Search Results

= Members only

Current search

1874 results.

1 2 3 [4] 5 6 7 8 9 10 11 12 13 14 15 16 >>

Solving the E/M Conundrum: a Special Report

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: July 2001


Evaluation and Management (E/M) codes, introduced in 1992 for reporting physician visit services, are linked to a number of perplexing questions for coders. In different settings, they are used differently and with varying sets of criteria. Given the numerous coding and compliance issues relate....

Best Practices for Medical Necessity Validation

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: February 2002


To protect the Medicare Trust Fund from being drained, government health plans must provide coverage restrictions for unnecessary health services in vulnerable patient populations. One restriction mechanism is the provision of edits that look for valid reason-for-visit codes for selected servi....

Where We've Been, Where We're Going

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: July 1999



As conditions in the healthcare industry have become more challenging, many jobs have evolved. Not least among them in the HIM world is the role of the coder. In more ways than one, coding professionals are making their mark in the industry. And today, changes in coding requirements are pa....

Getting Ready for APCs

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: September 1999


While most healthcare practitioners support accurate coding, the challenge remains for HIM professionals: how to achieve coding accuracy in a system of imperfect data capture methods and changing reimbursement methodologies. Greater emphasis on coding specificity and completeness for reimburs....

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....

Coding for APCs: Case Studies

Author: Scichilone, Rita A

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2000


When APC implementation begins on August 1, HIM professionals can expect increased complexity when coding outpatient encounters. Examining case studies in selected areas subject to APC payment may help coding professionals better understand the APC reporting process. Although coding guidelines....

Clarifying Selected CPT Modifiers

Author: Scichilone, Rita A

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2000


Coding for professional services is complicated enough when coding professionals are charged with assisting the physician to select the best five-digit number for the services rendered. It becomes even more complex when circumstances of the case require the CPT code to be modified. Add....

FY 2009 Hospital IPPS Final Rule

Author: Schwab, Linda

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2008


The final rule for the FY 2009 hospital inpatient prospective payment system (IPPS) went into effect October 1, 2008. Although there are relatively few changes to MS-DRGs and the complication and comorbidity (CC) and major CC (MCC) lists, the final rule signals that the Centers for Medicare an....

Steering Quality Improvement in Healthcare

Author: Schoenfelt, Suzanne

Source: Journal of AHIMA

Publication Date: February 2000


"Quality" is a multi-industry buzzword, but what does it really mean in today's healthcare climate? We asked the experts for their views on the state of quality improvement in healthcare and what lies in store for HIM professionals as QI evolves.
For decades, healthcare has concerned its....

CPR in Long Term Care

Author: Schoenfelt, Suzanne

Source: Journal of AHIMA

Publication Date: February 1999


Throughout the healthcare industry, the computer-based patient record (CPR) is in various stages of development. This article assesses the progress long term care facilities are making in moving toward the CPR. The article also suggests some ways HIM professionals can devel....

Coding Viral Sepsis

Author: Sanvik, Gina

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: November 10, 2016




How to code viral sepsis has been a topic of discussion on AHIMA’s Engage Coding, Classification and Reimbursement community, and has be the subject of several inquiries to AHIMA’s Code-CheckTM coding question service.


The viral sepsis coding confusion may com....

Coding Under the HIPAA Umbrella

Author: Russo, Ruthann

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2001





Although coding professionals are not ultimately responsible for ensuring appropriate release of patient-protected information, it is important that they understand that coded data is not only one of the most desired pieces of information in the patient’s record, it is also the....

Medicare APCs 2007: Where We Are Seven Years Later

Author: Russell, Jean C.

Source: AHIMA Convention

Publication Date: October 10, 2007

Background

When the Centers for Medicare and Medicaid Services’ (“CMS”) implemented the Outpatient Prospective Payment System (“OPPS”) on August 1, 2000, it fundamentally changed the way hospitals are reimbursed for outpatient services. Since the inception of the Medicare program in the 1....

Evolution of HEDIS: 3.0 and Beyond

Author: Rulon, Vera; Sica, JoAnn

Source: Journal of AHIMA

Publication Date: June 1997


History of HEDIS
Employer Issues Leading to HEDIS
The Health Plan Employer Data and Information Set (HEDIS) is a set of standard performance measures designed to provide purchasers and consumers with the information they need to compare the performance of managed healthcare plans.....

Global Language for Pharmaceutical Regulation

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: January 2000


What will facilitate medical product regulation and related electronic data interchange worldwide? For some regulatory authorities, the answer is the Medical Dictionary for Drug Regulatory Affairs—also known as MedDRA.

MedDRA (the name is a trademark of the International Federat....

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....

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

Author: Rose, Eric

Source: Journal of AHIMA

Publication Date: July 2009


America’s physician practices are facing the biggest change in healthcare coding in decades: the replacement of ICD-9-CM by ICD-10-CM. This article discusses ICD-10-CM from a clinical perspective and reviews how electronic health record (EHR) systems will need to adapt to the transition.....

Unwrapping Data Standards

Author: Rollins, Gina

Source: Journal of AHIMA

Publication Date: January 2007


Data content standards affect a wide range of day-to-day HIM work. Here’s what you need to know.
They may sound like they belong up in the IT stratosphere, but data content standards-or the lack of them-affect a wide range of day-to-day HIM work right here on....

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


September 14, 2004

Opening Comments

Chairman Hungate, members of the Workgroup on Quality, ladies and gentlemen, good morning. I am Dan Rode, vice president of policy and government relations for the American Health Information Management Association (AHIMA). Joining me th....

Why ICD-10 Can’t Wait

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2008


In August the Department of Health and Human Services (HHS) published two notices of proposed rule making (NPRMs): one for the adoption of ICD-10-CM and ICD-10-PCS and one for an upgrade to the HIPAA transaction standard. Comments on the proposed rules are due on October 21. Once the comment p....

First Annual Hospital OPPS Update Published

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2001




The Health Care Financing Administration (HCFA) published its "annual" update to the hospital outpatient prospective payment system (OPPS) as an "interim final rule with comment" in the November 13, 2000, Federal Register.1 Due to delays in the original implementat....

HHS Releases Final Rules for HIPAA Transactions, Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2000


HIM professionals have new HIPAA challenges to prepare for: this summer, the Department of Health and Human Services (HHS) released the highly anticipated final rule for certain transaction sets and codes.1 The rule was effective on October 16, 2000, and under HIPAA legislation, most....

Understanding HIPAA Transactions and Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2001


The recently published final regulations for transactions and code sets under HIPAA are the light at the end of the tunnel in the quest for uniform healthcare standards-and the first step on a long road to HIPAA implementation. What are the standard transactions and code sets? This article tak....

Who's Covered by HIPAA (HIPAA on the Job)

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2001




One of the mysteries of the administrative simplification section of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) is determining who is covered or comes under the requirements of the act. This article will examine HIPAA to unravel some of the mystery of &quo....

HIPAA Compliance Extension Postpones Simplification Benefits

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: February 2002



Under the terms of the Health Insurance Portability and Accountability Act of 1996, February 2002 would mark the second anniversary of administrative simplification for all but the smallest of health plans, and one year of rules related to claims attachments. Instead, Congress just approve....

Take Another Look: Proposed Changes to Privacy Rule

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: May 2002


In late March, the Department of Health and Human Services (HHS) released proposed changes related to the HIPAA privacy standards. By the time you read this column, the 30-day comment period for these regulations will have already passed, although debate on these changes will still be in full....

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....

1 2 3 [4] 5 6 7 8 9 10 11 12 13 14 15 16 >>