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ADVANCE for Health Information Professionals is thrilled to welcome you to HIM Insider: Blogs, part of our Healthcare POV: Blog and Forum Community from ADVANCE. Our blog community offers interactive blogs written by professionals in the HIM field and our editorial staff. We look forward to hearing more about the HIM field from your point of view. Blogs will discuss issues related to the field, current events and other fun and candid observations. We have provided a comment section so you can voice your opinions and submit feedback. Happy blogging!

Recently, Fox Rothschild LLP published a blog questioning the continuous stream of information ...


By Girija Yegnanarayanani, PhD, director of applied CLU research at Nuance Communications.

"Eeny, meeny, miney, moe/Catch a tiger by the toe..." It's a familiar nursery rhyme, recited by children looking for a way to select who will be "it" for a game. The main principle of this ditty is choosing one (eeny) over another (moe). This is not unlike what can occur in the classification assignment when transitioning ...


By James P. Fee, MD, CCS, CCDS, AHIMA Approved ICD-10-CMS/PCS Trainer, Associate Director, Huff DRG Review

Plan-Do-Study-Act. These are the four steps for any educational or quality improvement endeavor-the same process required to ready your physicians' clinical documentation for ICD-10. The challenge is getting physicians educated, engaged, and involved.


Plan ...


By Michael Baney, president, Woodham HIM Solutions

In a letter to CMS dated June 4, 2014, Congress made it clear that it wants providers to adopt the new coding system successfully in 2015. This letter comes in the wake of the federal government's delay of the new coding system this past spring. Congress' message for 2015 is clear: ICD-10-CM/PCS is coming, and the industry needs to be ready.

According ...


By Debi Nelson, RHIT

As I wrap up a career in Health Information Management, I ponder what my legacy will be. Starting in 1979, I was fortunate to have positions I truly loved. While managing departments, planning and implementing budgets and drafting policies, I was also able to teach and give counsel on career choices. Will my legacy be about process or about the people's lives that I touched?  How do you ...


When it comes to ICD-10 implementation efforts, clinical documentation improvement (CDI) continues to be one of the most pressing concerns on the minds of healthcare providers. For some, the recent ICD-10 delay announcement couldn't come at a better time.  

ICD-10 isn't just a "coder" problem. With industry analysts predicting 50-70% productivity losses due to ICD-10, the development of complete and accurate ...


By Ryan Sandefer, chair of the Health Informatics and Information Management at The College of St. Scholastica

Health Information Management is often cited as one of this decade's 'Hot Jobs' and journalists love to single it out as a growth area everyone should be considering. It's easy to see why they pick out our profession.

The authors of a recent study published in the journal Industrial Relations ...

February 17, 2014 11:07 AM by Elsevier of Preparing a Successful ICD-10 Transition

"The need to prepare for ICD-10 and the Affordable Care Act and to achieve so-called meaningful use of electronic health records all at once could overwhelm computer staffs throughout the healthcare industry."

This quote from a recent New York Times article ("Roughed Up by an Orca? There's a Code for That") should get the attention of those who (1) still believe the transition to the new coding system ...


By Pam Wirth, RHIA

When it comes to ICD-10, many think the 10 months remaining until the transition deadline provides ample time to get coders fully training on the complex new code set. Not only is that unrealistic, but those that haven't already locked in their on-site training programs may find themselves out of luck.

Escalating demand is quickly creating a shortage of qualified instructors, ...

November 15, 2013 12:34 PM by Elsevier of Preparing a Successful ICD-10 Transition

Reflecting on our time at the AHIMA Convention & Exhibit in Atlanta, obviously there was a lot of focus on ICD-10. In addition to the usual interest in the upcoming implementation, there was also increased concern regarding the challenges of planning for the transition.

A few of the issues we heard most often included:

  • Is my organization moving fast enough to make the transition ...

October 17, 2013 9:18 AM by Elsevier of Preparing a Successful ICD-10 Transition

With less than two weeks to go, do you have your AHIMA game plan figured out? As always, there's a lot to do - and learn - so it requires a bit of forethought. 

ICD-10 likely will be top of mind for many, and participants will be looking for tips and tools to make their next move or fill in the gaps on preparation and training. As to the latter, here are some key questions you may want to ask yourself:

  • Do ...

October 7, 2013 2:12 PM by Mark Dominesey of CDI: Just Tell Me What to Say

According to Merriam-Webster's online dictionary, query is a transitive verb. It requires one or more objects. To "query" someone is to ask questions in order to resolve a doubt or obtain authoritative information. CDI specialists (CDIS) and clinical coders query physicians every day to clarify documentation and achieve accurate code assignments.

In fact, 38 percent of facilities have a set query quota (amount ...


