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Documentation Management in Support of the Electronic Health Record

Electronic Health Records (EHRs) continue to change the landscape of healthcare.  Although the technology and workflow of electronic documentation seems to make paper documents obsolete, a hybrid medical record exists in many healthcare settings.  Organizations need to determine which paper documents to include with the EHR, access to that documentation and when to include that […]

Insight into Coding Diabetic Eye Conditions

There are a variety of conditions that can impact individuals with diabetes.  People with diabetes are at greater risk for developing eye problems that could lead to blindness or serious deterioration of sight.  Age also plays a role in the progression of eye disease in individuals with diabetes.  Cataracts, glaucoma and retinopathy are the most […]

The Evolving Landscape for Health Information Management

What are the most significant challenges for Health Information Management (HIM) departments?  One of the challenges in 2016 includes the disappearing HIM department; physical downsizing as well as workforce downsizing.  With the workforce downsizing we see technology impacting traditional roles for transcriptionists, documentation specialists and coders. HIM professionals need to manage business, clinical and information […]

Top 7 Ways to Reduce Coding Audit Anxiety

Simply mentioning a coding audit sends shivers up a coder’s spine. Coders acknowledge and support the need for audits; however the mere thought of an audit presents a level of anxiety with thoughts of their coding quality being scrutinized, as they continually strive to balance quality and productivity. Here are the Top 7 Ways to […]

Best Practices to Meet Cancer Registry Reporting Deadline

Cancer registries are legislatively mandated to collect confidential data on tumor characteristics, monitor cancer trends, aid in epidemiologic research, and collect quality cancer data elements. Abstracting Timeliness and what this means to you: Abstracting timeliness entails the completion of all analytic cases within six months from the date of initial diagnosis must be reported to […]

HIM Best Practices For Scanning Into The Electronic Health Record (EHR)

Scanning Information Into The Electronic Health Record (EHR) It’s a fact. Without HIM best practices for scanning information into the electronic health record (EHR), organizations run the risk of poor quality images that are unreadable, unreliable, and that could pose significant risk to patients. It isn’t difficult to imagine a scenario in which a physician […]

Cost, Efficiency And Expertise Challenges For Health Information Management Today And In the Future

The Growth In HIM Roles In just 10 short years, the times have changed and with those changes the challenges facing today’s healthcare organizations are impacted by the speed of technology and continued decreasing revenue margins. When we think back to Health Information Management (HIM) Departments a decade ago, we were focused on managing a […]

Shared Risk: 3 HIM Challenges and Solutions

In a previous post, I discussed the healthcare industry’s transition from a volume-based reimbursement system toward a model that is quality driven.  How can organizations ensure that they’ll succeed in this increasingly pay-for-performance environment? One way is to explore shared-risk contracts in non-revenue generating areas of the hospital. A shared risk model allows for a […]

AHIMA 30-day Recap: HIM Trends to Watch

This past September, I had the privilege of attending the AHIMA annual convention in New Orleans. I was particularly looking forward to presentations on information governance and ICD-10. Not only was I able to learn more about both of these important topics, but I also learned about several other initiatives that will surely affect the […]

Why Shared Risk Vendor Partnerships Are Good For HIM

In today’s value-based healthcare marketplace, pay-for-performance initiatives are everywhere you look. There’s the CMS Hospital Value-Based Purchasing program, the Physician Quality Reporting Program, public quality reporting websites (e.g., HealthGrades® and Hospital Compare), the proliferation of Accountable Care Organizations (ACO) nationwide, and Meaningful Use. Other terms associated with value-based care include incentivized payments, bundled payments, risk […]