January 8, 2020
Help Choose CHIA's Next Leaders - Polls Open Monday
Excerpt from Sara Bickle, RHIT, CCA; Member, CHIA Nominating Committee; January/February CHIA Journal , page 5

The 2019-2020 CHIA Nominating Committee is pleased to present to the membership the 2020 CHIA ballot for elected offices. The committee is truly grateful and would like to thank each member who volunteered, and by doing so, making it possible for the committee to present an exceptional group of nominees for the membership’s consideration. 

Candidate biographical information and responses to reactor questions are available in the January/February CHIA Journal. Candidate information is also available on the CHIA website here. Reviewing candidate biographical information and position statements will help members make informed choices regarding CHIA’s next leaders; individuals who in turn will be influential in helping lead the HIM profession into the future.

Voting this year will take place beginning Monday, January 13, 2020 and continue through Monday, January 27, 2020. All active CHIA members are eligible to vote. Voting is easy and takes about five minutes. In early January all eligible voting members will receive a special CHIA e-Bulletin with the tagline “VOTE”, which will direct members to the online ballot. The committee’s goal is to have 25% or more of CHIA’s eligible voting members participate in the 2020 election. Let’s try to blow that number out of the water!

As the HIM profession strives to position itself for the future, it is important that all members eligible to do so participate in helping to choose CHIA’s next leaders. As an acknowledged national leader, CHIA is helping to shape the future of the HIM profession, and by voting you are helping CHIA – and the HIM profession – move forward.

Each of the candidates on the 2020 CHIA ballot is committed to continuing the tradition of professional leadership and innovation. More than ever, it is imperative that all of us make our voices heard. With the advent of new technologies and many other fundamental changes in health care and the HIM profession, it is of high importance that we thoughtfully choose CHIA leaders who will help our members and our association keep pace.

Please make it a priority to vote in the CHIA election between January 13 - 27, 2020 and encourage your CHIA colleagues to do the same.
Understanding Social Determinants of Health
Provided are excerpts from the  January/February CHIA Journal. CHIA members receive a mailed hard copy, and all CHIA and AHIMA members can access the digital version online to view, read and enjoy now!

Social Determinants of Health: Capturing Social and Economic Factors to Improve Patient Care
by Gloryanne Bryant, RHIA, CDIP, CCS, CCDS

Social determinants of health (SDOH) have been defined by the World Health Organization (WHO) as “the conditions in which people are born, grow, live, work and age.” Further, the WHO states that “these circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities – the unfair and avoidable differences in health status seen within and between countries.”

The use of SDOH-related data may assist in increasing the wellness potential for patients so that they can be engaged in their health care through acknowledgement, awareness and aid to overcome barriers of societal challenges that create obstacles. Impediments include issues such as failed medication adherence when prescriptions are priced beyond one’s budget capability or limited mobility requiring arrangements to access reliable transportation. Increased interest in this arena has been seen in recent health care media headlines. Read More.
Interested in Learning More About SDOH?
Don't miss the CHIA Webinar Social Determinants of Health: Time to Initiate Data Capture with ICD-10-CM tomorrow and discover more about SDOH with Gloryanne Bryant.

Thursday, January 09, 2020 at 11:00 AM - 12:30 PM (PT)
1.5 CEUs | Clinical Data Management
Apply for a CHIA Awards and Scholarship Opportunity
The purpose of the CHIA Awards and Scholarship Fund is to promote the importance of HIM professional credentials, strengthen the HIM profession, promote the value of AHIMA and CHIA membership, identify and engage future leaders, and support HIM-related research. 

  • Student Scholarships - Deadline March 1
  • Certification Exam Fee Reimbursement Program - Deadline February 28
  • Foundation for Active Member Education (FAME) Scholarship
  • HIIM Program Grants - Deadline March 1  
  • Research Support Awards

RN Link's CDI Specialist Training - Discount for CHIA Members
February 15-16, 2020 in Glendale, CA
Registration closes on February 1

March 28-29, 2020 in Orange County Location TBD
Registration closes on March 14

Are you a coding professional interested in learning about clinical documentation improvement (CDI)? Are you a retired nurse or a nurse who wants to explore other career options? There are enormous needs in the health care industry to become a CDI Specialist where you will assist physicians to accurately document how truly ill patients are with severity ratings. The trend nowadays is quality documentation and this course will teach you how to achieve this. 

