1. Careers in Health Information Management and AHIMA
Seminar TWO
Careers in Health Information Management and AHIMA

2. Health Information Professionals
AHIMA – American Health Information Management Association
RHIT – Registered Health Information Technician
RHIA – Registered Health Information Administrator
CCS – Certified Coding Specialist
CCS-P – Certified Coding Specialist Physician
AAPC – American Academy of Professional Coders
CPC – Certified Professional Coder
CPC-H – Certified Professional Coder Hospital Outpatient
AHDI – Association for Healthcare Documentation Integrity
CMT – Certified Medical Transcriptionist

3. Health Information Professionals
Health Services Managers
Plan, direct, coordinate and supervise the delivery of health care
Medical Assistants
Perform routine administrative and clinical tasks for physician offices.
Consultant
Medical Office Manager
Medical Staff Coordinator
Requires special certification of CMSC or CPCS
Quality/Risk or Utilization Manager
Vendor Salespeople/Consultant

4. Professional associations
American Health Information Management Association (AHIMA) –
Healthcare Information and Management Systems Society (HIMSS) –
American Medical Informatics Association (AMIA) –

5. Health Care Settings DRG – Diagnosis Related Group
PPS – Prospective Payment System
Great Resource:
Why do you think this chapter is talking about DRG’s and PPS when it is about different types of health care settings?

6. Health care settings Acute Care Facilities Critical Access Hospital
Treats serious, sudden or acute illnesses or illnesses
Provides full range of services; including Ancillary Services
Single Hospital or Multi-hospital Systems
Critical Access Hospital
General Hospital
Specialty Hospital
Rehabilitation Hospital
Behavioral Health Hospital

7. Health care Settings Ambulatory or Outpatients Ambulatory Surgery
Emergency Care
Inpatient
Newborn
Observation
Subacute

8. Health care Settings Home Care Skilled Care Hospice Care
Long-term Care
Assisted Living Facility
Continuing Care Retirement Communities
Intermediate Care Facility
Long-term Care Hospitals
Residential Care Facility
Skilled Nursing Facility

9. Health Care Settings Managed Care
Prepaid healthcare sector
Combines healthcare delivery and financing of health care services
HMO – Health Maintenance Organization
Provides coverage to members on a prepaid basis
Closed-panel HMO – specific group of providers
Open-panel HMO – contracted providers
Point of Service (POS) – can use HMO or Non-HMO providers. A copayment is required.
Preferred Provider Organization

10. Health care settings Utilization Management Correctional Facilities
Controls health care costs and ensures quality
Preadmission Certification (PAC)
Medical Necessity
Correctional Facilities
Primary Care
Chronic Disease Management
Inpatient Care

11. Health Care Settings Military Health System Public Heath Service
Military treatment center
Military Medical Support Office
Veterans Health Administration
Veterans Integrated Service Networks
Public Heath Service

12. Personal Health Record Activity
Instructions, Medical Record & PHR Form are in Doc Sharing
Important: Record is now for Edward Newman and updated the PHR forms

13. Personal Health Record Activity
Fill in the forms in the spaces provided from the information provided in the health record
Can only fill in the form in the spaces provided
Can use the “tab” key to move to each space

14. Personal Health Record Activity
Example

15. Chapter 2 Review (page 51) True/False
Once certified, a certified tumor registrar pays an annual fee to the NCRA and, therefore, does not have to participate in continuing education. FALSE
Coding and Reimbursement Specialists can obtain employment in a variety of health care settings. TRUE
A health information manager has a wider range of skills than a certified coder. TRUE
Registered Health Information Technician job titles include data quality manager, information security officer, educator, and consultant. FALSE
Medical assistants examine, diagnose, and treat patients under the direct supervision of a physician. FALSE

16. Chapter 2 review Multiple Choice
A health care professional who has the primary responsibility of ensuring the timely, accurate, and complete collection and maintenance of cancer data is known as a(n): Cancer Registrar
Two professional associations that offer certification in coding are: AAPC, AHIMA
Which is a benefit of joining a professional association? Networking with professional members
Which professional is required to pass a licensing examination in all states and the District of Columbia? Information Systems Manager
Medical transcriptionists have unique skills that enable them to: Keyboard prerecorded medical dictation

17. Chapter 2 review Fill in the Blank
The assignment of numbers to diagnoses, services, and procedures based on patient record documentation is known as CODING.
The Bureau of Labor statistics states that employment for the health information management profession is expected to grow FASTER THAN AVERAGE for all occupations through 2010.
The insurance claims organization that offers certification as a Certified Medical Billing Specialist is the MEDICAL ASSOCIATION OF BILLERS

18. Chapter 2 review
The American Association of Medical Assistants credentials medical assistants as CERTIFIED MEDICAL ASSISTANTS, and the American Medical Technologists credentials medical assistants as REGISTERED MEDICAL ASSISTANT.
Each professional association has a CODE OF ETHICS which are judgments about what is right or wrong.

19. Chapter 3 review (page 67) True/False
Clinic outpatients receive scheduled diagnostic and therapeutic services. TRUE
Diagnosis-related groups classify inpatient and outpatient hospital cases into groups that are expected to consume similar hospital resources. FALSE
General hospitals admit patients for a range of problems from fractures to heart disease and provide emergency care and general surgery services. TRUE
Outpatient psychotherapy is considered a restrictive type of behavioral health care service. FALSE

20. CHAPTER 3 REVIEW
Subscribers are individuals who pay premiums to receive health care services. TRUE
Critical access hospitals provide emergency services and maintain no more than 30 inpatient beds. FALSE
Swing beds allow rural hospitals to admit emergency patients. FALSE
A patient who has serious, sudden, or acute illness or injury would be treated in an ACUTE CARE FACILITY.
Hospitals that provide specialized long-term acute care such as chemotherapy, wound care, or injury rehabilitation are known as SPECIALTY hospitals.

21. Chapter 3 review
The type of care the provides comprehensive medical and supportive social, emotional, and spiritual care to terminally ill patients and their families is known as HOSPICE care.
A type of HMO that includes group and staff models, which provide services at HMO-owned health centers or by physicians who belong to a specialty-formed medical group, is a CLOSED PANEL HMO.
A PHYSICIAN is either on-site or available for 24-hour continuous duty to handle an inmate’s medical problems that may occur after normal working hours.

22. A hospital that admits patients who are diagnosed with trauma or disease and need to learn how to function again is a REHABILITATION FACILITY.
Services that are ordered by a physician and are provided under the supervision of a registered nurse, or physical, occupational, or speech therapist are known as SKILLED CARE.
The goal of hospice is PALLIATIVE rather than CURATIVE.
Individuals with mental health diagnoses that required inpatient intervention are treated in BEHAVIORAL HEALTH CARE hospitals.

23. Chapter 3 review
Internal medicine physicians specialize in the care of adults while PEDIATRICIANS provide services to infants, children, and adolescents.

24. Unit TWO: Reminders Reading: Essentials of HIM Chapters 2 & 3
Discussion Board: Post answer to DQ by Saturday, two responses to others due by Tuesday
Case Scenarios Quiz
Unit 2 Quiz
Personal Health Record Activity – Begin working on this activity. The first update is due in Unit Four.