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A Look Into the Future of HIM with Rita Bowen – HIM Scene

Posted on June 14, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

One of my favorite people in the HIM world is Rita Bowen. She is currently Vice President, Privacy, Compliance and HIM Policy at MRO, but she has a really impressive HIM resume previous to MRO and a deep understanding of the evolution of HIM and their role in healthcare.

With this experience in mind, I was excited to interview her on the current state of HIM and where HIM is heading in the future. Here are the list of questions I asked Rita if you want to skip to a specific question or you can just watch the full video interview embedded at the bottom of this post.

If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

A Look at the HIM World with Dr. Jon Elion from ChartWise Medical Systems – HIM Scene

Posted on April 5, 2017 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

Healthcare Scene had a chance to interview Dr. Jon Elion, founder and president of ChartWise Medical Systems where we asked him about some of the big happenings in Health Information Management (HIM) and how world of HIM is evolving. Dr. Elion offers some really great insights into the HIM profession. You can watch the full video interview embedded at the bottom of this post or click on one of the questions below to hear Dr. Elion’s answer to that question.

Find more great Healthcare Scene Interviews.

If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

HIM’s Role in Healthcare Security and Privacy – HIM Scene

Posted on November 30, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

One of my go-to experts on healthcare privacy and security is Mac McMillan, CEO and Co-Founder of CynergisTek. He’s built a really great company that focuses on privacy and security in healthcare and he’s a true expert.

While at AHIMA 2016, I talked with Mac about the role that HIM plays in healthcare privacy and security. We also talk about where healthcare privacy is heading and which part of healthcare privacy and security doesn’t get enough attention. I also asked Mac to make a big 20 year prediction on what will happen with privacy and security in healthcare.

Check out our interview with Mac McMillan, CEO and Co-Founder of CynergisTek:

We shot a number of other videos at AHIMA 2016 which we’ll be posting shortly. If you enjoyed this video, be sure to Subscribe to Healthcare Scene on YouTube and watch our full archive of Healthcare Scene interviews.

If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

Will Medical Coders Be Needed in the Future? – HIM Scene

Posted on October 26, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

After spending time with so many HIM professionals at the AHIMA Annual conference, I’ve come back thinking about the future of medical coders. No doubt, many HIM professionals are moving well beyond medical coding into other areas such as healthcare analytics, clinical documentation improvement (CDI), EHR optimization, and much more. However, there’s still a massive need for high quality medical coding and the HIM professionals that provide that service.

As we look into the future, the techie in me feels like medical coding should be automated. Why are we paying people to do medical coding? Why can’t that be automated and be done by robots? It’s not like medical coding is a particularly fun job. I’m sure there are some times it’s fun working on unique cases, but it can be quite monotonous and tedious. Why not have a computer do it instead?

What I’ve learned over the years is that medical coding is more art than it is science. Certainly there are some clear cut cases where it’s basically science. However, a large part of what a coder does isn’t set in stone. There’s some artistic licence if you will, or at least some interpretation that has to happen in order to code a visit properly. Computers aren’t good at interpretation, but humans are.

The other reality is that doctors don’t produce perfect documentation. If they did, then we probably could code a robot to code a patient visit. Since there are nuances to every physician’s documentation, we’re going to need humans that interpret those nuances as part of the coding process. I don’t see this changing in our lifetimes.

One word of caution. Many people fall into the trap that we need automated robot coding to be perfect for it to accepted. That’s just not the case, because human coders aren’t perfect either. In fact, there’s some research that human coders aren’t as good as we thought they were at coding, but I digress. The reality is that automated coding just has to be better than humans, it doesn’t have to be perfect. Even with this said, I don’t see it happening for a while.

What we do see happening now is a collaboration between humans and computers: computer assisted coding. While we don’t have to worry about computers replacing humans in medical coding, we do need to focus on ways that technology can make the work humans do better. That’s a powerful concept that we’re starting to see happen already.

If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

Integrating CDI Efforts Across Inpatient and Outpatient – HIM Scene

Posted on October 19, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

One of the main topics HIM professionals have been discussing for a couple years is around CDI (Clinical Documentation Improvement). These programs have taken all sorts of shapes and sizes. Some are completely human driven. Others are largely tech driven, but most are a mix of the two. In fact, most CDI programs have gotten quite sophisticated and are really impacting the bottom line of healthcare organizations.

