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HIM Operations

Improvements for the Prior Authorization Process for Elective Surgical Procedures at an Academic Medical Center

By Karen Y. Marble, MHS; Genie R. Briggs MHS; and Xiaoshan Z. Gordy, PhD

Prior authorization is an approval process to ensure that services provided by healthcare organizations will be reimbursed by insurance carriers. Prior authorization denials can result in revenue loss. Due to multiple prior authorization issues, over $21 million in charges was denied, and...
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The Symbiotic Relationship Between Health Information Management and Health Informatics: Opportunities for Growth and Collaboration

By Dasantila Sherifi, PhD, MBA, RHIA; Memory Ndanga, PhD, RHIA; Thomas (TJ) Hunt, PhD, RHIA, CHDA, FAHIMA; and Shankar Srinivasan, PhD

Health information management (HIM) and health informatics (HI) are two similar but distinct disciplines. They share a common goal in terms of using information technologies and information power to improve the quality and efficiency of patient care; contribute to disease prevention and...
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