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AHIMA describes its foundation as a sister organization to the Association for Healthcare Documentation Integrity (AHDI) and states the foundation has a charitable and educational nature. The foundation formulates and issues opinions, supports education, conducts research and compiles its contributions into the AHIMA BoK ( body of knowledge ).
Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...
A progress note is the record of nursing actions and observations in the nursing care process. [13] It helps nurses to monitor and control the course of nursing care. Generally, nurses record information with a common format. Nurses are likely to record details about a client's clinical status or achievements during the course of the nursing care.
In 1991 Omnibus Budget Reconciliation Act (OBRA) required state medical boards to report "any negative action or finding" by "any peer review or accreditation entity," [1] wresting the notion of peer review by physicians away from the National Practitioner Databank.
The National Association of Children's Hospitals & Related Institutions: Clinical care, research, training, and advocacy: www.childrenshospitals.net Child Health Corporation of America: Business strategies, safety & quality: www.chca.com National Initiative for Children's Healthcare Quality: Education and research: www.nichq.org
More specifically, CMIA prohibits providers, contractors and health care service plans from disclosing PHI without prior authorization. These medical privacy laws also set a higher standard for health IT vendors or vendors of an individual's personal health record (PHR) by applying such statutes to vendors, even if they are not business ...