While most healthcare organizations realize that there are benefits to CDI, most of them have restricted these programs to the inpatient environment only. This was illustrated to me really well when I ran into a transcription vendor from India. It was his first time attending AHIMA and he was considering new areas of business including CDI. When we talked about CDI, his first comment was that he’d only ever seen CDI in hospitals, not in the ambulatory world.

While this is the case today, one HIM expert at AHIMA told me that one of the next big frontiers for CDI is going to be outpatient CDI. She went on to tell me that it’s fertile ground that could really benefit every healthcare organization. However, she also suggested that there shouldn’t be two CDI programs: 1 for inpatient and 1 for outpatient. Instead, CDI should be an integrated effort across inpatient and outpatient.

Clinical documentation improvement is only going to become more important in healthcare. Certainly, most CDI projects were started as a way to improve reimbursement. That’s a good goal and a benefit of a high quality CDI project. However, over time CDI is going to become even more important to an organization’s value based reimbursement efforts. In fact, if your clinical documentation isn’t accurate your reimbursement will really suffer. How can you keep a patient healthy if you’ve documented the wrong information for a patient?

How is your organization approaching CDI? Are you doing CDI in both inpatient and outpatient?

If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

Looking Forward to #AHIMACon16 – HIM Scene

Posted on October 12, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

This post is part of the HIM Series of blog posts. If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

As we prepare to head to the 2016 AHIMA Annual convention (see our full list of conferences we attend), we’re excited to talk about how we’re planning to expand HIM Scene to include as many HIM voices and perspectives as possible. HIM Scene will still be hosted here on Hospital EMR and EHR and will still have its own email list where HIM professionals can receive great HIM related content from thought leaders across the industry. However, we’ll be using HIM Scene to share a wide variety of people and perspectives.

The HIM industry is an amazing group of devoted people and that really comes through at every AHIMA annual convention I attend. Plus, HIM has a lot more influence than many people realize. So, we’re happy to do what we can to raise the voices and perspectives of HIM professionals here at HIM Scene.

Looking forward to the AHIMA Annual convention next week in Baltimore, we’re excited to learn about a number of important topics. Here are a few we’ll be sure to report on in future HIM Scene posts:

ICD-10 – A year after implementation, I’m really interested to hear the real stories of how ICD-10 has impacted healthcare organizations for good and bad. I bet there will be a lot of stories that haven’t been shared. I’ll also asking the HIM professionals I meet what they think the impact of the end of the ICD-10 grace period will have on healthcare. I wonder how many will have stories of ICD-10 improving care versus stories of ICD-10 for reimbursement.

Information Governance – This is an eternally hot topic in HIM, but it always continues to evolve. This is particularly true as records have gone electronic. This year I wonder how many people have been involved in some sort of health data sharing project. Information governance can get pretty tricky as healthcare organizations start to share data with each other electronically.

HIPAA Privacy and Security – A really hot topic given all the HIPAA breaches and ransomware incidents in healthcare. I’m sure I’ll find a number of HIPAA privacy officers that will share some good insights into how they’re dealing with these security and privacy challenges. I’m afraid many of them will give me exasperated responses about how their leadership isn’t taking it serious enough.

Informatics – I’ve been really intrigued with HIM’s role in healthcare informatics. Once you dive in, it makes since why HIM would be involved, but I don’t think most people saw that at first. What’s also been interesting to watch is many HIM professionals who’ve kind of shunned their involvement in healthcare informatics. We’ll see if many are still in that position or if most HIM professionals are starting to embrace and participate in the informatics efforts of their organizations.

What hot topics will you be looking for at the 2016 AHIMA Annual Convention? The AHIMA 2016 theme is to “Inspire Big Thinking to Launch Our Future.” We’ll be sure to report back any big thinking we hear from people we meet.

ahima-2016

If you’d like to receive future HIM posts in your inbox, you can subscribe to future HIM Scene posts here.

Value Based Reimbursement: Another Challenge for HIM Professionals

Posted on August 3, 2016 I Written By

Erin Head is the Director of Health Information Management (HIM) and Quality for an acute care hospital in Titusville, FL. She is a renowned speaker on a variety of healthcare and social media topics and currently serves as CCHIIM Commissioner for AHIMA. She is heavily involved in many HIM and HIT initiatives such as information governance, health data analytics, and ICD-10 advocacy. She is active on social media on Twitter @ErinHead_HIM and LinkedIn. Subscribe to Erin's latest HIM Scene posts here.

