HIM Briefings

Coding productivity will decrease at least initially­ with the switch to ICD-10-CM/PCS. Coders will also­ need complete, accurate documentation to take advantage of the new code set's increased specificity. So HIM and coding managers need to know how productive their coders are and the extent of their clinical knowledge­ base, as well as how accurately and completely physicians are documenting.

For years we have heard that EHRs improve the ­quality of clinical documentation in the medical record. While this is absolutely true in terms of legibility, it may not be so true otherwise.

HIM's management of the patient portion of the ­Vanderbilt Medical Center's patient portal MyHealth­AtVanderbilt (MHaV) may well make it unique, but the approach has paid off, says Anne Dixon, RHIA, ­manager of medical information services in Vanderbilt's HIM department.

Test staff knowledge of HIPAA with these questions.

Does HIM play a role in Joint Commission survey readiness at your hospital?

Editor's note: In 2011 we are celebrating MRB's 25th year in a myriad of ways. This month we're excited to release our 2011 HIM Director and Manager Salary Survey Report. Below are a few of the highlights.

ICD-10 will affect every system within your hospital. So said Mary Rita Hyland, RN, BS, MBA, ­assistant vice president of regulatory affairs and chief privacy ­officer for The SSI Group, Inc., in Mobile, AL, during the March 21 HCPro, Inc., audio conference, "ICD-10 Vendor Readiness: Build Your Game Plan Now." Providers have a significant task ahead of them and a small window within which to accomplish it, Hyland said. And that means taking a good hard look now.

Throughout 2011 we are including ­special content in honor of MRB's 25th year. This month we reached out to some long-time readers who have been on board since MRB's early years, including some who have read every single issue! Read on to find out what they had to say.

To take a proactive approach to the RAC process, you will need to assess your current level of financial risk. You can do this internally or with the help of external resources. There are many good risk evaluation software tools on the market for hospitals and health systems; there are also consultants who specialize in reviewing hospitals' claims for proper coding and documentation to assess overall compliance risk and make suggestions for corrections. Once you identify and quantify your risk, you can begin to take action to mitigate the impact of a RAC audit of past claims and to improve your systems to avoid being out of compliance in the future.