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Developing Technical Applications for Coding Compliance

Author: Hammen, Cheryl

Source: AHIMA Convention

Publication Date: October 10, 2001


Introduction

Although high-risk DRG pairs have been audited to ensure compliance in hospitals over the past several years, there are still opportunities available for streamlining this time-consuming process. Monthly data review regarding the frequency of the high-risk pairs is only a....

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....

Development of the ICD-10 Procedure Coding System (ICD-10-PCS)

Author: Averill, Richard F.; Mullin, Robert L.; Steinbeck, Barbara A.; Goldfield, Norbert I; Grant, Thelma M.

Source: Journal of AHIMA

Publication Date: May 1998


The ICD-10 Procedure Coding System (ICD-10-PCS) has been developed as a replacement for Volume 3 of ICD-9-CM. This article will describe the development and structure of ICD-10-PCS‹as well as describe the modifications that have been made to the system as a result of extensive review and test....

Diabetes Mellitus

Author: Swindle, Jennifer

Source: CodeWrite | AHIMA newsletter article

Publication Date: December 2012



Coding diabetes to the highest degree of specificity with all the related manifestations has always been problematic. It’s not because the rules surrounding diabetes coding are so complex, it's because documentation does not always clarify the necessary elements.


According....

Discover How to Survive Medicare Severity DRGs with a Successful Clinical Documentation Improvement Program and Present on Admission Indicators

Author: Blackford, Gwendolyn

Source: AHIMA Convention

Publication Date: October 17, 2008


Health Information Management Department at the University of Michigan Hospitals and Health Centers
Introduction

What changes will be next for the inpatient coding world? October 1, 2007 had a tremendous impact on hospitals as it relates to clinical documentation for facility re....

Disorders of the Breast

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: May 1996

Carcinoma

Breast cancer is the most common form of cancer in women. Risk factors include a personal or family history of breast cancer, delayed childbearing, and personal history of benign breast disease.
A tumor may be identified by mammogram or self-examination. Many tumors are d....

Documentation Errors Result in Medicare Overpayment

Author: Hammen, Cheryl

Source: Journal of AHIMA

Publication Date: July 2000



The objective of the Office of the Inspector General's (OIG) fiscal year 1999 audit was to determine whether medical fee-for-service claims complied with Medicare rules and regulations. The OIG examined claims for accurate documentation and coding, medical necessity, and to ensure that c....

Documentation Issues

Author: Kennedy, James S.

Source: AHIMA community resource

Publication Date: March 02, 2003


Issues to Consider If you write: Consider this: Acute Coronary Syndrome: This is a great admitting diagnosis, however it is so broad that it doesn't tell us the exact pathophysiology of what we found after study, diagnosis, and treatment of our patient. Does the patient have a coronary thromb....

Don’t Deny the Denials: Experts Recommend Implementing a Strong Claims Denial Strategy to Offset ICD-10-based Coder Productivity Loss

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: June 2014



As organizations prepare for the implementation of ICD-10-CM/PCS next year, many are looking for creative strategies to mitigate anticipated decreases in coder productivity that will come with the switch. Some are ramping up education, others hiring additional staff members or implementin....

Dot-com Coder

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: July 2000


For many people, working with artificial intelligence may sound like something out of a science fiction movie. But for Amy Davis, RHIA, it's just part of the job.

Davis is coding specialist and knowledge engineer at DocCode.com, a company based in Jacksonville, FL. Davis's....

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....

Early Word on HIPAA Claims Attachments

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2001


If we could look into a crystal ball and see into the future, it would be much easier to prepare for HIPAA, particularly the electronic transaction standards. Because of the rarity of crystal balls these days, we must rely on other predictors at our disposal, such as the white paper issued by t....

E-assistance for Coding Professionals

Author: Uppena, Mary

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2001




Is the Web a part of your work day? Make sure it is. From purchasing products to distance learning to online coding, coding professionals can find all kinds of resources online to meet their needs.

A Look at the Future

In a recent survey, health system CEOs were ask....

Editorial: The Need for Mentoring and Training

Author: Brownfield, Cathy

Source: CodeWrite

Publication Date: October 2015




The current demand for coders is extremely high, making it more important than ever for new coders to enter our industry. Many of us are asked, "How do I get into coding?" We then see posts on message boards from students who just graduated saying they can't find a job because they ha....

Effective and Efficient Public Health Reporting Using ICD-10-CM and ICD-10-PCS

Author: Watzlaf, Valerie J.M.; Garvin, Jennifer Hornung; Moeini, Sohrab; Firouzan, Patricia Anania

Source: AHIMA Convention

Publication Date: October 31, 2006

Effective Public Health Reporting Using ICD-10-CM
Valerie JM Watzlaf, PhD, FAHIMA, RHIA, Jennifer Hornung Garvin, PhD, FAHIMA, RHIA, CTR, CCS, CPHQ, Sohrab Moeini, BSIS, and Patti Firouzan, MSIS, RHIA
Impact
Introduction

The emergence of ICD-10-CM brings anticipation about....

Effectiveness of ICD-10-CM in Capturing Public Health Diseases

Author: Watzlaf, Valerie J.M.; Garvin, Jennifer Hornung; Moeini, Sohrab; Firouzan, Patricia Anania

Source: Perspectives in Health Information Management

Publication Date: June 2007

This research study examined the usefulness of the ICD-10-CM system in capturing public health diseases (reportable diseases or the nationally notifiable infectious diseases, leading causes of death, and morbidity/mortality related to terrorism), when compared to ICD-9-CM. It also examined agreement levels of coders when coding public health diseases in both ICD-10-CM and ICD-9-CM.

EHRs Offer Coders Opportunities, Challenges

Author: Batres, Janie

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2012


With emerging technologies like electronic health record systems (EHRs) and computer-assisted coding (CAC) gaining traction in the healthcare industry, coding professionals are being presented with more challenges and opportunities than ever before. The shift from paper-based records to electr....

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