND RESOURCES.. ..the Coding professional to read the.. ..pathology report. As Coding professionals begin the .. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted on ..

CodeWrite (January 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: January 2016

..MORE Coding NEWS AND RESOURCES.. ..hysician can assist with Coding procedures with the root.. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted on .. ..the Coding , Classification, and Rei.. .. Coding scenarios are often used..

CodeWrite (November 2015)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: November 2015

..coming for Coding and documentation improv.. ..MORE Coding NEWS AND RESOURCES.. ..on't Let Preventable CPT Coding Mistakes Cause.. .. Coding and billing audits, erro.. ..Journal of AHIMA " Coding Notes" article by Crysta.. ..Journal of AHIMA " Coding Notes" at Your Fingertip..

CodeWrite (February 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: February 2016

..he new year by revamping Coding compliance plans to incl.. ..DRGs due to incorrect Coding of the principal procedu.. ..MORE Coding NEWS AND RESOURCES.. ..t for several months and Coding professionals have.. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted on ..

CodeWrite (December 2015)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: December 2015

..What's the Skinny? Coding an Excision of a Maligna.. ..MORE Coding NEWS AND RESOURCES.. .. Coding Challenges for Discussio.. .. Coding of Rehabilitation Proced.. ..This month's Coding challenge was posted on .. ..the Coding , Classification, and Rei..

CodeWrite (January 2017)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: January 2017

.. Coding of moderate (conscious) .. .. Coding AND QUALITY MEASURES BRI.. ..l specifications and the Coding opportunities.. ..our understanding of the Coding and reporting.. ..re, examine the official Coding guidelines and other.. .. Coding Challenges for Discussio..

CodeWrite (March 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: March 2016

.. Coding Uncertainty in the Outpa.. ..MORE Coding NEWS AND RESOURCES.. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted on .. ..the Coding , Classification, and Rei.. .."I am Coding for an inpatient physici.. .. Coding scenarios are often used..

CodeWrite (September 2015)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: September 2015

..Documentation and Coding in a Risk-based.. ..attention is not paid to Coding and.. ..MORE Coding NEWS AND RESOURCES.. .. Coding Challenges for Discussio.. .. Coding of Paracentesis".. ..This month's Coding challenge was posted on .. ..in the Coding , Classification, and Rei..

Preventive Services Modifier: Just the Facts

Author: AHIMA Staff

Source: CodeWrite | AHIMA newsletter article

Publication Date: August 2011


The American Medical Association introduced a new CPT® modifier earlier this year. The use of modifier 33 is effective January 1. However, this new modifier is not found in the 2011 CPT® codebook, which has caused some confusion. This table provides some facts and resources about this new modif....

Affordable Care Act and POAs

Author: AHIMA Staff

Source: CodeWrite | AHIMA newsletter article

Publication Date: November 2011


Present on admission (POA) indicators were developed to meet requirements of the Deficit Reduction Act of 2005 (DRA). Section 5001(c) of the Deficit Reduction Act of 2005 requires hospitals to report the secondary diagnoses that are present on admission of patients effective for discharges on o....

CPT Debridement Coding

Author: AHIMA Staff

Source: CodeWrite | AHIMA newsletter article

Publication Date: January 2011

.. infected tissue. A good Coding practice is to review a.. ..he healing process. The Coding selection is differentia.. .. Coding rationale:  Both wo.. .. Coding rationale:  The wo.. ..o the bone. The correct Coding assignment would be 1104..

Coding Burns in ICD-9-CM

Author: AHIMA Staff

Source: CodeWrite | AHIMA newsletter article

Publication Date: March 2011

.. Guidelines for Coding Burns and Encounters fo.. ..al guidelines apply when Coding burns and encounters for.. .. When Coding multiple burns, assign s.. ..egory 948 as additional Coding when it is necessary to .. .. Coding Debridements of Wounds,..

AHIMA Special E-Alert (June 13, 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: June 13, 2016

..Results from a recent Coding productivity and accurac.. ..uctivity and accuracy of Coding professionals. Overall, .. ..t in a perceived loss of Coding productivity, with a min.. ..rofessionals are already Coding with the same degree of .. ..und that those with less Coding experience had the lowes..

CodeWrite (September 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: September 2016

..MORE Coding NEWS AND RESOURCES.. .. Coding professionals, along wit.. ..s. CDI professionals and Coding professionals will need .. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted on .. ..the Coding , Classification, and Rei..

CodeWrite (October 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: October 2016

..MORE Coding NEWS AND RESOURCES.. ..Hospice Coding Left Out?.. .. Coding clarification, hospices .. ..regarding diagnosis Coding for hospices. New federa.. .. Coding . However, many hospice c.. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted to ..

