Health Information Management Case Studies

Author: Dianna Foley, RHIA, CCS, CHPS
Affiliation:
Publisher: American Health Information Management Association
Publication Date: 2016
ISBN 10: 1584264586
ISBN 13: 9781584264583
eISBN: 9781584265627
Edition: 1st

Description:

Health Information Management Case Studies is a collection of case studies, discussion questions, and assignments designed to give students practice applying their knowledge. This text provides a chapter for each of the six domains in the 2014 American Health Information Management Association (AHIMA) HIM competencies as referenced by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) HIM accreditation standards. With questions that span a range of Bloom's Taxonomy levels, this book is appropriate for students of all levels, and would be an ideal complement for the newly updated Health Information Management and Health Information Management Technology textbooks. Domain I: Data Content, Structure, and Standards Domain II: Information Protection: Access, Disclosure, Archival, Privacy, and Security Domain III: Informatics, Analytics, and Data Use Domain IV: Revenue Management Domain V: Compliance Domain VI: Leadership

Table of Contents

Front Matter

  • ABOUT
  • ABOUT THE AUTHOR
  • ACKNOWLEDGMENTS
  • ONLINE RESOURCES
  • ICON KEY

CHAPTER 1: Domain I: Data Content, Structure, and Standards

  • 1.0 Taxonomies, nomenclatures, and terminologies
  • 1.1 Ambulatory surgery data collection
  • 1.2 Evaluate CAC systems
  • 1.3 ICD mapping exercise
  • 1.4 Coding audit
  • 1.5 Trauma registry audit
  • 1.6 Secondary data
  • 1.7 Videotaping policy
  • 1.8 Emergency department documentation
  • 1.9 HIE data stewardship and integrity
  • 1.10 MPI screen design evaluation
  • 1.11 Screen design evaluation
  • 1.12 Providers/roles/documentation
  • 1.13 Health record completion
  • 1.14 MPI integrity
  • 1.15 Patient-generated health data
  • 1.16 Assign MS-DRG and APC groupings
  • 1.17 Evaluate MS-DRG and APC groupings
  • 1.18 Special health record documentation requirements
  • 1.19 Physician assistant documentation practices
  • 1.20 Meaningful use and vocabularies
  • 1.21 Interoperability
  • 1.22 Information governance advocacy
  • 1.23 Encoder replacement
  • 1.24 Screen design eMPI
  • 1.25 Cloud computing pros and cons
  • 1.26 SNOMED CT vs. ICD
  • 1.27 Patient registration impact on HIM
  • 1.28 Privacy and security concerns related to interoperability
  • 1.29 Data dictionary and The Joint Commission
  • 1.30 Data warehouse and modeling
  • 1.31 Data dictionary maintenance
  • 1.32 Data dictionary flaw
  • 1.33 HEDIS report card
  • 1.34 Data dictionary mapping
  • 1.35 Cancer reporting

CHAPTER 2: Domain II: Information Protection: Access, Disclosure, Archival, Privacy and Security

  • 2.0 Legal terminology
  • 2.1 Healthcare laws and HIM
  • 2.2 Release of information form
  • 2.3 Subpoena preparation
  • 2.4 Security policy—HIM student practicum
  • 2.5 Information access
  • 2.6 Legal document conundrum
  • 2.7 Legal health record maintenance
  • 2.8 Potential privacy violation
  • 2.9 HIM staff privacy and security education
  • 2.10 Privacy and security education
  • 2.11 Legal terminology II
  • 2.12 HIM department breach
  • 2.13 Subpoenas and documentation
  • 2.14 Subpoenas and testifying
  • 2.15 Back-ups and e-discovery
  • 2.16 ROI cost
  • 2.17 ROI error
  • 2.18 Mobile health technology security
  • 2.19 Mobile health technology security II
  • 2.20 Disaster recovery planning
  • 2.21 Security audit
  • 2.22 Patient mix up
  • 2.23 E-Discovery preservation
  • 2.24 E-Discovery policy review
  • 2.25 Security access controls
  • 2.26 Remote access controls
  • 2.27 Legal terminology III
  • 2.28 Medical identity theft and PHRs
  • 2.29 Medical identity theft
  • 2.30 Consent
  • 2.31 Confidentiality statement
  • 2.32 Encryption
  • 2.33 Authentication
  • 2.34 Release of information policy
  • 2.35 Retention and destruction

CHAPTER 3: Domain III: Informatics, Analytics, and Data Use

  • 3.0 Inpatient census days
  • 3.1 Average daily census
  • 3.2 Bed occupancy rate and change
  • 3.3 Length of Stay/ALOS
  • 3.4 Average daily census/ALOS
  • 3.5 IT audit
  • 3.6 Electronic signature
  • 3.7 Information management plan
  • 3.8 HIM department strategic plan
  • 3.9 Coding intranet
  • 3.10 Password management
  • 3.11 Research methodology
  • 3.12 Literature review (Medline)
  • 3.13 Informed consent IRB
  • 3.14 AHIMA Foundation research
  • 3.15 PHR choices
  • 3.16 Patient-centered medical home
  • 3.17 IRB vulnerable populations
  • 3.18 HIE models
  • 3.19 HIE policies and procedures
  • 3.20 HIE challenges
  • 3.21 HIE and data integrity
  • 3.22 System testing
  • 3.23 Data normalization
  • 3.24 Data quality model
  • 3.25 Data integrity
  • 3.26 PDA vs. Laptop
  • 3.27 Thin client
  • 3.28 Denial dashboard
  • 3.29 Intrusion detection
  • 3.30 Quality management tools
  • 3.31 Database structure
  • 3.32 Delivery statistics
  • 3.33 Critical access hospital LOS
  • 3.34 Strategic planning
  • 3.35 ROI tracking log
  • 3.36 Network security procedures
  • 3.37 Best of….
  • 3.38 Data analytics—decision support
  • 3.39 Delivery analysis
  • 3.40 Corrections

