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November 2015 Connect with us Facebook Twitter Sign up  |  Archive  |  Advertise
Editor's e-Note
HIM graduates seeking that coveted first position can easily become frustrated when prospective employers cite a lack of experience as a reason to not to hire them. The solution? Both parties should consider apprenticeship programs.

This month’s E-News Exclusive details how the AHIMA Foundation is working to give graduates a chance to earn a stipend while gaining valuable experience. Employers make out well under the program, too, having the chance to mold and educate young professionals who may become mainstays in their organization.

Lee DeOrio, editor
e-News Exclusive
Gateway to the HIM Profession

The gap between graduates with market-ready skills and experience is growing. It is the primary barrier to both entry into and advancement within the HIM profession. The AHIMA Foundation was recently awarded a $4.9 million grant from the US Department of Labor to ensure that career-ready individuals possess the skills, training, and experiential learning required by employers in today’s health care market. Over the next five years, the foundation’s Managing the Talent Pipeline program will serve to bridge the gap for new graduates seeking their first employment and provide career mobility for those seeking changes or advancements in career opportunities.

A skills gap and lack of experiential training is particularly relevant in the HIM field. AHIMA Foundation data support the claim that graduates from HIM programs are likely to lack the necessary experience and skills training to meet employer needs in the HIM market.

Full Story »
Industry Insight
NIH Grants Seek Best Ways to Combine Genomic Information and EHRs

A dozen awards from the National Institutes of Health (NIH) will support research that incorporates DNA sequence information into EMRs. The goal of research conducted by the Electronic Medical Records and Genomics (eMERGE) network is to better understand the genomic basis of disease and to tailor medical care to individual patients based on their genomic differences.

The grants, administered by the National Human Genome Research Institute (NHGRI), a part of NIH, represent the third phase of the eMERGE program, and focus on moving genomics research closer to clinical application by identifying the potential medical effects of rare genomic variants (inherited differences in the DNA code) in about 100 clinically relevant genes. The activity of such genes can affect a person’s health, and might affect treatment choices.

Read more »
Featured Jobs
The nation's top employers and recruiters of HIM talent advertise in For The Record magazine and post their job openings on Check out the most recent opportunities that have been submitted by employers across the country!

Coding Validators—North Shore-LIJ Health System
Remote & Traveling Inpatient Coders—M*Modal
Lead DRG Specialist/Coder (Outpatient)—Englewood Hospital
DRG Specialist/Coder—Englewood Hospital & Medical Center
Professional Coder—Englewood Hospital & Medical Center
Health Information Manager—North Shore Medical Center
Coding Validator—North Shore Medical Center
Full-time Coder—Owensboro Health
Coder II—UNM Hospitals
RN Clinical Document Spec II—UNM Hospitals
In this e-Newsletter
Recently in For The Record
Dress Rehearsals Key
to Speech Rec Success

Clinicians need to spend time working in the system prior to go-live in order to decrease resistance rates. Read more »

The Changing Face of Disaster Recovery
Whether it be a malicious attack or a force of nature, health care organizations can’t afford to be ill-prepared to deal with modern calamities. Read more »

A Life Without Meaningful Use
For various reasons, it would be too costly to scrap the incentive program, but few have anything good to say about its past or future. Read more »

Population Health Management in Action
Progressive organizations are exploring strategies to use data for the purpose of improving community health. Read more »
Other News
Is Telemedicine Virtually Identical
to the Examination Room?

There are still varying levels of comfort with telemedicine across the states, according to the Pew Charitable Trusts.

Medical Records Still a Mess
After Digitization

While the HITECH Act succeeded in bringing digital records to practices nationwide, it didn’t prioritize interoperability, preventing America from achieving the predicted savings, according to Mother Jones.
Ak the Expert
Have a coding or transcription question? Get an expert answer by sending an e-mail to

This month’s selection:
When would it be appropriate to use Z36, Encounter for antenatal screening of mother, vs Z34.xx, Encounter for supervision of normal pregnancy, as it pertains to the hospital outpatient diagnostic setting? Some examples include encounters for lab work, OB ultrasounds, RhoGAM (Rho(D) Immune Globulin (Human)) injections, etc.

