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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!

Are doctors becoming highly-paid data entry clerks?

Typically a doctor spends 43% of their time on patient data entry and only 28% on patient care. Often lost in these discussions is the a doctor's time spent on direct patient care. 

The projected growth of mHealth (Mobile Health) ...


After decades of experience with ICD-9, we have learned and come to grips with its quirks. We do not yet have that comfort level with ICD-10. After all, it's still pretty new to most of us in the U.S. I'm not really concerned about the diagnosis side of ICD-10 and its Clinical Modification, ICD-10-CM. But what does concern me is ICD-10 PCS. So far, we don't have a good idea of how this is going to impact reimbursement, ...


One year after the adoption of the Affordable Care Act (ACA), a new study by Health eCareers found that the effect of the ACA's new policies ranked as the third most pressing concern for healthcare recruiters and hiring managers, just behind staff turnover and the projected physician shortage.

It was anticipated that the ACA would result in the creation of specific new roles in the healthcare industry, but ...


Many people who waited eagerly for the day they could stop working and enjoy a leisurely retirement find that the reality doesn't match their dreams.

"Some people are not prepared financially or mentally to retire," says Michael Bivona, a retired CPA and author of the book "Retiring? Beware!! Don't Run Out of Money and Don't Become Bored" (


Several published reports this week confirmed the data of about one million patients at New Jersey medical facilities has been compromised since 2009.

According to a database kept by the U.S. Department of Health and Human Services, since 2009, there have been 14 breaches of patient information ...


The healthcare industry is experiencing a surge in data breaches, security incidents, and criminal attacks-exposing milllions of patients and their medical records-according to the latest Ponemon Institute study, the "Fifth Annual Benchmark Study on Privacy & Security of Healthcare Data," ...


By Dr. Jonathan Elion, MD, FACC 

Providing a rules-based expert system requires that the "knowledge", or software system, be made available throughout a healthcare organization, a goal that is easily accomplished with the use of a hosted data model.

In the past, uses of the "Software as a Service" approach were met with concerns over security and confidentiality, causing ...


By Dr. Jon Elion, MD

An expert system for clinical documentation improvement (CDI) is a specialized type of software that provides answers to problems, eliminating the need to consult a human expert.  

When applied to a CDI program, the expert system collects and organizes ...


As mobile technology becomes more commonplace in the healthcare industry, Panasonic's National Healthcare Sales Manager, Jamil King, notes that "it's clear we're not the only ones excited about what new capabilities can come with the implementation of a mobile computing strategy."

King points to a recent study ...


By Dr. Jon Elion, Founder and CEO of ChartWise Medical Systems

Whether selecting and adapting an inpatient or an outpatient clinical information system, a little "homework" can go a long way towards helping to ease the pains of adoption. Here are some steps to consider taking in an effort to ensure a smooth ...


According to the Mayo Clinic, telemedicine most commonly refers to "the communication with or among a patient's health care team via video connection, secure text messaging or another platform rather than in person. It can be used to schedule appointments, answer questions, ...


By Dr. Jon Elion, Founder and CEO of ChartWise Medical Systems

With the ICD-10 conversion deadline right around the corner, healthcare professionals are doing all they can to make sure they are ...


By Christopher Budd, Global Threat Communications Manager, TrendMicro

Recently we learned that up to 80 million customers and employees of Anthem health insurance have had their personal information stolen. Initial reports indicate that the data loss includes names, birth dates, Social Security numbers, addresses and employment data including income, i.e., all the information you need for effective identity ...


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 ...



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.

The ADVANCE for Healthcare Information Professional editorial staff will discuss issues in the profession, current events in healthcare and offer their two cents for your enjoyment.