Essentials of Health Information Management

Mary Jo Bowie, M.S., B.S., A.A.S., R.H.I.A., R.H.I.T., is the owner of Health Information Professional Services in Binghamton, New York. Her organization provides consulting services for all aspects of health information management. Previously, Ms. Bowie served as director of the Health Information Management and Medical Coding program at Mount Wachusett Community College in Gardner, Massachusetts. Widely respected in the field, she has consulted with health facilities for more than 35 years, has conducted national training seminars on coding and health information management topics and regularly speaks at regional and national professional events. In addition to creating content for Cengage, Ms. Bowie develops instructional content for ICD-10-CM/PCS, CPT®/HCPCS and health data courses. She also teaches a variety of health information technology courses and is an active member of the American Health Information Management Association (AHIMA). In addition, she is a registered health information administrator, an accredited health information technician and an AHIMA ICD-10-CM/PCS-approved trainer. Her education credentials include associate, bachelor's and master's degrees. Michelle Green has been a SUNY Distinguished Teaching Professor in the health information technology department at Mohawk Valley Community College in Utica, New York, since 2017. She was the SUNY Distinguished Teaching Professor in the physical and life sciences department at the State University of New York College of Technology for more than 30 years. She has authored three popular textbooks related to coding, revenue management and health information management. An active member of the American Academy of Professional Coders and American Health Information Management Association, Green has been recognized for her excellence in teaching as well as her significant contributions to the health information management profession. Her numerous accolades include the State University of New York Chancellor's Award for Excellence in Teaching, Alfred State College's Alumni Association Teacher of the Year, Who's Who Among America's Teachers and AHIMA's FORE Triumph Educator Award. In addition, she is a Registered Health Information Administrator, a fellow of the American Health Information Management Association and a Certified Professional Coder. She earned an MPS from Alfred University and a Bachelor of Science from Daemen College.

Preface.
1. Health Care Delivery Systems.
History of Medicine and Health Care Delivery. Continuum of Care. Health Care Facility Ownership. Health Care Facility Organizational Structure. Licensure, Regulation, and Accreditation.
2. Health Information Management Professionals.
Careers. Professional Practice Experience. Join Your Professional Association.
3. Health Care Settings.
Acute Care Facilities (Hospitals). Ambulatory and Outpatient Care. Behavioral Health Care Facilities. Home Care and Hospice. Long-Term Care. Managed Care. Federal, State, and Local Health Care.
4. The Patient Record: Hospital, Physician Office, and Alternate Care Settings.
Definition and Purpose of the Patient Record. Provider Documentation Responsibilities. Development of the Patient Record. Patient Record Formats. Archived Records. Patient Record Completion Responsibilities.
5. Electronic Health Records.
Evolution of Electronic Health Records. Electronic Health Record Systems. Regional Health Information Organizations. Impact of the American Recovery Reinvestment Act, Public Law 111-5. Components of Electronic Health Record Systems Used in Health Care.
6. Content of the Patient Record: Inpatient, Outpatient, and Physician Office.
General Documentation Issues. Hospital Inpatient Record-Administrative Data. Hospital Inpatient Record-Clinical Data. Hospital Outpatient Record. Physician Office Record. Forms Control and Design.
7. Numbering Filing Systems and Record Storage & Circulation.
Numbering Systems. Filing Systems. Filing Equipment. File Folders. Filing Controls. Loose Filing. Circulation Systems. Security of Health Information.
8. Indexes, Registers, and Health Data Collection.
Indexes. Registers and Registries. Case Abstracting. Health Data Collection.
9. Legal Aspects of Health Information Management.
Legal and Regulatory Terms. Maintaining the Patient Record in the Normal Course of Business. Confidentiality of Information and HIPAA Privacy and Security Provisions. Legislation that Impacts Health Information Management. Release of Protected Health Information.
10. Coding and Reimbursement.
Nomenclatures and Classification Systems. Third-party Payers. Health Care Reimbursement Systems.
Glossary.
Bibliography.
Index.