AHIMA

Improving SDOH Collection and Usage: Success Stories From Three Health Systems

From For the Record As health care organizations increasingly recognize the critical link between patient health and social determinants of health (SDOH), a new initiative aims to showcase the innovative strategies employed by three leading health systems to enhance SDOH data collection and usage. This initiative is part of the AHIMA broader campaign, Data for…

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Dolbey at AHIMA24: Leading the Way in Health Information Management

As the healthcare industry adapts to rapid changes, health information management (HIM) professionals are at the forefront of improving patient care and operational efficiency. Dolbey is excited to announce that we will be attending AHIMA24, the American Health Information Management Association’s premier annual conference, to showcase our cutting-edge solutions for HIM professionals. AHIMA24 is set…

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Clinical Documentation Integrity: Overcoming Query Challenges

By By Susan Chapman, MA, MFA, PGYT for For The Record A dozen best practices to help coding and CDI professionals create effective queries for accurate and comprehensive medical documentation. Coding and clinical documentation integrity (CDI) professionals use queries to ensure diagnoses and procedures documented in the health record accurately reflect patient care. However, there…

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With 25×5 initiative, AMIA sets sights on tackling clinical documentation burden

By Mike Miliard for Healthcare IT News The American Medical Informatics Association this week announced next steps for AMIA 25×5, its multi-stakeholder effort to alleviate documentation burden for U.S. clinicians. WHY IT MATTERS Funded by the National Library of Medicine, the 25×5 Symposium to Reduce Documentation Burden on U.S. Clinicians by 75% by 2025 was…

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White Paper Details Technology’s Impact on CDI

From For the Record AHIMA and the Association of Clinical Documentation Integrity Specialists (ACDIS) released a new white paper that examines how rapid advancement in health care technology is driving changes to the practice of clinical documentation integrity (CDI). CDI is critical to the usability of medical data and ongoing efforts to improve patient care. New technologies, such as artificial…

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Book excerpt: A brief history of query practice briefs

By Karen Newhouser, RN, BSN, CCDS, CCDS-O, CCS, CDIP, CCM from the ACDIS CDI Blog As the CDI and coding professions continue to evolve, query guidance methods have changed along with them. The first industry standard brief, “Developing a Physician Query Process,” published by AHIMA in 2001, set the foundation for the compliant query practice.…

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A Tangled Mess

By Monique Griffin for For the Record From sequencing to recognizing manifestations, coding  for COVID-19 is no easy task. When the pandemic emerged, the World Health Organization (WHO), the American Medical Association (AMA), and the Centers for Medicare & Medicaid Services (CMS) scrambled to update codes for the diagnosis, testing, and tracking of COVID-19. Prior…

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AMA Announces New CPT Codes for Multivirus Tests to Detect COVID-19 and Flu

From For the Record The American Medical Association (AMA) recently published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting medical services sparked by the public health response to the COVID-19 pandemic. The update to the CPT code set was approved by the CPT…

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HIM Homebodies — Ignited by COVID-19, More Operations Go Remote

By Lisa A. Eramo, MA for For the Record When COVID-19 hit, Joe Naretto, MHA, RHIA, senior director of HIM at Novant Health in Charlotte, North Carolina, was faced with the task of transitioning 80 full-time employees anchored onsite at various corporate locations across the state to remote work arrangements. “Our direction from leadership was:…

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