By Ryan Sandefer

We recently returned from an exciting few days at the American Health Information Management Association's (AHIMA) Assembly on Education Symposium and Faculty Development Institute in Baltimore. A mouthful for sure, but it was great insight into what will be driving Health Informatics and Information Management (HIIM) over the coming academic year. The key takeaway? It's all about data, ...


We recently addressed the importance of confidence building in transitioning to ICD-10. Perhaps nowhere is this more important than with your experienced coders. For these folks, this means not only instilling confidence that they're up to the task, but also confidence that they have your support and respect.

Taking action now can help you retain your experienced medical coders - those who will be the most ...


By Margaret Czart, DrPH

Historically, health insurers relied on information technology mainly to automate reimbursement procedures and crunch numbers for actuarial tables. They collected the historical claims data for a patient, while the provider collected the clinical data - two very different kinds of health information, used in very different ways by two groups with very different goals. Insurers focused ...


When something is as potentially overwhelming as ICD-10 implementation, it can feel like a flood roaring past, with no obvious place for you to jump in or way to take control. The good news is that, if it's done correctly, there will be no flood in the first place, and the occasional eddies can be navigated safely.
It begins with finding out what you don't know, with an assessment that takes the guesswork out ...


By Ryan Sandefer, chair of the department of health informatics and information management, The College of St. Scholastica, Duluth, Minn.

One of the most important aspects of the modern health information revolution is the ability to connect and share data across healthcare disciplines. Healthcare decision-making needs good information, and that has to come from multiple departments - the ...

June 5, 2013 2:47 PM by Alice Zentner of CDI: Just Tell Me What to Say

According to Ralph Waldo Emerson, society is always taken by surprise by any new example of common sense. Such is the case with the recently released survey of nearly 300 HIM professionals regarding the state of ICD-10.

The survey was conducted jointly by the American Health Information Management Association (AHIMA) and TrustHCS in the fall of 2012. For those who are in-the-know about ICD-10, the survey ...


(This sponsored blog was written by Tom Ormondroyd, vice president/general manager, Precyse Learning Solutions.)

Here is a continuation of some common ICD-10 myths, from my previous blog Dispelling Some Myths About ICD-10. These are common ICD-10 myths that continue to plague all of our efforts to obtain ...


(This sponsored blog was written by Lee Ann Bryant, associate product manager, HealthStream.)

If you work in any healthcare environment, you know how inundated we have become with information around ICD-10 - most of it leaning toward the negative end of the spectrum. Yes, there is a lot to learn. Yes, there are time and financial burdens involved. Yes, it ...


(This sponsored blog was written by Lee Ann Bryant, associate product manager, HealthStream.)

According to a recent survey conducted by the Workgroup for Electronic Data Interchange (WEDI), an industry leader on the use of healthcare IT to improve the exchange of healthcare information, healthcare facilities as a whole are not on track for a smooth transition to ICD-10 Oct. 1, 2014. Close to 1,000 industry ...


(This sponsored blog was written by Lee Ann Bryant, associate product manager, HealthStream.)

Many think ICD-10 is only a coding problem, but the true challenge of ICD-10 is the need for increasing specificity and granularity in documentation in order to receive optimal reimbursement, meet all reporting requirements, and most accurately reflect the level of care provided.

The term "clinical ...


(This sponsored blog was written by Lee Ann Bryant, associate product manager, HealthStream.)

With small and medium practices in mind, CMS has put together the following checklist of ICD-10 tasks, including estimated timeframes for each task. Depending on your organization, many of these tasks can be performed on a compressed timeline or performed ...


By Stephen McClure, marketing manager-content, HealthStream

As the healthcare industry draws closer to the go-live date, ICD-10 remains a polarizing topic among healthcare professionals. While some healthcare organizations are actively preparing for a strategic rollout, others are, more or less, bracing for impact.

In April 2012, CMS extended the ICD-10 implementation deadline to Oct. ...


By Lee Ann Bryant, associate product manager, HealthStream

With so much uncertainty and overwhelming change associated with a transition to ICD-10, how could we ignore the potential risks involved?

The ...



We will explore how CDI impacts the transition to ICD-10 and the issues that clinicians will face. www.trusthcs.com

HIM & Heard: A blog echoing today's Health Information Management industry.  At a time of rapid technology growth and constant change, HIM professionals are as valued for their ability to learn as their experience to date.  Action taken at HIM level resonates in cash flow and compliance.  This blog provides a platform for thought on topics that matter most to these professionals and our nation's health care communities.

The blog will address various aspects of financial issues that may impact the healthcare industry as well as taxes that may impact companies and individuals as a result of the ongoing changes.

Learn the different ways to use training as the solution for the ICD-10 transition challenge.

This blog will discuss ways HIM professionals can develop and expand their skills sets, in order to keep pace in the rapidly expanding healthcare information field.