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2019 Article Archive

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September 2019

features

Eight ROI Missteps to Avoid
Clunky guidance and hard-to-follow rules make it difficult for HIM departments to gain footing.

The Qualification Question
With denials due to clinical validation on the rise, the qualifications of coders and clinical documentation specialists to query for clinical validity are creating heavy discussion.

Information Blocking: Is It or Isn’t It?
The verdict on how to define the term promises to have huge ramifications across the health care industry.

The Emergence of Ambient Clinical Technology
Is it possible for physicians to focus on patients instead of their computer screens and produce quality documentation? Nuance’s latest product says “yes.”

departments

Editor’s Note

Coding Corner
There are your typical denials, and then there are the ones that blindside health care organizations. A leading educator examines the latter and offers tips on how to avoid the misery.

HIM Challenges
In a profession in a state of flux, HIM professionals must take it upon themselves to make sure they stay a step ahead of the changes.

Chart Conundrums
Payers and providers are using clinical natural language processing to reduce administrative costs and improve the accuracy of analytics.

Inside Interoperability
It may sound like the acronym for a blue-collar union, but in actuality TEFCA is the moniker for the much-anticipated, much-debated effort to achieve interoperability. Is it worth its salt?

Industry Perspectives
Disruption in the health care industry is making the value of patient data rise exponentially.

Datebook

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


August 2019

features

Mergers, MPIs, Oh My!
Things can become complicated real fast when separate entities become one, most notably when it comes to patient identification.

EHRs and Patient Safety: Where Do We Stand?
Ubiquitous and polarizing, the technology’s achievements are sometimes overshadowed by its propensity to stick in the craw of disgruntled users, a situation that can put patients in jeopardy.

CAC: Temper Expectations With Reality
While computer-assisted coding may not revolutionize the department, it is capable of adding value to any coding operation.

The Devil Is in the Details
Knowing the ins and outs of payer contracts may seem like tedious work, but the payoff is undeniable.

departments

Editor’s Note

Evolving Education
For HIT professionals, continuing education and training can spell the difference between mediocre and quality patient care.

Coding Corner
The Social Interventions Research & Evaluation Network Gravity Project is focused on expanding codes across multiple standards systems to improve providers’ capacity to document social determinants of health.

Chart Conundrums
To avoid fraud charges, providers must be cognizant of how physician assistant documentation is being submitted.

Transcription Trends
Scribes can lend a hand to physicians struggling with documentation requirements.

Education Resource Guide

Datebook

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


June/July 2019

features

Through the Cracks
Knowing and addressing the barriers to proper charge capture can help organizations reach a better financial plateau.

Documentation’s Finer Points
Just in time for summer reading, AHDI has introduced the latest edition of its style book, which hopes to improve standardization across the industry.

The Labyrinth That Is HIPAA
The omnipresent law can pop up and become a consideration in a variety of settings.

Breach Preparedness Know-How
Being the victim of a data breach is a harrowing experience. However, hospitals with a well-rehearsed, well-coordinated plan in place have the best chance to minimize the damage.

departments

Editor’s Note

CFO Zone
A director of revenue integrity and the chief operating officer of a coding vendor contemplate the ingredients that make up a productive relationship between a hospital and its coding partner.

HIT Happenings
A survey illustrates the public’s desire for providers to have greater access to health records. Is anyone listening, though?

Washington Scene
An AHIMA leader summarizes the organization’s recent trip to Capitol Hill.

Industry Perspectives
A new paper touts the prospect of using a system similar to the one employed by the US Postal Service to help curtail patient matching miscues.

Chart Conundrums
Focus on improving documentation and watch risk adjustment factors fall in line with the care being provided.

News Brief

Datebook

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


May 2019

features

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.

departments

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

Datebook

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


April 2019

features

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.

departments

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

Datebook

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


March 2019

features

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.

departments

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.

Datebook

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


February 2019

features

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.

departments

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

Datebook

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


January 2019

features

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.

departments

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.

Datebook

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