CHAPTER 4: Domain IV: Revenue Management

  • 4.0 Case mix issue
  • 4.1 Case mix issue
  • 4.2 Compliance and case mix
  • 4.3 Inpatient-only procedure denials
  • 4.4 Chargemaster process
  • 4.5 Case management—discharge disposition
  • 4.6 UR—two-midnight rule
  • 4.7 ABN process
  • 4.8 RBRVS
  • 4.9 Patient-centered medical home
  • 4.10 PCMH II
  • 4.11 A/R days
  • 4.12 Payroll variance
  • 4.13 OCE audit
  • 4.14 Chargemaster issue
  • 4.15 Budgeting process
  • 4.16 Cost reporting
  • 4.17 Chargemaster composition
  • 4.18 Chargemaster requisition form
  • 4.19 Remittance advice
  • 4.20 Claim reconciliation
  • 4.21 EDI
  • 4.22 HAC-POA
  • 4.23 Budget variance
  • 4.24 APC audit
  • 4.25 Claim denial

CHAPTER 5: Domain V: Compliance

  • 5.0 Notice of privacy practices
  • 5.1 Joint Commission—Do Not Use abbreviations
  • 5.2 Joint Commission—Do Not Use abbreviations
  • 5.3 POA
  • 5.4 POA analysis
  • 5.5 Anemia query
  • 5.6 Coding error
  • 5.7 Coding and UHDDS
  • 5.8 Tracer methodology
  • 5.9 Delinquent medical records
  • 5.10 CAC and fraud detection
  • 5.11 Struggling CDI process
  • 5.12 Fraud and abuse focus
  • 5.13 Stark anti-kickback
  • 5.14 Query retention
  • 5.15 Query format
  • 5.16 Coding audit
  • 5.17 Coding audit, Part II
  • 5.18 Whistleblower
  • 5.19 New staff physician
  • 5.20 CDI monitoring
  • 5.21 Compliance policy
  • 5.22 Bilateral reporting
  • 5.23 Coding review
  • 5.24 Compliance policy II
  • 5.25 Fraud trend analysis
  • 5.26 NCCI guidelines
  • 5.27 Severity of illness and DRGs
  • 5.28 MS-DRGs
  • 5.29 Computer-assisted coding
  • 5.30 CAC roadblock

CHAPTER 6: Domain VI: Leadership

  • 6.0 Evolving leadership roles in HIM
  • 6.1 Labor and employment laws
  • 6.2 ROI for employee training and development
  • 6.3 Committee consensus
  • 6.4 Transcription PI
  • 6.5 Ethical situation
  • 6.6 Ethics breach
  • 6.7 Ethical dilemma
  • 6.8 Ethical decision-making
  • 6.9 Preparing for an HIM job interview
  • 6.10 HIM job interview
  • 6.11 Calculating ROI staffing levels
  • 6.12 Coder education
  • 6.13 New service impact on coding staff levels
  • 6.14 New HIM roles
  • 6.15 HIM and the C-suite
  • 6.16 HIM leadership roles
  • 6.17 Cultural awareness self-assessment
  • 6.18 ADA and HIM
  • 6.19 HIM department diversity
  • 6.20 Art of negotiating
  • 6.21 Salary negotiation
  • 6.22 Identify types of budget variances
  • 6.23 Depreciation
  • 6.24 Hospital merger
  • 6.25 Benchmarking performance
  • 6.26 IOM impact
  • 6.27 Vendor selection
  • 6.28 Project management life cycle
  • 6.29 Healthcare policies
  • 6.30 Emergency plan training
  • 6.31 Team facilitator
  • 6.32 Work redesign
  • 6.33 Mentor
  • 6.34 Coding productivity standards
  • 6.35 Workflow design
  • 6.36 Swimlane diagram
  • 6.37 Disciplinary action
  • 6.38 Coder orientation
  • 6.39 RFI, FRP, budget
  • 6.40 ACO, IG, and strategic planning
  • 6.41 CDI training
  • 6.42 Management principles
  • 6.43 Project: contract management
  • 6.44 Vendor contracts
  • 6.45 IG plan
  • 6.46 Project management—Gantt chart
  • 6.47 Sentinel events
  • 6.48 PI tools
  • 6.49 Data collection methods
  • 6.50 Discipline
  • 6.51 Budgets
  • 6.52 Data dictionary
  • 6.53 Managed care versus accountable care
  • 6.54 Data stewardship
  • 6.55 Data quality management