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JAMA Commentary: Consider De-implementing EHRs to Improve their Function

Existing electronic health records (EHRs) are not living up to the promise of improving care through predictive analytics and personalized care, according to an op-ed published in the Journal of the American Medical Association.

Reviewing for Inpatient Quality

Quality of care is recognized through the clinical documentation that supports accurate ICD code assignment. Thus, many clinical documentation improvement programs are now evolving to support quality initiatives.

On the Yellow Brick Road to IG: Part 3–The Journey Continues

Last week I took a few more steps down the IG Yellow Brick Road by meeting with our director of patient access. It was a productive meeting; we both learned from each other and agreed to work together.

Health IT Offers Barriers, Solutions for Fighting Zika

The arrival of the Zika virus in the United States has caught local health departments and providers flat footed in terms of surveillance and detection thanks to outdated health IT systems.

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CDI Gains Prominence Under Payment Reforms

The Centers for Medicare and Medicaid Services (CMS) goal of tying 90 percent of reimbursement to quality improvement programs by 2018 means clinical documentation improvement (CDI) initiatives are going to be central to helping organizations succeed in the alphabet soup of reforms. In the keynote presentation titled “Understanding the Continued Evolution of CDI” during the second day of AHIMA’s Clinical Documentation Improvement Summit, Cheryl Ericson, MS, RN, CCDS, CDIP, from DHG Healthcare, said providers need CDI to “keep up with the Joneses” due to this change in reimbursement.

CDI Provides a ‘Safety Net’ for a Safety Net Hospital

The role of safety net hospitals is vital—they provide hundreds of millions of dollars worth of uncompensated care for individuals who need it the most but cannot pay. That means that care delivery and the documentation of that care must be conducted with the utmost efficiency.

After ICD-10, the CDI World has become Data Driven and High Tech

Now that the smoke has cleared from the transition to ICD-10-CM/PCS, the healthcare industry is taking stock of how the transition changed the industry landscape. In remarks delivered Tuesday at AHIMA’s CDI Summit, Pamela Hess, MA, RHIA, CCS, CDIP, CPC, with himagine solutions, noted in her presentation “The Case for CDI Solutions in a Post ICD-10 Environment,” that healthcare executives are now more interested in healthcare data than ever before.

August 2016

Solving the Health IT Interoperability Quagmire

July 2016

Querying Through the Chaos: How to get docs’ attention amidst the digital healthcare haze

2016 Consulting and Outsourcing Guide

The 2016 Consulting and Outsourcing Guide was published in the June 2016 Journal of AHIMA. This special advertising section is published to promote various consulting and outsourcing resources.

Coding for a Urological Procedure

This patient, a 47-year-old male with adenoma of the prostate, is being treated in the outpatient surgery suite.

CPT Guidelines on Procedure Coding

Monday Coding Quiz (multiple choice question): Per CPT guidelines, a separate procedure [more…]

Using Category II Codes

Monday Coding Quiz: Category II codes cover all but one of the following topics. Which is not addressed by Category II codes?

HIM’s Role in Value-Based Reimbursement: Three Leaders Weigh In on Impact

As value-based care and reimbursement emerges, savvy HIM professionals are rising to the challenge. This roundtable article highlights three HIM leaders who are taking great strides to thrive in a value-based healthcare environment.

Making HIPAA Work for You: Discussing Record Access (and More) for Consumers

Seeking to answer consumer questions on how HIPAA works for them, the Journal speaks with an attorney to explore various issues, from accessing deceased records to processing fee payment.

Managing a Part-Time Remote CDI Team

As clinical documentation improvement (CDI) programs become more popular, providers are still struggling with implementing CDI programs for several different reasons, including: geographical location; a shortage of outpatient coders and CDI specialists; or even the lack of physical space.