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Transcription Beyond Transcription: Health IT allows transcriptionists to assist with CDI, other HIM functions

Author: Carnrite, Michael; Sumner, Susan

Source: Journal of AHIMA

Publication Date: October 2012


For decades Medical transcription has been an important fixture of the health information management (HIM) department. Compiling, managing, and retaining transcribed documents as a subset of the entire patient medical record is a foundational role for HIM professionals. And while the electron....

Electronic Documentation Templates Support ICD-10-CM/PCS Implementation. Appendix A: Electronic Note Title and Template Policy Considerations

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2012


This model policy recommends important legal and compliance considerations for healthcare organizations when establishing electronic note titles, templates, and/or prompts.


PURPOSE: To provide guidance on the development and maintenance of electronic note titles, templates, and p....

Achieving Meaningful Use of Health Information Technology: A Guide for Physicians to the EHR Incentive Programs

Author: Marcotte, Leah; Seidman, Joshua J; Trudel, Karen; Berwick, Donald M ; Blumenthal, David; Mostashari, Farzad; Jain, Sachin H

Source: External web site

Publication Date: May 14, 2012

An overview of the Medicare and Medicaid EHR Incentive Programs and guide for physicians in the process of how to demonstrate meaningful use of health information technology. (Arch Intern Med. 2012;172(9):731-736.)

Documentation Trends in the Health Record

Author: Dooling, Julie A

Source: Journal of AHIMA

Publication Date: March 2012


The meaningful use program is well under way, helping providers and organizations adopt EHRs to capture complete and comprehensive documentation. To qualify for incentives in stage 1, organizations have adjusted their documentation processes to meet certain objectives and measures and will con....

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