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Guidelines for Physician Office Query Practice
Author: Bryant, Gloryanne H.; Mogbo, Chinedum
Source: AHIMA practice brief
Publication Date: July 2018
Untitled Document
Guidelines for Physician Office Query Practice
Documentation in the health record is a basic but critical component to every patient encounter, patient service, and setting. The provider is key to delivering detailed information reg....
Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories
Author: Watson, Monica M
Source: Journal of AHIMA | AHIMA practice brief
Publication Date: June 2018
Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories
Risk adjustment is a statistical process that considers the underlying health status and health spending of patients when examining their healthcare outcomes....
Managing Amendments in an HIE Environment. Appendix C AHIMA Sample Patient Statement of Disagreement
Author: AHIMA
Source: AHIMA practice brief
Publication Date: December 2017
Patient Name:_______________________________________________________________________
Date of Birth:________________________________________________________________________
Address: ____________________________________________________________________________
City:__________....
CDI Expanding Beyond the Hospital Walls through Standards
Author: Ewoterai, Okemena; Lusk, Katherine; Orlova, Anna; Young, Donna
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: November 2017
The proverbial comparison of “apples and oranges” is a well-known metaphor in casual conversation and discussion. When talking about expanding clinical documentation improvement (CDI) programs in today’s environment of electronic health records (EHRs) and information governanc....
Clinical Terminology: Expanding Career Pathways for HIM Professionals - Retired
Author: Hyde, Lynda; Casto, Anne B.; Koehler, Melissa; Lockwood, Famey; Peterson, Kathleen
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: September 2017
Healthcare is an evolving world where data is central to all aspects of care. It is an information-intensive environment where data analysis is used to make decisions about the quality and safety of patient care, public health programs, and healthcare reform. At the core....
Impact of Physician Engagement on Clinical Documentation Improvement Programs (AHIMA Practice Brief)
Author: Combs, Tammy; Endicott, Melanie
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2017
Physician engagement seems to be the buzzword in healthcare these days. Hospital administrators charged with various clinical improvement initiatives have come to realize that physician engagement is an essential element of success. While physician engagement in clinical documentation improveme....
Evolution of DRGs (2017 Update)
Author: Comfort, Angie; Rugg, Donna; Ward, Maria
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: June 2017
Editor’s Note: This update replaces the 2010 Practice Brief “The Evolution of DRGs.”
In the early 1970s Yale University developed diagnosis related groups (DRGs) to describe all types of patient care in an acute care hospital. The Yale system encompassed the Medi....
Evolving Roles in Clinical Documentation Improvement: Physician Practice Opportunities
Author: Barnette, Erin; Endicott, Melanie; Ericson, Cheryl E; Wieczorek, Michelle M.
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: May 2017
In order to effectively discuss clinical documentation improvement (CDI) opportunities in physician practices, it is important to first understand the drivers and goals of a physician practice CDI program. Historically, diagnosis codes have had little impact in regard to physician practice paym....
Making Amendments to Health Records (2017 Update)
Author: Burton, Ben; Downing, Katherine
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: April 2017
Editor’s Note: This Practice Brief update supplants part of the 2013 Practice Brief “Patient Access and Amendment to Health Records.”
Before April 2003, a patient’s legal right to amend his or her health records was limited to those patients treated at hea....
Improved Patient Engagement for LGBT Populations: Addressing Factors Related to Sexual Orientation/Gender Identity for Effective Health Information Management
Author: AHIMA Work Group
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: March 2017
One of the Healthy People 2020 objectives from the Office of Disease Prevention and Health Promotion is to improve the health, safety, and well-being of individuals in the lesbian, gay, bisexual, and transgender (LGBT) population.1 This population faces health disparities with barriers to healt....
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