Geneve Terry, RHIT
Community Healthcare System
Northwest Indiana

ICD-10 code Z34.xx, Encounter for supervision of normal pregnancy, is used for a routine outpatient diagnostic visit when no obstetrical complication or condition codes found in Chapter 15, Pregnancy, Childbirth and the Puerperium are applicable to the encounter. (See the ICD-10-CM Official Guidelines for Coding and Reporting, guidelines 1.C.15.b.1., 1.C.21.11 and IV.O.) This code would be assigned when a routine pregnancy laboratory panel was ordered.

ICD-10 code Z36, Encounter for antenatal screening of mother, is used when screening for the testing of disease or disease precursor is performed in patients who are seemingly well for the purpose of early detection and treatment. (See the ICD-10-CM Official Guidelines for Coding and Reporting, guidelines 1.21.c.5.) This code would be assigned when an alpha-fetoprotein protein test was ordered to screen for fetal abnormalities.

— Susan Belley, MEd, RHIA, CPHQ, is manager of clinical content development for 3M Health Information Systems.
Tech & Tools
TurboCoder ICD-10-CM Android App
Helps Users Find Correct Codes

Eurofield Information Solutions’ TurboCoder ICD-10-CM Android app is designed by coders for coders, utilizes proprietary TurboSearch technology, is used offline, and includes the complete ICD-10-CM classification with numerous convenience features that enable health professionals to easily find codes in the new ICD-10-CM code set anytime, anywhere. The new TurboCoder app has the look and feel of the printed classification, and provides a cost effective replacement for the ICD-10-CM book. Performance and convenience benefits include faster, more accurate code lookup; an easy-to-use intuitive interface; spelling help and auto-complete; the ability to search by word, main term, or code; portability; regular updates and errata through to September 2016; and no subscription fees. Learn more »

OHSU Mole Mapper ResearchKit App
Tracks Potential Skin Cancers

Oregon Health & Science University (OHSU) released an iPhone app designed to advance melanoma research by giving users the ability to accurately measure and monitor moles, and contribute photos of how their potential trouble spots evolve over time. Called Mole Mapper, the app is free to download from the App Store and was developed using ResearchKit, an open source framework developed by Apple. App users can maintain their images exclusively on their phones for later sharing with a dermatologist, or, after signing an electronic consent form, they can enroll in the OHSU Knight Cancer Institute Melanoma Community Registry to learn more about current research and educational opportunities focused on early detection, prevention, and survivorship. Learn more »
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Coming up in our December issue is our Industry Innovations Showcase. Contact sales for more information. is the premier online resource to recruit HIM professionals. Post your open positions, view résumés and showcase your facility's offerings all at!
Tweets and Quotes From MGMA15

The Medical Group Management Association (MGMA) recently held its annual conference in Nashville, Tennessee. The meeting produced some memorable quotes, including the following highlights:

“Your competitors are lazier than you think.” — Keynote Speaker Jeremy Gutsche, founder, CEO, and chief trend hunter of

“Doctors and administrators, it’s time we got as good at fighting for our dollars as insurance companies are at fighting for theirs.” — Halee Fischer-Wright, MD, MMM, FAAP, CMPE, president and CEO of MGMA

Full Story »
AMIA Update
AMIA Announces Signature Award Winners at 2015 Annual Symposium

AMIA is proud to announce this year’s Signature Award recipients. The AMIA Signature Awards program provides an opportunity for AMIA members at different stages of their career to be recognized for significant contributions to the field of informatics. The following leaders received their awards at the AMIA Annual Symposium, which took place November 14-18 in San Francisco:

Jan H. van Bemmel, PhD, FACMI, a professor and chairman of medical informatics of the Faculty of Medicine and Health Sciences at Erasmus University Rotterdam, received the Morris F. Collen Award of Excellence.

• Paul A. Harris, PhD, FACMI, a professor of biomedical informatics and biomedical engineering, and director of the Office of Research Informatics at Vanderbilt University, received the Donald A.B. Lindberg Award for Innovation in Informatics.

Full Story »
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