CodeWrite (December 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: December 2016

.. Coding  AND QUALITY MEASURES BRI.. ..The " Coding and Quality Measures Bri.. ..tions and identifies the Coding opportunities in the acu.. ..er administrative data a Coding professional may include.. ..MORE  Coding  NEWS AND RESOURCES.. ..Hypertension  Coding  ­ Crisis Averted..

Codewrite (May 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: May 2016

.. Coding Administration of Vaccin.. ..MORE Coding NEWS AND RESOURCES.. ..based on new Coding Clinic advice... .. Official Guidelines for Coding and Reporting states the.. ..een some confusion among Coding professionals as to how .. ..k was not necessary. AHA Coding Clinic..

CodeWrite (July 2016)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: July 2016

..MORE Coding NEWS AND RESOURCES.. ..iagnostic" in ICD­10­PCS Coding for tissues taken for bi.. .. Official Guidelines for Coding and Reporting.. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted on .. ..the Coding , Classification, and Rei..

New Discharge Status Codes

Author: AHIMA Staff

Source: CodeWrite | AHIMA newsletter article

Publication Date: November 2013


Effective October 1, 2013, 16 new discharge status codes were implemented for discharges on or after this date. The new discharge status codes were created and approved by the National Uniform Billing Committee (NUBC). The patient discharge status code is reported by facilities on institutional....

CodeWrite (July 2015)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: July 2015

..10­PCS Coding experience.. ..Building Expertise in Coding –.. ..exposure to Coding exercises and ICD­.. ..10 Coding proficiency.. .. Coding – Techniques to help you.. ..train Coding professionals in ICD­10­.. ..Computer­Assisted Coding a behind..

CodeWrite (August 2015)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: August 2015

..pital setting." Accurate Coding of ICD­9­CM.. ..MORE Coding NEWS AND RESOURCES.. .. Coding Challenges for Discussio.. ..This month's Coding challenge was posted on .. ..the Coding , Classification, and Rei.. ..Download the Coding Beyond Medical/Surgical ..

CodeWrite (February 2017)

Author: AHIMA Staff

Source: AHIMA newsletter

Publication Date: February 2017

.. Coding AND QUALITY MEASURES BRI.. ..In this " Coding and Quality Measures Bri.. ..and the Coding opportunities specific t.. ..ome common for inpatient Coding professionals.. ..diagnostic testing, the Coding professional decides not.. .. the rationale for this? Coding professionals often defe..

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..

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

..nt in nature, outpatient Coding guidelines must be follo.. ..under Ambulatory Payment Classification (APC) 0339 with HCPCS Le.. .. the early years of PPS, Reimbursement issues have evolved CMS .. .. entitlement to Medicare Reimbursement . The Medicare Progra..

Journal Q&A (9/04)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2004

..Edits to Ensure Accurate Coding and Payments for Dischar.. ..Edits to Ensure Accurate Coding and Payments for Dischar.. ..from patient accounts to Coding , stating the date of the.. ..d (for example, with the Coding summary or placed in the.. ..code in order to receive Reimbursement . At times, this change w..

Journal Q&A (7/03)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2003

Q: How can I find the Medicare manuals, program memorandums, and the Conditions of Participation on the new CMS Web site?

A: After the Health Care Financing Administration (HCFA) changed its name to CMS, it moved all its resources to its new site at www.cms.gov/manuals.


....

Web FAQ

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 2002

What guidance is available for determining an organization's definition of "attending physician" or "physician of record"?
The Department of Health, Education, and Welfare adopted the UHDDS (Uniform Hospital Discharge Data Set) as department policy for Medicare and Medicaid patient populations....

Journal Q&A (11/02)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: November 02, 2002


Q: Where can I find federal regulations, interpretive guidelines, and Medicare manuals online?


A: The Centers for Medicare & Medicaid Services (CMS) has a number of manuals available online including the federal regulations for various settings, interpretive guidelines, Med....

Journal Q&A (4/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: April 02, 2000

Q: I was under the impression that a new prospective payment system (PPS) was to be implemented on October 1, 2000, for Medicare patients in rehabilitation hospitals. Where can I locate the proposed rules?
A: The Balanced Budget Act of 1997 mandated that a PPS be implemented for rehab h....

Snap Judgment

Author: AHIMA Professional Ethics Committee

Source: Journal of AHIMA - website

Publication Date: April 01, 2010





Anyone who is a member of AHIMA or holds its credentials agrees to abide by its code of ethics.


The code sets forth professional values and ethical principles, and it offers guidelines to which professionals aspire. “Ethical behaviors result from a pe....

Understanding HACs and SREs for Quality Reporting and Reimbursement

Author: AHIMA Practice Council for Clinical Terminology and Classification; AHIMA Practice Council for Quality Initiatives and Secondary Data

Source: AHIMA practice brief

Publication Date: September 2009

.. Official Guidelines for Coding and Reporting. Hospi.. ..7;s Standards of Ethical Coding Accurate and com.. .. apply the same official Coding rules, conventions, guid.. ..re adherence to industry Coding standards and approved p.. ..rovided. Billing and Coding must remain compliant wi..

