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MACRA/Quality Payment Program in 2019: Finalized Changes

On November 1, the Centers for Medicare and Medicaid Services released the 2019 Medicare Physician Fee Schedule. This article will provide an overview of impactful changes to the CMS Quality Payment Program for 2019 for both of the program’s tracks: the Merit-based Incentive Payment System and Advanced Alternative Payment Models.

AHIMA, AMIA Push for Modernization of HIPAA Rules in Congressional Briefing

During a Congressional briefing Wednesday in Washington, DC, AHIMA and other health IT stakeholders advocated for the modernization of HIPAA regulations by expanding the law’s record access provisions to non-covered entities and better defining HIPAA’s “designated record set.”

Patients Frequently Unaware that Many Medical Devices Gather, Share Data

A recent article detailing the transmission and uses of data gathered by a patient’s CPAP machine reveals that many patients are unaware of the downstream uses of the health data medical devices gather—even when they give consent for their data to be used.

How to Talk IT and Get Your Coding Interface Issues Solved

Effective communication is the key to solving any information technology (IT) issue, especially in clinical coding and billing, where lack of technology resources is pervasive and multiple data formats are commonplace. This article helps HIM departments “talk the talk” of IT to get their clinical coding and billing interface issues solved.

White Papers

Case Study: The Patient Matching Challenge

With numerous health systems experiencing mergers and acquisitions, interoperability and health information management have presented a significant barrier toward optimal care delivery and improved patient outcomes. The integrity of patient data can be threatened when patient records converged from different electronic health record (EHR) systems can’t be correctly matched and linked.

White Paper: Improving Patient Matching with a Simple Plug-in

There are substantial—and growing—costs to inaccurate patient matching. Learn how a groundbreaking solution can improve match rates, thereby improving healthcare data exchange.

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Slideshow: Convention Photo Roundup

Revisit the highlights of this year’s Annual Convention and Exhibit.

How to Address IRF Coding Challenges

A Tuesday roundtable presentation, “Challenges for HIM at the Inpatient Rehabilitation Facility,” addressed issues such as limited educational opportunities for HIM professionals specific to the IRF setting, how official ICD-10-CM coding guidelines do not always fit IRF coding, and the excessive number of requests for audits compared to the size of the IRF unit.

Reptiles that Bite and Plants that Slice: Coding the Everglades

The Everglades, under an hour’s drive directly west from the Miami Beach Convention Center, is an unparalleled subtropical wilderness brimming with beautiful wetland landscapes and rare plant and animal species. But those who don’t heed the National Park Service’s warnings could end up the unfortunate recipient of these ICD-10 codes.

November-December 2018

Ensuring Data Integrity During Health Information Exchange

October 2018

Specialty and Non-Acute Data Analytics Initiatives Offer Focus and Opportunity for HIM

September 2018

Using Health Informatics to Tackle Duplicate Medical Record Issues

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?

MACRA/Quality Payment Program in 2019: Finalized Changes

On November 1, the Centers for Medicare and Medicaid Services released the 2019 Medicare Physician Fee Schedule. This article will provide an overview of impactful changes to the CMS Quality Payment Program for 2019 for both of the program’s tracks: the Merit-based Incentive Payment System and Advanced Alternative Payment Models.

How to Talk IT and Get Your Coding Interface Issues Solved

Effective communication is the key to solving any information technology (IT) issue, especially in clinical coding and billing, where lack of technology resources is pervasive and multiple data formats are commonplace. This article helps HIM departments “talk the talk” of IT to get their clinical coding and billing interface issues solved.

Slideshow: Reflections on a Profession

Carol Lewis has been a long-time member of AHIMA, starting in the 1950s. She looks back at how the profession has evolved over the decades.