How many times have you heard something along these lines: “HIM professionals must stay relevant and current with the continuous healthcare changes.” I must sound like a broken record to my team but it is absolutely true! HIM professionals provide the bridge between clinical data and reimbursement methodologies through CDI, coding, documentation integrity, and health data analytics to name a few. It has been proven time and time again that these HIM skills are vital to healthcare organizations but these skills must also be adapted and be put to good use each time a new guideline or rule is introduced.

Value-Based Reimbursement is an area that continues to grow with the push for quality patient outcomes and healthcare savings with potential penalties for excessive costs and poor quality of care. Reimbursement incentives that are tied to quality of care make perfect sense and HIM professionals need to take the plunge into these initiatives. By marrying departments and cross-functioning teams, we are able to generate proactive data and improve performance.

At my facility, I oversee the HIM department as well as the Quality department because we work closely together and will continue to have an even closer relationship throughout healthcare reform. This is becoming very common in the industry.

In this roundtable article for the Journal of AHIMA, we each outlined how we are bringing HIM to the table for Value Based Reimbursement initiatives and maximizing the tried and true skills of HIM professionals.

I have said it before and I will continue to say it: Always keep your finger on the pulse of healthcare and stay relevant by taking on these new challenges!

If you’d like to receive future HIM posts by Erin in your inbox, you can subscribe to future HIM Scene posts here.

Making the Case for a Unique Patient Identifier – #MyHealthID

Posted on April 13, 2016 I Written By

Erin Head is the Director of Health Information Management (HIM) and Quality for an acute care hospital in Titusville, FL. She is a renowned speaker on a variety of healthcare and social media topics and currently serves as CCHIIM Commissioner for AHIMA. She is heavily involved in many HIM and HIT initiatives such as information governance, health data analytics, and ICD-10 advocacy. She is active on social media on Twitter @ErinHead_HIM and LinkedIn. Subscribe to Erin's latest HIM Scene posts here.

Healthcare is a high priority for the US Government and as HIM professionals, we know the importance of keeping our fingers on the pulse of issues facing our nation. We must stay current with proposed regulatory changes and those that address the needs of the US healthcare system as they relate to HIM, privacy and security, and Health IT. One issue our nation has struggled with is secure universal identification for citizens. Social security numbers were not originally meant to be secure identifiers yet they have controversially been used as unique identifiers by Centers for Medicare and Medicaid Services (CMS) for many years.

In our line of work, we see all of the potential negative implications and the important role that patient identification plays in patient safety, HIPAA compliance, and health record accuracy. When patients are not appropriately identified throughout the continuum of care, many issues arise that can lead to misdiagnosing, incomplete information, unnecessary testing, and fraud to name a few. Duplicates and overlays are far too common due to issues matching patient names and dates of birth versus using a universal secure identifier. Sharing information through health information exchange is nearly impossible when patients are registered in multiple systems with different spellings or misidentification.

The HITECH act of 2009 laid the ground work for the Department of Health and Human Services (HHS) to standardize unique health identifiers among other tasks but we have yet to see any real progress on this subject due to federal budget barriers. In response to this, AHIMA sees this as a critical need and has started a petition to the White House to:

“Remove the federal budget ban that prohibits the U.S. Department of Health and Human Services (HHS) from participating in efforts to find a patient identification solution. We support a voluntary patient safety identifier. Accurate patient identification is critical in providing safe care, but the sharing of electronic health information is being compromised because of patient identification issues. Let’s start the conversation and find a solution.”

The campaign is called MyHealthID and looks to have 100,000 signatures on the petition to garner the attention of the US Government. HIM professionals recently took to Washington, DC to visit with Congressmen and Senators from each state to advocate for MyHealthID. The message that “there’s only one you,” hopes to resonate with politicians and make the case that a unique patient identifier is necessary and important to healthcare.

I encourage all healthcare professionals to sign this petition and assist the advocacy efforts toward a unique patient identifier. MyHealthID will not only help with HIM and Health IT initiatives; it will be in the best interest of healthcare consumers nationwide.

If you’d like to receive future HIM posts by Erin in your inbox, you can subscribe to future HIM Scene posts here.

10 Awesome Things About HIM Professionals to Celebrate HIP Week

Posted on April 6, 2016 I Written By

Erin Head is the Director of Health Information Management (HIM) and Quality for an acute care hospital in Titusville, FL. She is a renowned speaker on a variety of healthcare and social media topics and currently serves as CCHIIM Commissioner for AHIMA. She is heavily involved in many HIM and HIT initiatives such as information governance, health data analytics, and ICD-10 advocacy. She is active on social media on Twitter @ErinHead_HIM and LinkedIn. Subscribe to Erin's latest HIM Scene posts here.

