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3. Optimizing data representation through the use of SNOMED CT.

Author

Bronnert J, Daube J, Jopp G, Peterson K, Rihanek T, Scichilone R, and Tucker V

Subjects
Humans, Information Management, Medical Record Linkage, United States, Electronic Health Records standards, Systematized Nomenclature of Medicine
Published
2014

4. New name of the HIM game.

Author

Abrams K, Giannangelo K, Schneider S, and Scichilone R

Subjects
Education, Continuing, Electronic Health Records, Health Information Management trends, Medical Record Administrators, United States, Medical Informatics organization & administration, Professional Competence, Terminology as Topic
Published
2014

5. Data standards, data quality, and interoperability (updated).

Author

Fenton S, Giannangelo K, Kallem C, and Scichilone R

Subjects
Electronic Health Records standards, Medical Record Linkage standards, Quality Control, United States, Information Management standards, Systems Integration
Published
2013

6. Integrity of the healthcare record. Best practices for EHR documentation.

Author

Arrowood D, Choate E, Curtis E, DeCathelineau S, Drury B, Fenton S, Gelzer R, Goldberg A, Goyal P, Hall T, Harper M, Jackson P, Jenkins N, King E, Kirkey J, Knuth D, Lee S, Miller D, Neville D, Peters L, Pupo E, Qazen U, Saunders S, Scichilone R, Trites P, Von Plinsky J, Whaley L, and Williams M

Subjects
United States, Electronic Health Records standards, Evidence-Based Practice
Published
2013

8. Semantic interoperation and electronic health records: context sensitive mapping from SNOMED CT to ICD-10.

Author

Campbell JR, Brear H, Scichilone R, White S, Giannangelo K, Carlsen B, Solbrig H, and Fung KW

Subjects
Artificial Intelligence, Pattern Recognition, Automated methods, Translating, Electronic Health Records, International Classification of Diseases classification, Medical Record Linkage methods, Natural Language Processing, Semantics, Systematized Nomenclature of Medicine, Terminology as Topic
Abstract

An important case for successful deployment of a lifetime electronic health record is reuse of clinical data from the electronic health record (EHR) for epidemiology, reimbursement, and research. We report a collaboration between the IHTSDO and the WHO to develop knowledge-based tools supporting translation of data from SNOMED CT to the ICD-10 classification. These tools have been vetted by an international community and are available for system vendors to enhance the interoperability of their products. The maps we created are also informing the development of the next generation of classifications which will employ a common ontology base between SNOMED CT and ICD-11 to promote interoperability.

Published
2013

9. Climbing higher: bridging the gap to advanced degrees in HIM.

Author

Aspiazu B, Balentine D, Bartholomew K, Bowman K, Endicott M, Greenstone P, Kersten S, Lalani KH, LaMarca C, Lee K, Locke TF, Matteson ES, Mattias M, Moore EV, Nielsen R, Rice K, Rudman B, Sayles N, Scichilone R, Sharp M, Sugai E, Tesch L, and Willis D

Subjects
Humans, United States, Education, Graduate economics, Educational Status, Medical Record Administrators education
Published
2012

11. Problem list guidance in the EHR.

Author

Acker B, Bronnert J, Brown T, Clark JS, Dunagan B, Elmer T, Goodell S, Green K, Heller P, Holmes C, Imel M, Johnson K, Kallem C, Loucks M, Patel S, Reed DA, Scichilone R, and Tegen AL

Subjects
Accreditation, Clinical Coding, Guidelines as Topic, Internationality, Joint Commission on Accreditation of Healthcare Organizations, Policy Making, United States, Electronic Health Records organization & administration, Electronic Health Records standards, Problem Solving
Published
2011

12. Data mapping best practices.

Author

Bronnert J, Clark J, Cook J, Fenton S, Scichilone R, Williams M, and Wilson P

Subjects
Health Care Sector, United States, Clinical Coding organization & administration, Information Management organization & administration
Published
2011

13. Automated coding workflow and CAC practice guidance.

Author

Bishop J, Bronnert J, Cook J, Macksoud L, Mastronardi C, Morsch M, Phibbs K, Scichilone R, and Thibault K

Subjects
Automation, Forms and Records Control organization & administration, Practice Guidelines as Topic
Published
2010

