ahima toolkit: patient portal

Full Answer

What is AHIMA dHealth?

AHIMA's experts discuss the launch of AHIMA dHealth™, a solution where providers and other healthcare stakeholders can discover digital health products, including ones that have passed an AHIMA assessment showing they secure and protect patient data .

Who is the CEO of AHIMA?

We are proud to announce that AHIMA CEO Wylecia Wiggs Harris, PhD, CAE, has been recognized by Modern Healthcare as one of 2021’s Top 25 Diversity Leaders, and is one of 10 people named to the list of 2021 Diversity Leaders to Watch by the publication.

How has telehealth expanded?

Telehealth has expanded through federal and state measures intended to increase access during the pandemic.

What is AHIMA template library?from ahima.org

AHIMA’s template library standardizes query workflow across your organization and helps HIM and CDI leadership easily manage and maintain query templates.

What is AHIMA-ACDIS practice brief?from bok.ahima.org

This American Health Information Management Association – Association of Clinical Documentation Improvement Specialists (AHIMA-ACDIS) Practice Brief should serve as an essential resource for coding and clinical documentation improvement (CDI) professionals in all healthcare settings who participate in query processes and/or functions. It should also be shared and discussed with other healthcare professionals, such as quality, compliance, revenue cycle, patient financial services, physician groups, facility leaders, and any others who work with health record documentation, clinical coding, and/or coded data.

What is a query in healthcare?from bok.ahima.org

A query is a communication tool or process used to clarify documentation in the health record for documentation integrity and accurate code assignment for an individual encounter in any healthcare setting . Synonymous terms for “query” include: clarification, clinical clarification, and documentation clarification. Documentation queries (referred to as “queries” in this Practice Brief) are used by coding professionals, CDI professionals, and all professionals responsible for documentation clarification or who have oversight and/or involvement in the query process. As healthcare reimbursement methodologies evolve and reliance on claims data as a risk-adjustment and quality of care tool increases, so does the importance and complexity of the query process. Queries continue to be a mechanism that increases the precision of clinical documentation, which translates into accurate clinical data, reflecting a provider’s intent and clinical thought process in a manner that results in an accurate depiction of patient complexity within each episode of care.

How long is a query kept in a health record?from bok.ahima.org

Query Retention : Queries will be maintained in a business folder (section) of the health record for a period of seven years or as stated by medical bylaws.

What is a health record?from bok.ahima.org

A health record contains documentation authored by a variety of healthcare professionals. Increasingly, the electronic health record also contains information whose origin and accuracy cannot always be easily verified. While it is important to note the overall accuracy of the health record and how well it meets industry and regulatory standards, it is outside the scope of querying professionals to manage provider documentation practices. When coding and CDI professionals identify that the health record fails to meet one of the following seven criteria identified below, and after education and query efforts have been exhausted, it should be reported to the appropriate facility and/or organizational authority:

What is a template in medical?from bok.ahima.org

Templates should be drafted by a multidisciplinary team including physician advisors or a member of the medical staff and approved by the compliance officer or legal counsel . Templates should be editable or customizable to ensure that clinical indicators and evidence is included, and only suitable diagnostic choices are provided. Any conditions that are not appropriate to the situation should not be included in the final document that is communicated to the provider. Titles for templates should be generic and not call out a specific diagnosis that is not already documented.

Why should templates be easy to use?from bok.ahima.org

The templates should be easy to use and create consistency resulting in compliant and accurate clarification opportunities. Policies and procedures regarding creation of the templates, annual review and updates, as well as instructions for use should be established to support standardized use of the templates. Education and examples should be offered to providers so that they are comfortable with the templates and understand their role in responding to the templates. Templates should align with other standards and criteria identified in this Practice Brief.

What is AHIMA dHealth?from ahima.org

AHIMA's experts discuss the launch of AHIMA dHealth™, a solution where providers and other healthcare stakeholders can discover digital health products, including ones that have passed an AHIMA assessment showing they secure and protect patient data .

Who is the CEO of AHIMA?from ahima.org

We are proud to announce that AHIMA CEO Wylecia Wiggs Harris, PhD, CAE, has been recognized by Modern Healthcare as one of 2021’s Top 25 Diversity Leaders, and is one of 10 people named to the list of 2021 Diversity Leaders to Watch by the publication.

How has telehealth expanded?from ahima.org

Telehealth has expanded through federal and state measures intended to increase access during the pandemic.