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June 2016 Connect with us Facebook Twitter Sign up  |  Archive  |  Advertise
Editor's e-Note
It’s been said many times, but it bears repeating: Learning is a lifelong event. The minute our hunger for knowledge evaporates, it’s time to close shop and embrace reality TV.

One method to continually expand our horizons is to lean on the experience of other successful people. HIM professionals seeking to advance their careers have many such experts at their disposal. For example, this month’s E-News Exclusive profiles Joe Gurrieri, RHIA, CHP, who details how he rose through the HIM ranks and developed a keen sense for what it takes to be an industry leader.

Lee DeOrio, editor
e-News Exclusive
The Making of an HIM Leader:
Building Strong Leadership Beyond HIM Walls

By Beth Friedman, RHIT, BSHA

Joseph J. Gurrieri, RHIA, CHP, president of H.I.M. ON CALL, has more than 20 years of experience in the HIM profession. Before joining the company in April 2006, he held various management positions in hospitals in New York and New Jersey and performed consulting in interim management/director roles. During that time, he developed and implemented software applications focused on medical coding productivity, quality measurement, discharged-not-final-billed management, and HIPAA accounting of disclosure tracking. I recently had the opportunity to talk with Gurrieri about his remarkable journey and the qualities that make an outstanding leader.

Friedman: Talk about your early experience in the HIM industry. What led you to HIM?

Full Story »
ACDIS 2016 Reflects Rapid Growth for CDI
By Beth Friedman, RHIT, BSHA

The Ninth Annual Association for Clinical Documentation Improvement Specialists (ACDIS) Conference was held May 23 through 26 at Atlanta’s World Congress Center. With nearly 2,000 attendees and more than 70 exhibitors, the conference was the largest gathering of clinical documentation improvement (CDI) specialists to date. Key topics included sepsis, value-based purchasing, remote CDI services, and ethical best practices for CDI programs.

Sepsis Documentation Takes Center Stage
Two standing-room-only panel sessions focused on the newly released definitions of sepsis and septic shock (Sepsis-3). James Fee, MD, CCS, CCDS, vice president of Enjoin, moderated a special physician panel to review The Journal of the American Medical Association’s revised definitions and diagnostic criteria. Attendees also debated early adoption vs participation in the Surviving Sepsis Campaign and ICD-10 reporting. Sepsis documentation and coding continue to be an important topic across all health care stakeholders, with Fee encouraging attendees to coordinate and collaborate across their organizations.

Full Story »
Charles W. Stellar Named WEDI President and CEO

The Workgroup for Electronic Data Interchange (WEDI) announced during its 25th Annual National Conference that the WEDI board of directors has named Charles W. Stellar as WEDI’s president and CEO. Stellar has served as WEDI’s interim CEO since January 2016. As an executive leader with more than 35 years of experience in health care, association management, and organizational leadership, Stellar will continue to oversee the strategic guidance of the organization, its staff, and its committees.

“Charles has been an incredible asset to our organization during a transitional time and has helped lead us forward to achieve the goals and initiatives set forth by our board,” said Jean Narcisi, chair of the WEDI board. “Charles has demonstrated the dedicated strategic leadership to further WEDI’s role as a recognized leader and advocate for health care IT, launch new initiatives, drive awareness of health care’s ongoing challenges, and collectively improve the quality and efficiency of health care IT.”

Full Story »
In this e-Newsletter
HFMA Preview
Learn Financial Management in Las Vegas
By Heather Hogstrom

Las Vegas will host the Healthcare Financial Management Association’s (HFMA) 2016 ANI: The Healthcare Finance Conference June 26-29. Attendees can socialize and get a taste of the city at several networking events, including Sunday night’s Post-Welcome Reception held at popular nightclub and restaurant TAO, and An Evening With The Stars at Madame Tussaud’s Wax Museum on Monday.