14. Putting the ICD-10-CM/PCS GEMs into practice.

Author

Bowman S, Butler R, Giannangelo K, Leon-Chisen N, and Scichilone R

Subjects
Diagnosis-Related Groups organization & administration, Forms and Records Control organization & administration, Forms and Records Control standards, Hospital Information Systems organization & administration, United States, Diffusion of Innovation, International Classification of Diseases
Published
2010

15. Planning organizational transition to ICD-10-CM/PCS.

Author

D'Amato C, D'Andrea R, Bronnert J, Cook J, Foley M, Garret G, Gladden G, Hope K, Imel M, Johnson LM, Jorwic T, Jurek J, Karaman-Meacham C, Kelly CD, Kohn D, Lewis L, Marlow J, Millas B, Novak N, Parker E, Paterno M, Perron K, Peterson K, Peterson K, Piselli C, Ruhnau-Gee B, Safian S, Sanvik G, Scichilone R, Seger R, Viola AF, Von Saleski B, and Yoder MJ

Subjects
Electronic Data Processing methods, Forms and Records Control standards, Humans, Information Dissemination, Inservice Training methods, International Classification of Diseases standards, International Classification of Diseases trends, Organizational Innovation, Program Development methods, Health Personnel education, International Classification of Diseases organization & administration, Vocabulary, Controlled
Published
2009

16. Transitioning ICD-10-CM/PCS data management processes.

Author

D'Amato C, D'Andrea R, Bronnert J, Cook J, Foley M, Garret G, Gladden G, Hope K, Imel M, Johnson LM, Jorwic T, Jurek J, Karaman-Meacham C, Kelly CD, Kohn D, Lewis L, Marlow J, Millas B, Novak N, Parker E, Paterno M, Perron K, Peterson K, Peterson K, Piselli C, Ruhnau-Gee B, Safian S, Sanvik G, Scichilone R, Seger R, Viola AF, Von Saleski B, and Yoder MJ

Subjects
Electronic Data Processing methods, Forms and Records Control standards, Humans, International Classification of Diseases standards, United States, International Classification of Diseases organization & administration, Vocabulary, Controlled
Published
2009

18. Managing terminology assets in Electronic Health Records.

Author

Abrams K, Schneider S, and Scichilone R

Subjects
Medical Records Systems, Computerized standards, Terminology as Topic
Abstract

Electronic Health Record (EHR)systems rely on standard terminologies and classification systems that require both Information Technology (IT) and Information Management (IM) skills. Convergence of perspectives is necessary for effective terminology asset management including evaluation for use, maintenance and intersection with software applications. Multiple terminologies are necessary for patient care communication and data capture within EHRs and other information management tasks. Terminology asset management encompasses workflow and operational context as well as IT specifications and software application run time requirements. This paper identifies the tasks, skills and collaboration of IM and IT approaches for terminology asset management.

Published
2009

19. Practice brief. HIM and Health IT. Discovering common ground in an electronic healthcare environment.

Author

Abrams K, Acker B, Adair D, Bice M, Bishop J, Blakelee R, Bronnert J, Brown P, Childress J, Dunyak D, Elmlinger P, Gardenier M, Kallem C, Kamer L, Kowalczyk D, Melvin J, Meyer M, Perron K, Rogers T, Schunke J, Schwartz K, Scichilone R, Sweeney B, Thompson P, Westhafer K, Williams M, Wilson P, Wood L, and Youngberg L

Subjects
Computer Security, Confidentiality, Cooperative Behavior, Guidelines as Topic, Humans, Interdepartmental Relations, Interprofessional Relations, Professional Role, Risk Management, Security Measures, Systems Integration, United States, Database Management Systems organization & administration, Hospital Information Systems organization & administration, Information Management organization & administration, Medical Record Administrators standards, Medical Records Systems, Computerized organization & administration
Published
2008

21. The evolution of DRGs.

Author

Boucher A, Bowman S, Piselli C, and Scichilone R

Subjects
Diagnosis-Related Groups history, History, 20th Century, Humans, United States, Diagnosis-Related Groups organization & administration
Published
2006

22. The legal process and electronic health records.

Author

Bartschat W, Blevins A, Burnette L, Costa K, D'Ambrosio M, Glowacki G, Griffin KB, Katrompas M, LaPrad F, Manning S, McElroy M, Patton RL, Quinsey CA, Riesser BJ, Russo JJ, Sayer J, Schleis K, Scichilone R, Thompson BA, and Tomes JP

Subjects
United States, Medical Records Systems, Computerized legislation & jurisprudence
Published
2005

