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Streamlining the Revenue Cycle Management Process

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: March 2009


Keeping an organization’s revenue cycle running smoothly is no small feat. But Patsy Hathorn’s team at Mississippi Baptist Medical Center in Jackson, MS, volunteered to take it on. Now the team is seeing results.

Hathorn, RHIA, who is director of clinical resource managem....

Strategies for Remote Coding Success: Remote Coding Program Helps Norman Regional Retain Quality Coders

Author: Miller, Amy; Ridpath, Debra

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2010


Remote coding is helping organizations attract and retain experienced coding professionals at a time when highly skilled coding professionals are in short supply. Successfully implementing a remote coding program requires that facilities have their entire clinical documentation online and qual....

Stevens-Johnson Syndrome

Author: Prophet, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: March 1998


The term "erythema multiforme" was first used by von Hebra in 1866 to describe a disease characterized by symmetrically distributed, pleomorphic, evolving cutaneous lesions, located primarily on the extremities, and by a proclivity for recurrence. In 1922, Stevens and Johnson....

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....

Staying Alert on Sleep Medicine Coding

Author: Kostick, Karen M.

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2011


The field of sleep medicine is rapidly expanding, and its coding and reimbursement are attracting more attention from federal and state governments, public health organizations, scientists, payers, auditors, the transportation industry, and healthcare consumers. Emerging topics in the area of....

Statement on Quality Healthcare Data and Information

Author: AHIMA

Source: AHIMA position statement

Publication Date: December 14, 2007


Reviewed and Approved December 2007
AHIMA’s Position

Healthcare data and its transformation into meaningful information should be a central concern for consumers, healthcare providers, the healthcare industry, and the government. Standards, technologies, education, and research a....

Start to Finish Medical Necessity Review

Author: Arner, Kathy

Source: AHIMA Convention

Publication Date: October 10, 2001



Purpose: To identify why rejections occur and where the problem areas are located.


Why are rejections occurring on the professional side?


Medicare and other insurances are implementing local medical review policies.

Ordering providers are not supply....

Standard Terminology Helps Advance EHR

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: November 2003


On July 1, 2003, Secretary of the Department of Health and Human Services Tommy Thompson announced a new agreement between the National Library of Medicine (NLM) and the College of American Pathologists (CAP) to license SNOMED-CT. This five-year agreement is seen as a significant advancement f....

Standards Organizations Plan Collaboration

Author:

Source: Journal of AHIMA

Publication Date: June 2000


In March, the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards and Security reached an agreement with six standard-setting organizations. The six organizations include the Accredited Standards Committee X12, Dental Content Committee, Health Level Seven,....

Spinal Surgery in CPT/HCPCS Unraveled

Author: Kuehn, Lynn

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

Spinal surgery can involve a combination of nervous system and musculoskeletal system procedures. Understanding the definitions, anatomy and procedure concepts of these systems provides a foundation for use by the coder in correctly assigning codes in multiple classification....

Speaker: SNOMED Promises to Change HIM Practice

Author: Brouch, Kathy L.

Source: Journal of AHIMA

Publication Date: January 2004


How will SNOMED CT change the way health information is managed? An educational session captured the basic concepts that HIM professionals need to know.

It’s important to understand the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) because it is increasingly being....

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....

Society for Clinical Coding Comes Around as CoP

Author: D'Amato, Cheryl; Hoag, Patience J.; Crocker, Elsa; Neville, Deborah; Carpenter-Barbee, Cheryl; Bartell, Laurie

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2002


Remember the glorious Knights of the Round Table who made Camelot famous? King Arthur created a meeting place with special significance, a roundtable at which every seat had equal worth. AHIMA has embraced the spirit of this concept in a program known as coding roundtables, which are designed....

SNOMED Takes the Next Step

Author: Kudla, Karen M.; Blakemore, Margo

Source: Journal of AHIMA

Publication Date: July 2001


Healthcare terminologies SNOMED and the Read Codes have been around for a long time. Now, a new terminology combining the two promises to take the industry one step closer to realizing the vision of an electronic patient record. Here’s a sneak peek at SNOMED® CT.
As technology e....