Analysis of Final Rule for 2004 Revisions to the Medicare Hospital Outpatient Prospective Payment System

Author: AHIMA Policy and Government Relations Team

Source: AHIMA regulation analysis

Publication Date: December 02, 2003

.. “Drugs requiring detail Coding ,” and report the appropr.. ..D CHANGES Hospital Coding for Evaluation and Manag.. ..lso recommended a set of Coding guidelines for determini.. ..usly cited by CMS: Coding guidelines for emergency.. ..hysician resource use, Coding guidelines should be cle..

Analysis of Final Rule for FY 2003 Revisions to the Medicare Hospital Inpatient Prospective Payment System

Author: AHIMA Policy and Government Relations Team

Source: AHIMA regulation analysis

Publication Date: August 02, 2002

..urate documentation and Coding of the nature of the str.. ..: Proper documentation, Coding , and reporting of mechan.. ..ayment must be reported ( Coding Clinic for ICD-9-CM, Fou.. .. AHIMA Comment: Accurate Coding of the insertion of dru.. ..ls should follow normal Coding guidelines for selecting..

Analysis of Final Rule for 2003 Revisions to the Medicare Hospital Outpatient Prospective Payment System

Author: AHIMA Policy and Government Relations Team

Source: AHIMA regulation analysis

Publication Date: November 24, 2002

..tional information about Coding and billing for prostate.. ..in order to facilitate Coding clarity and minimize the.. .. Coding burden on hospitals. &nb.. .. FOR TRAINING TO IMPROVE Coding ACCURACY (67FR66753) .. ..sponsibility for correct Coding and billing lies with ..

AHIMA Code of Ethics

Author: AHIMA House of Delegates

Source: AHIMA

Publication Date: July 01, 2004

..acy and confidentiality, Coding compliance, and other is.. ..sician documentation Coding when documentation does .. ..hat have been billed Coding an inappropriate level o.. ..f service Mis Coding to avoid conflict with o.. .. Engaging in negligent Coding practices Hiding or ..

ICD-10 Critical Pathway for Getting Started : 2012 and Beyond [matrix]

Author: AHIMA; HIMSS

Source: AHIMA

Publication Date: February 20, 2012

..g/Registration, Charges, Coding , Claims/Billing, Collect.. ..oders - If CAC or other Coding technology is utilized, .. ..d to, claims submission, Coding , billing, A/R management.. ..m; Use of computer aided Coding applications to enhance .. .. Coding performance; Use of tran..

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

..best source of diagnosis Coding , without regard .. ..clarification advice in Coding Clinic , First Quarter 2.. .. CCS, director of Coding and classification and A.. .., director of coding and Classification and AHIMA’s representati..

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

..luded in the tasks for a Coding professional, .. ..ble to create meaningful Coding productivity standards .. ..oductivity standards for Coding duties are uni.. ..sses with input from the Coding staff. Then productivity.. ..t or per hour by type of Coding performed, and..

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

Where can I find the APC regulations?

The HCFA regulations are found in the November 13, 2000 Federal Register, Vol. 65. No.219 pp.67798-68005. Go to http://www.access.gpo.gov/su_docs/fedreg/a001113c.html, and scroll down to Health Care Financing Administration.

HCFA has impleme....

CodeWrite Community News April 2003

Author: AHIMA Coding Team

Source: AHIMA newsletter

Publication Date: April 2003

..In This Issue; Coding it Right – Practical New.. ..s for Coding , Reimbursement, and Heal.. .. Credits?;Roundtable Rap; Coding Challenges for Discussio.. ..e Guidelines;Calendar of Coding Community Events;AHIMA G.. ..ks reports on “Achieving Coding Excellence” in Denver ..

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

..es for Interpretation of Coding Guidelines or .. ..nt? For ICD-9-CM Coding questions and guidelines.. ..s, for dissemination in Coding Clinic for ICD-9-CM , a .. ..n record copies used for Coding questions or other educa.. .. For CPT Coding questions and guidelines..

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

.. Where Can I Find Coding Guidelines for Use in Lo.. ..g? The official Coding guidelines (see earlier .. ..ed to assist the user in Coding and reporting .. ..th Quarter 1999 issue of Coding Clinic for ICD.. ..s and answers that guide Coding selection in t..

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

..ng, including Coding and Reimbursement for Ou.. .. for new publications on Reimbursement from AHIMA this spring, .. ..ng Coding and Reimbursement for Outpatient Services .. ..t Stewart and Reimbursement Methodologies by Lolita..

Web FAQ

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

.. The National Correct Coding Initiative is a huge set.. .. National Correct Coding Policy Manual for Part B.. .. (Ambulatory Payment Classification ) system. It was created ..

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