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Hospitals Post Chargemaster Prices to Meet Federal Requirements, Baffling Patients

To comply with an Affordable Care Act provision and a directive from the Trump Administration, hospitals are posting prices for procedures and services listed in their chargemaster in the name of price transparency, but the information is virtually unreadable to patients and leaves advocates and stakeholders questioning the wisdom of the requirement.

Senator Warns VA About Risks of Outdated EHRs

A senator’s letter to newly confirmed VA Assistant Secretary of Information and Technology and Chief Information Officer James Gfrerer expresses concerns regarding the agency’s health IT modernization efforts.

When an Employer Fails to Protect Employee Personal Information

The first Legal eSoeaking post of 2019 takes a look at a recent decision from the Pennsylvania Supreme Court that addresses the question of “whether an employer has a legal duty to use reasonable care to safeguard its employees’ sensitive personal information that the employer stores on an internet-accessible system.” This decision offers a classic example of how the common law (judge-made law) can be used to establish rights and remedies to economic injuries allegedly caused by new technologies.

AHIMA Outlines Legislative Priorities for the 116th Congress

AHIMA’s federal affairs staff outlined AHIMA’s legislative and regulatory priorities for the 116th Congress in a webinar Wednesday, discussing what will and what will not change in light of demographic shifts in House and Senate leadership, as well as the implications of working with a divided government. The webinar also covered topics related to what is currently the third-longest government shutdown in Congressional history and its implications for HIM professionals.

White Papers

Five Ways Artificial Intelligence Is Transforming Healthcare Operations

While the practical applications of artificial intelligence (AI) are still being discovered, one area of AI — natural language processing (NLP) — is already helping advance the revenue cycle. Discover how the right NLP can support accuracy, efficiency and revenue integrity by powering comprehensive clinical documentation improvement and coding earlier in the process.

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.

January 2019

How to Lead Through the Chaos of Change

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

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 Year Ahead: Industry Experts Review Hot Topics to Watch in 2019

Hot topics for the health information management industry in 2019 include the implementation and enforcement of MACRA’s payment models, efforts to modernize HIPAA, and likely advancements in interoperability and health information exchange. Experts weigh in on how these will shape the HIM and healthcare industries in the coming year.

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.