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2019 Article Archive

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May 2019


All-In for All-Payer CDI
For years, clinical documentation improvement initiatives have spent the majority of their time focused on government programs. Today, more hospitals are making room for all payers.

Nebulous Notes Hinder Cancer Research
The fact that data contained in medical records and a cancer registry do not have the same level of specificity makes it more difficult for researchers to make progress.

Unlocking the Social Determinants of Health
UnitedHealthcare and the American Medical Association are supporting the creation of nearly two dozen new ICD-10 codes related to SDOH.

Emerging Voices
An EHR voice assistant project at Vanderbilt University Medical Center highlights how natural language processing is changing the landscape of heath care.


Editor’s Note

HIT Happenings
Return on investment in digital health should be calculated in terms of hard and soft ROI.

Chart Conundrums
Poor documentation can have devastating financial effects on home health agencies.

Inside Interoperability
Big data and telemedicine are forces joining together to connect more patients to better health care.

Coding Corner
Coding experts warn not to sleep on anesthesia coding, whose challenges center on the complexities of its documentation.

Industry Perspectives
With artificial intelligence set to revolutionize revenue cycle management, HIM must be ready to take a leading role.

News Brief


By the Numbers
Get the lowdown on health care’s facts and figures.

April 2019


What’s Your Business Associate Agreement Strategy?
Staying in tune with vendors and the like is a key piece of any strong compliance effort.

A Measured Approach to Quality
Some measures hit the mark while others seem to be off target. It’s this discrepancy that makes it difficult for all those along the health care continuum to get an accurate read on performance.

Of Viral Importance
Facilities that emphasize the proper coding of pneumonia benefit in numerous ways, including maintaining their quality scores.

Mitigating Risks Associated With Research Data
In the era of big data, health care organizations must be especially vigilant with how they manage health research.


Editor’s Note

Fraud and Abuse
As telehealth use continues to grow, providers must become better attuned with the complicated regulatory landscape.

Thought Leader Q&A
There’s no denying it, Chuck Buck has a nose for denials. The curator of ICD-10monitor sits down for a chat about the state of reimbursement.

Transcription Trends
Let’s face it, it’s been a rough go for medical transcriptionists lately. Is the profession on its death bed?

News Briefs

Reader Feedback
Many readers were irked by the case of an Arizona teen who desperately needed her medical records to receive life-saving treatment.

Coding & RCM Resource Guide


By the Numbers
Get the lowdown on health care’s facts and figures.

March 2019


Constructing a Career in Coding
For those looking to snag that elusive first coding position, experts suggest focusing on everything from the right academic mix to sound résumé building.

TPE Program Sets Sights on Improper Claims
Learn the details behind the Target, Probe, and Educate effort, which can make life miserable for organizations suspected of failing to meet Medicare criteria.

Privacy With a European Flair
More powerful than HIPAA, the European Union’s General Data Protection Regulation may have an effect on these shores.

‘Stupid’ Program Gets Results
To simplify documentation processes, a Hawaii health system took a radical in-house approach—it listened to staff.


Editor’s Note

News Brief

Audit Alley
Audits that rely on random samplings aren’t enough to ensure a health care organization’s coding processes are in good shape.

Washington Scene
Thanks to the partial government shutdown, it may have seemed like nothing was getting done in Washington, but several agencies managed to squeeze in some action around the inaction.

HIM Challenges
Skilled nursing facilities are set to take on the challenge of the new patient-driven payment model.

HIT Happenings
Understanding the distinctions between patient monitoring and continuous clinical surveillance is more than a matter of language.


By the Numbers
Get the lowdown on health care’s facts and figures.

February 2019


Altered Mental Status: More Info Please
Despite “altered mental status” being a generally accepted term throughout the medical profession, documentation experts warn that it typically does not adequately describe the care being provided.

Medical Record Requests Continue to Challenge Hospitals
When researchers checked in on the release of information process at 83 top-ranked hospitals, the results were not encouraging.

The Rise of the Chatbots
No, it’s not the title of the latest science fiction thriller to hit the big screen. Rather, it’s an examination of how the conversational agents fit into the world of health care.

Hitting the Mark on Coder Performance
Dashboards and EHRs have made it easier to track coder productivity, but a discerning eye is still required to ensure the data are painting an accurate picture.


Editor’s Note
Adventures in Car Repair

HIT Happenings
Telehealth platforms and wearable sensors are two of five technologies leading the charge to improve patient care.

Data Analytics
Predictive analytics is going beyond the exam room and into the revenue cycle, flagging troublesome billing problems and helping health care organizations understand operational issues.

Coding Corner
When a medical device adverse event occurs, coders must consider whether to code it as device failure or complication due to a postoperative condition.

Evolving Education
One of the most rewarding aspects of being a seasoned HIM professional is the opportunity to pass along knowledge to those looking to get their careers off the ground.

CDI Spotlight


By the Numbers
Get the lowdown on health care’s facts and figures.

January 2019


Is Offshore Coding Dead in the Water?
An eye-opening study spotlights the risks of choosing a coding partner that sends work offshore.

FHIR Blazes New Path Toward Interoperability
The standard may hold the key to dousing fears about health care's ability to seamlessly transfer clinical data.

Diversity Key to Patient Matching
A RAND Corporation study found that a multiprong strategy may help put a dent in health care's long-standing problem.

Breaking Up Is Hard to Do
It may be 2019, but the health care industry continues to hang onto the beloved fax machine, a bygone technology whose time may be short if the Centers for Medicare & Medicaid Services has its way.


Editor's Note
Don't Be a Robot

HIPAA Challenges
The time it takes health care organizations to detect data breaches continues to decline, but it still is not ideal.

Quality Assurance
To achieve proper reimbursement, learn the ins and outs of reporting shared/split visits.

News Briefs
A survey on charge capture practices reveals several interesting tidbits on the role of coders.

Focus on Research
A colorful infographic helps to illustrate the five stages of data quality maturity.

EHR Insider
To avoid becoming vulnerable to malpractice claims, physicians must use EHR technology as it was intended.


By the Numbers
Get the lowdown on health care's facts and figures.