This year’s conference, which offers 21.5 CPEs, emphasizes innovation and encourages attendees to step out of the box. Keynote presentations will be given by Julie Williamson, PhD, coauthor of Matter: Move Beyond the Competition, Create More Value, and Become the Obvious Choice, and Eric Topol, MD, cardiologist and author of The Patient Will See You Now: The Future of Medicine is in Your Hands. Additionally, Wei-Nchih Lee, MD, internal medicine physician and senior research scientist at HP Labs; Nina Nashif, founder and CEO of Healthbox; and Glenn D. Steele, Jr., MD, PhD, chair of xG Health Solutions, past president and CEO of Geisinger Health System will take part in Wednesday’s Healthcare Innovation Panel.

Full Story »
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!

Full-Time, Certified Coder
Oak Valley Hospital DIstrict, Oakdale, CA
Other News
Doctors Test Tools to Predict Your Odds
of a Disease

A pilot program aims to calculate the likelihood that a patient has an illness, enabling doctors to order fewer tests and prescribe fewer antibiotics, according to The Wall Street Journal.

New Mexico Clinics Close Up,
Disappear With Patient Medical Records

Patients are unable to obtain their medical records after a sudden clinic closure, forcing them to start over and repeat tests in order to get prescription refills, according to KRQU News 13.
Industry Insight
Canadian Study Touts Benefits of Ambulatory EMRs

EMR use in ambulatory care, along with complementary technologies, is yielding health system and patient benefits such as improved patient safety, continuity of care, and clinic efficiency, according to a new study.

The Infoway-commissioned “Emerging Benefits of EMR Use in Ambulatory Care in Canada: Benefits Evaluation Study” also points to more upside potential with advanced use and continued EMR adoption in ambulatory care settings. Authored by PricewaterhouseCoopers (PwC), the study drew on more than 200 research publications, as well as recent Canadian research and reports and key informant interviews.

Read more »
Tech & Tools
Elsevier Launches ClinicalKey Mobile App
Elsevier’s ClinicalKey mobile app, available in Android and iOS formats, enables rapid access to evidence-based, peer-reviewed clinical information. Features include intuitive search, including keyword search with filtering, auto suggest, and search history; access to full-text books, full-text journals, guidelines, images, and videos; the ability to bookmark and save items, synced with web application; the ability to earn and track CME credits; and persistent login, enabling quick and easy access. Learn more »

BillTrack50 Tracks Current Health Care Legislation
BillTrack50, an easy-to-use legislation software tool, provides health care professionals with an intuitive method of monitoring pending state and federal legislation that affects their facilities. It allows users to locate, track, and share information with other potentially influenced parties and connect with those making key governmental decisions. Learn more »

A Secure, Anonymous Résumé Bank
Job Alerts Sent to Your E-mail
AHIMA Toolkit Addresses Consumer Engagement
A new AHIMA Consumer Engagement Toolkit addresses how the culture change in health care organizations is creating opportunities for HIM professionals to be more actively involved with consumers. The toolkit provides resources to develop a health care consumer engagement initiative and outlines some of the changing roles for HIM professionals, including a patient health care navigator or advocate to collaborate with clinical staff to ensure patients receive copies of their health records and assist patients in reviewing those records, a release of information specialist to guide consumers in appropriately accessing their records in compliance with regulatory guidelines, and a leadership role in training employees on the importance of consumer engagement as well as on new technologies and initiatives such as health information exchanges. Learn more »
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Coming up in our July issue is our EHR 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!
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Ask the Expert
Have a coding or transcription question? Get an expert answer by sending an e-mail to

My providers sometimes use a review of systems that is currently unobtainable. Can you get still reach a comprehensive history with that? I know providers shouldn’t be penalized for not getting a review of systems, but should they be rewarded with a comprehensive level?

B. Long
Compliance Auditor

There are several different answers to this question. Some Medicare Administrative Contractors (MACs) have clarified this question, while others have not. In the case where there is not a clarification, Centers for Medicare & Medicaid Services (CMS) guidelines should be followed.

CMS guidelines state: “If the physician is unable to obtain a history from the patient or other source, the record should describe the patient’s condition which precludes obtaining a history.” There is no further information as to what level of review of systems should be assigned when the review of systems is unobtainable.

Read more »