Authority of ACDIS / AHIMA

herrolslherrolsl
in CDI Talk Archive
In response to the recent AHIMA Guidelines for Achieving a Compliant Query Practice a physician consultant to our HIM department asks "What is the legal authority of the ACDIS / AHIMA to dictate hospital policy, procedure or best practice in relation to CMS Conditions of Participation or state law?"
What answers could I provide or resources to direct him to?

Thank you
Sheryl

Sheryl Herrold, RN
Coordinator, Clinical Documentation Improvement
Health Information Management
Iowa Health - Des Moines
Des Moines, Iowa
515-971-3969

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Comments

  • mdomineseymdominesey
    AHIMA is one of the cooperating parties for ICD-9 and ICD-10 guidelines and coding clinic. Therefore, they have pretty good leverage!

    Mark

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    Thursday, February 21, 2013 3:32 PM
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    In response to the recent AHIMA Guidelines for Achieving a Compliant Query Practice a physician consultant to our HIM department asks
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    The ICD-9-CM "Official Guidelines for Coding & Reporting' are approved by four cooperating parties:

    AHA
    AHIMA
    CMS
    CDC

    HIPPA act of 1996 requires compliance with these published guidelines when reporting all clinical information.

    I hope this is helpful - to my knowledge, ACDIS, is a private organization, and although highly respected, carries no regulatory weight.

    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org

  • Unknown
    I believe you are right Paul. ACDIS is not regulatory-- but does set certain standards and expectations for CDI specialists...but it can not regulate anything. Standards are always good though.... without ACDIS contributions, the field of CDI would be floundering.

    Nita Seel
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    Nita: I agree - ACDIS serves the CDS profession very well - great resources and great networking. I just wanted to provide the requestor with an official response to the MD regarding the regulatory process and the obligation all have to follow the advice offerred in Coding Clinic.

    Best..Paul

  • Unknown
    edited May 2016

    I understand Paul....Thanks for all your great comments!


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