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....

Skilled Knowledge Workers in Short Supply

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2008


This is a demanding time for coders. MS-DRGs and present on admission requirements would have been challenging on their own; however, both came at virtually the same time, straining coders already stretched to meet their job requirements.

Recruitment and retention of coding staff is....

Sign of the Changing Times: CPT 1999

Author: Mallett, Sherri; Smith, Gail I.

Source: Journal of AHIMA

Publication Date: June 1999


This year brought with it 686 changes to CPT. While this is a moderate number in comparison to previous years, several of the changes have significant impact on code assignment. The purpose of this article is to highlight some of the areas of significant change. (See "1999 CPT Revisions" in t....

Setting the Record Straight: Communicating the Need for ICD-10

Author: AHIMA

Source: AHIMA Advantage

Publication Date: August 2004


HIM professionals have a strong history of driving industry changes to improve the quality of health information and medical records. But now is not the time to rest on our laurels. The US desperately needs an updated coding classification system. The current system, ICD-9, is obsolete and need....

Setting the Facts Straight About ICD-10: What Physicians Need to Know About the Transition

Author: AHIMA

Source: AHIMA Advocacy and Policy

Publication Date: November 2014

While many organizations see the benefits of using ICD-10, including the ability to capture more detailed information, others have concerns, including the costs of implementation. Despite the significant amount of information that has been published about ICD-10 during the last 10 years, many misconceptions persist today. The information below covers basic facts about the ICD-10 transition that are of particular interest to the physician community.

Septicemia [Documentation Suggestions]

Author: Health Care Excel

Source: External - used with permission

Publication Date: July 07, 2003

Describe clinical signs and symptoms (e.g., hypoxemia, tachycardia, leukopenia, bradypnea, leukocytosis, etc.).
Identify causative organism, if known (e.g., pneumococcal, E. coli, aerobacter aerogenes, etc.).
List infection source, if known (e.g., UTI, pneumonia, postoperative wound, etc.....

Sepsis, Related Terms Cause Confusion for Coders: Set the Record Straight About Sepsis, SIRS, Septic Shock

Author: Prophet-Bowman, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2003


Sepsis, severe sepsis, SIRS, and septic shock have long been a source of confusion for coders. New ICD-9-CM codes established recently for Systemic Inflammatory Response Syndrome (SIRS), and additional proposed code revisions have added to the confusion regarding the differentiation among these....

Seizing the Moment to Improve the Quality of Health Information Management

Author: Goshen, Naomi; Nachmani, Frances ; Sasson, Nadine ; Itzchak, Tzipi ; Sayfan, J; Kopelman, D; Kolton, L; Vigder, L; Almog, D; Tiosano, T

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Introduction

The need for accurate and complete records pertaining to operative procedures and diagnoses in surgery wards is almost self-evident. It is so because human life issues are at stake and erroneous and incomplete documentation may harm follow-up treatment as well as research da....

Screening for Colorectal Cancer

Author: Petersen, Darley

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Background  
Colorectal cancer (CRC) remains the second most common cause of cancer death in Western Europe and North America.
Screening for CRC has not worldwide popularity in spite of proven survival benefit in average risk persons. Incidence and mortality, both are worrying in E....

Screening Algorithms to Assess the Accuracy of Present-on-Admission Coding

Author: Pine, Michael; Fry, Donald E.; Jones, Barbara; Meimban, Roger

Source: Perspectives in Health Information Management

Publication Date: February 2009


Abstract

Present-on-admission modifiers for International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes are rapidly becoming a standard coding requirement. Inaccurate coding of these modifiers can distort analyses of risk-adjusted outcomes....

Role of Data Analysis in Revenue Cycle Improvement

Author: White, Susan E

Source: AHIMA Convention

Publication Date: September 27, 2010

Introduction

Data analysis techniques are becoming increasingly important for HIM professionals. The application of relatively simple and straightforward data analytics can identify significant opportunities for improvement in the revenue cycle. Traditional chart audits can be enhanced b....

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