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HIM Functions in Healthcare Quality and Patient Safety. Appendix A: Patient Safety and Quality Opportunities for HIM-IT Collaboration

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: August 2011


In today's world, HIM staff must work together with the IT department to ensure the confidentiality, availability, and integrity of health information. This teamwork can enable safe, high-quality care and the efficient provision of services.

Normally HIM professionals are not respons....

ICD-9-CM Coding Guidance for LTC Facilities - Retired

Author: AHIMA

Source: AHIMA practice brief

Publication Date: October 2010


Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. LTC facilities assign ICD-9-CM codes to capture a resident's clinical conditions.


ICD-9-CM facilitates the collection and organization of healthcare stat....

HIM Functions in Healthcare Quality and Patient Safety. Appendix C: HIM’s Role in Data Capture, Validation, and Maintenance

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: August 2011


A critical component of AHIMA's draft HIM Core Model, a robust description of the functions and opportunities open to current and future HIM professionals, is capture and maintenance of health data.1 HIM professionals are encouraged to assume a leadership role in outlining how data are captured....

ICD-9-CM Coding Guidance for LTC Facilities. Appendix C: Regulatory Guidance for Reporting Diagnoses Related to Reimbursement

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2010


In August 2000, the HIPAA Transaction and Code Sets required the use of the ICD-9-CM code set. Subpart J, section §162.1002 Medical data code sets, states the adoption of the following code sets as standard medical data code sets:
ICD-9-CM, volumes 1 and 2 (including the "ICD-9-CM Official....

EHRs as the Business and Legal Records of Healthcare Organizations. Appendix A: Issues in Electronic Health Record Management (2010 update)

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: November 2010


Electronic health record management (EHRM) is the process by which electronic (e.g., digital) health records are created or received and preserved for legal or business purposes. EHRM requires decision making throughout the EHR’s life cycle-through the processing, distribution, maintenanc....

10 Security Domains (2011 update)

Author: AHIMA

Source: AHIMA practice brief

Publication Date: July 2011

This is the original web version of the practice brief, published in the May 2012 Journal of AHIMA. This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

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....

Understanding the HIE Landscape

Author: AHIMA

Source: AHIMA practice brief

Publication Date: September 2010


The health information exchange (HIE) landscape has changed dramatically over the past five years. More HIEs are available to organizations and providers than ever before. Industry initiatives leveraging technological advances and the call for all Americans to have an electronic health record b....

Understanding the HIE Landscape

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2013


The health information exchange (HIE) landscape has changed dramatically since HIE and the Nationwide Health Information Network (NwHIN) was first conceptualized in 2001. The National Committee on Vital and Health Statistics (NCVHS) published recommendations in 2001 on nationwide electronic hea....

Best Practices for Denials Prevention and Management

Author: AHIMA

Source: AHIMA practice brief

Publication Date: March 2019


The direct fiscal impact of ever-increasing claim denials spans the healthcare continuum, including large health systems, independent hospitals, physician group practices, solo providers, and post-acute care facilities. A 2017 analysis of 850 hospitals’ payment transactions revealed that initia....

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