24. Ready for the transactions rule? Get started with code sets.

Author

Amatayakul M, Jorwic T, and Scichilone R

Subjects
Current Procedural Terminology, Hospital Information Systems legislation & jurisprudence, International Classification of Diseases, Medical Record Administrators standards, United States, Forms and Records Control standards, Health Insurance Portability and Accountability Act, Hospital Information Systems standards, Medical Records classification
Published
2003

25. Spring training for outpatient hospital coding compliance.

Author

Scichilone RA

Subjects
Centers for Medicare and Medicaid Services, U.S., Guidelines as Topic, Humans, Medical Record Administrators education, Outpatient Clinics, Hospital classification, Outpatient Clinics, Hospital economics, United States, Current Procedural Terminology, Forms and Records Control classification, Guideline Adherence organization & administration, International Classification of Diseases, Medical Records classification, Outpatient Clinics, Hospital organization & administration
Published
2001

26. Another look at home care PPS.

Author

Youmans K, Scichilone R, and Dougherty M

Subjects
Abstracting and Indexing standards, Centers for Medicare and Medicaid Services, U.S., Disease classification, Episode of Care, Humans, Medicare, Organizational Policy, United States, Home Care Services classification, Home Care Services economics, Insurance Claim Reporting classification, Medical Records classification, Prospective Payment System
Published
2001

27. Coding for APCs: case studies.

Author

Scichilone RA

Subjects
Ambulatory Care economics, Ambulatory Surgical Procedures classification, Ambulatory Surgical Procedures economics, Ancillary Services, Hospital economics, Humans, Insurance Claim Reporting classification, Insurance Claim Reporting standards, United States, Ambulatory Care classification, Disease classification, Medical Records classification, Medicare, Outpatient Clinics, Hospital economics
Published
2000

28. Outpatient prospective payment becomes a reality.

Author

Scichilone RA

Subjects
Aged, Ambulatory Care economics, Humans, Insurance Claim Reporting classification, United States, Ambulatory Care classification, Medical Records classification, Medicare legislation & jurisprudence, Outpatient Clinics, Hospital economics, Prospective Payment System legislation & jurisprudence
Published
2000

29. Clarifying selected CPT modifiers.

Author

Scichilone RA

Subjects
Abstracting and Indexing standards, Centers for Medicare and Medicaid Services, U.S., Clinical Laboratory Techniques classification, Clinical Laboratory Techniques economics, Humans, Therapeutics classification, United States, Forms and Records Control, Insurance Claim Reporting classification, Medical Records classification
Abstract

This discussion includes only 20 percent of the modifiers available for physician reporting, but could account for 80 percent of modifiers assigned for physician services. Modifier -91 was the only new modifier introduced in CPT 2000 and it is used to report a repeat clinical diagnostic laboratory test. It is not to be used when confirming initial results or for any other reason other than a clinical need to repeat the test for the same patient on the same day. Success with CPT modifier reporting requires a thorough review of CPT guidelines and some detective work for identifying health plan requirements for modified codes.

Published
2000

31. Steps to internal audits for physician office records.

Author

Zeisset A and Scichilone R

Subjects
Abstracting and Indexing standards, Education, Continuing, Guidelines as Topic, Inservice Training, Medical Records standards, Forms and Records Control organization & administration, Management Audit, Physicians' Offices organization & administration
Published
1999

32. Getting ready for APCs.

Author

Scichilone R

Subjects
Abstracting and Indexing standards, Ambulatory Care economics, Disease classification, Education, Continuing, Humans, United States, Ambulatory Care classification, Insurance Claim Reporting classification, Medical Records classification
Published
1999

33. Three perspectives on coding.

Author

Scichilone RA, Stavely S, and Lemanski S

Subjects
Abstracting and Indexing, Fraud prevention & control, Guideline Adherence, Interprofessional Relations, Organizational Innovation, Physicians, United States, Forms and Records Control, Medical Record Administrators, Medical Records classification
Abstract

It isn't just about assigning codes any more. These days, coders are breaking new ground in their profession. Three authors offer different perspectives on the role of the coder in today's healthcare environment--from their evolution in the world of HIM to broader connections with physicians and issues of compliance.

Published
1999

34. The development of coding certification for physician services.

Author

Scichilone RA

Subjects
Certification, Evaluation Studies as Topic, Practice Management, Medical, United States, Abstracting and Indexing standards, Insurance Claim Reporting classification, Medical Record Administrators standards
Published
1998

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