April 3-9, 2016 is known as Health Information Professionals (HIP) week. This annual event is a great time for celebrating accomplishments and touting the diverse skills of HIM professionals. I came up with a list of great things for us to brag about during HIP week and every day:

  1. HIM Careers: There are roughly 180,000 HIM professionals in the United States. There are 15 nationally recognized professional credentials available for HIM. (Keep spreading the word so we are recognized when asked what we do for a living. We are not just Medical Records!)
  2. Information Governance: HIM professionals are the gatekeepers of health information and are perfectly apt to take on new exciting roles in Information Governance and Data Analytics.
  3. Advocacy: HIM professionals are in Washington, DC this week advocating for a unique patient safety identifier- My Health ID. Be sure to sign the petition to remove the ban that prevents HHS from working on this important endeavor.
  4. ICD-10: ICD-10-CM and ICD-10-PCS coding classification systems were successfully implemented in October 2015 and are providing more specificity and detail to health data for documentation quality improvement and secondary data usage.
  5. Job Growth: There is a projected job growth of 18-26% in HIM positions in 2016. Source: Monster.com
  6. Remote Coding: Many medical coding professionals are able to work remotely from home.
  7. Social Media: A new hashtag for HIM social media conversations was started this week- #HIMsocial.
  8. Networking: We have great networking opportunities in HIM – conferences, online forums, and social media are great ways to learn and share information. Lifelong friendships and strategic relationships are always waiting to be made.
  9. HIPAA: HIM professionals ensure protected health information is kept secure and released only to the correct individuals who have a need to know. This  protects healthcare consumers and prevents fines of millions of dollars for healthcare organizations annually.
  10. Versatility: HIM professionals are versatile and can provide many benefits to different healthcare settings including hospitals, physician offices, EMR vendors, auditors, and insurance providers among many others.

Happy HIP Week to all! Celebrate your success and that of our great HIM community!

If you’d like to receive future HIM posts by Erin in your inbox, you can subscribe to future HIM Scene posts here.

What is the CCA Credential?

Posted on January 13, 2016 I Written By

Erin Head is the Director of Health Information Management (HIM) and Quality for an acute care hospital in Titusville, FL. She is a renowned speaker on a variety of healthcare and social media topics and currently serves as CCHIIM Commissioner for AHIMA. She is heavily involved in many HIM and HIT initiatives such as information governance, health data analytics, and ICD-10 advocacy. She is active on social media on Twitter @ErinHead_HIM and LinkedIn. Subscribe to Erin's latest HIM Scene posts here.

There comes a point in an aspiring coder’s life when they are ready to earn a credential but might not have coding experience yet. This is when the Certified Coding Associate (CCA) credential comes in to play to provide the opportunity to prove the credential holder’s coding knowledge and competencies. The CCA credentialing exam is administered by the American Health Information Management Association (AHIMA) and is one of three specific coding credentials offered by AHIMA. The other coding credentials through AHIMA are the Certified Coding Specialist (CCS) and the Certified Coding Specialist- Physician based (CCS-P).

The CCA exam is offered to anyone with at least a high school diploma interested in coding. The content of the exam includes clinical classification systems, reimbursement methodologies, health records and data content, compliance, information technologies, and confidentiality and privacy (source: AHIMA). The largest portion of  questions on the exam covers the clinical classification systems which includes assigning codes and applying coding guidelines. Candidates prove they are able to apply coding methodologies for all levels of care including inpatient hospitals and physician offices.

The CCA credential is ideal for HIM and Coding students or new HIM professionals who are eager to earn a credential to add to their resume. While this credential proves competencies in the key coding domains, someone with this credential may not be qualified for a seasoned coder job posting which will typically require years of coding experience. However, the benefit of having this credential is that it shows the hiring manager that the applicant has had enough education and exposure to coding to be able to pass a thorough credentialing exam on the subject. Many students take this exam while completing coursework for HIM and Coding degrees to prepare themselves for the job market.

Medical coding is a career in high demand and has been recognized as a very important role in healthcare. Anyone interested in launching a career in coding will have to learn the ropes from the ground up. It is appropriate for CCA credentialed coders to look for entry level coding positions that will develop their coding skills and potentially lead to further specialization in the HIM field.

For more information on the CCA credential, see the AHIMA website.

Access additional resources for HIM credentials here: CCS, RHIA, RHIT.

If you’d like to receive future HIM posts by Erin in your inbox, you can subscribe to future HIM Scene posts here.