Health Information Management Profession
ARLNA was the original name
AHIMA
Are healthcare systems that combine the financial and clinical aspects of healthcare and use a group of healthcare providers, selected on the basis of quality and cost management criteria, to furnish comprehensive health services across the continuum of care. Ensures patients get the right care at the right time from the right provider.
Integrated delivery systems (IDSs)
allocated funds for implementation of a nationwide health information exchange and implementation of electronic health records.
Health Information Technology for Economic and Clinical Health (HITECH) Act
the administrative (policy and procedure requirements) and operational guidelines (how the policies and procedures are carried out) under which facilities are allowed to take part in the Medicare and Medicaid programs
Conditions of Participation (CoPs)
prohibits healthcare providers from refusing to treat patients or delaying treatment due to the patient not having insurance or not having the ability to pay.
EMTALA
Emergency Medical Treatment and Active Labor Act
headquarters are located in Chicago, Illinois.
AHIMA
Places an emphasis on treating individual patients at the level of care required by their course of treatment and extends from their primary care providers to specialists and ancillary providers.
continuum of care
is a digital record of an individual’s health-related information that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization.
EHR - Electronic Health Record
are standards applied to facilities that choose to participate in federal government reimbursement programs such as Medicare and Medicaid (CMS 2015).
Conditions for Coverage (CFCs)
overall purpose is to standardize clinical phrases, making it easier to produce accurate electronic health information. Doing so enables automatic interpretation and sharing of clinical information. Semantic interoperability is also possible.
SNOMED-CT
Is a virtual network of AHIMA members who communicate via a web-based program managed by AHIMA. Is open only to AHIMA members.
Engage
a type of healthcare organization that delivers medical care and manages all aspects of patient care or the payment for care by limiting providers of care, discounting payments to providers of care, or limiting access to care.
managed care organizations (MCOs)
evaluate the quality and appropriateness of the care provided to the patient.
Medical review organizations
has expanded its accreditation program offerings and currently provides accreditation for ambulatory healthcare, behavioral health, critical access hospitals, homecare, hospital, laboratory, nursing care centers, physician offices, and office-based surgery centers.
Joint Commission
contains three to seven character codes and descriptions for patient conditions. This includes symptoms, syndromes, diseases, and other reasons for patients requiring healthcare services.
ICD-10-CM
Is responsible for managing the AHIMA association and determining its direction.
AHIMA Board of Directors
is a federal program that provides healthcare benefits for people age 65 and older who are covered by Social Security. The program was inaugurated on July 1, 1966.
Medicare
is the permanent record of all patients treated at a healthcare facility. It is used by the HIM department to look up patient demographics, dates of care, the patient’s health record number, and other information.
Master Patient Index
is the process of identifying the source of health record entries by attaching a handwritten signature, the author’s initials, or an electronic signature.
Authentication
provides a system for classifying procedures performed on hospital inpatients. It provides a unique code for all substantially different procedures, both currently known and those that may be identified at some future date in time.
ICD-10-PCS
is a program of earned recognition for AHIMA members who have made significant and sustained contributions to the HIM profession through meritorious service, excellence in professional practice, education, and advancement of the profession through innovation and knowledge sharing. Individuals who earn fellowship use the designation Fellow of the American Health Information Management Association (FAHIMA).
AHIMA's Fellowship Program
is considered one of the major health information technology laws that provided stimulus funds to the US economy in the midst of a major economic downturn.
American Recovery and Reinvestment Act of 2009 (ARRA),
is “a number assigned by a healthcare facility for billing purposes that is unique to a particular episode of care; a new account number is assigned each time the patient receives care or services at the facility” (AHIMA 2014, 111).
Patient Account Number
is generated when a patient is provided with room, board, and continuous general nursing care in an area of an acute-care facility, such as a hospital, where the patient generally stays overnight at that facility.
inpatient health record
is standardized data set designed to provide the necessary data items to measure both outcomes and patient risk factors of Medicare beneficiaries who are receiving skilled services from a Medicare-certified home health agency.
OASIS