  • Day 1: Overview of CDI lingo, coding guidelines, PRE-MDC, MDC 1 through MDC 7 with case studies.
  • Day 2: Completion of MDC 8 through 25 and "The Mall." Case studies, major disease topics, clinical indicators discussed for the most common query opportunities.  

RN Link is offering a 10% discount to CHIA Members. ​ Learn more and register today!
 Southern California Healthcare Innovation Summit
February 4-5, 2020
Hyatt Regency La Jolla at Aventine, San Diego, CA

Join top executives, physicians, practice management and health care decision makers from North America’s leading provider organizations and physician practices for a two-day executive Summit. Healthcare Innovation has developed a concise program where leading health care thought leaders interact with their fellow executives and solution providers to discuss the latest strategies and tactics to address a wide range of issues and topics. In San Diego, a nationally leading market for managed care innovation, speakers and panelists will delve into a host of topics around payer-provider data-sharing, the most innovative approaches to care management across populations, and the lessons being learned around revenue cycle management and IT governance, as patient care organization leaders move their organizations into the emerging health care system. Learn more and see the full agenda.

CHIA members and vendors may be eligible for a complimentary or discounted registration . Use the discount codes when registering; Members: CHIACOMP / Vendors: CHIA50
Latest HIM News Updates & Resources
DHS Issues Bulletin Warning of Potential Iranian Cyberattack
Maggie Miller for The Hill; Jan 6, 2020

The Department of Homeland Security (DHS) released a bulletin this week through its National Terrorism Advisory System warning of Iran’s ability to carry out cyberattacks with “disruptive effects” against critical U.S. infrastructure.

In the bulletin, sent in the wake of the U.S. airstrike that killed Iranian Quds Force commander Gen. Qassem Soleimani, DHS noted that while there is currently “no information indicating a specific, credible threat to the Homeland,” Iran does have the ability to attack the U.S. in cyberspace. Read More .
AMA Offers Checklist for E/M Coding and Documentation Changes
Samantha McGrail for Xtelligent Healthcare Media, LLC.; Jan 6, 2020

The American Medical Association (AMA) recently issued a checklist for physician practices to use when adopting evaluation and management (E/M) coding and documentation changes slated to take effect next year. Consistent with their end goal to reduce burden, CMS looked to align their E/M coding with changes adopted by the AMA. CMS ultimately walked back plans to collapse E/M codes and payments rates, instead opting to retain five separate levels and payment rates for E/M visits for established patients. In addition, they reduced the number of levels to four for new patients.

Initially, the federal agency finalized the E/M payment changes after an industry-wide disagreement. Under the previously proposed 2019 Medicare Physician Fee Schedule rule, CMS wanted to collapse the payment rates for all upper levels of E/M office/outpatient visits. And physicians would start using the single/blended payment rate in 2019. Read More
Sutter Health to Pay $575 Million to Settle Antitrust Case
Felicia Alvarez for Sacramento Business Journal; Dec 20, 2019

Sutter Health has agreed to pay $575 million to settle a lawsuit by California Attorney General Xavier Becerra alleging anticompetitive practices that have driven up the cost of health care in Northern California.

The settlement agreement was filed in San Francisco Superior Court on Friday, where the Sacramento-based health system and Becerra are seeking preliminary approval of the settlement, according to the United Food and Commercial Workers & Employers Benefit Trust. The trust is one of a group self-funded employer insurance plans that originally filed the lawsuit against Sutter in 2014. The Attorney General's office joined the suit last year. Read More .
New Medicare Outpatient Observation Notice (MOON)
U.S. Centers for Medicare & Medicaid Services; Jan 7, 2020

The Office of Management and Budget (OMB) has renewed the MOON (CMS-10611). Please note the MOON is unchanged from its current version and only the expiration date is different on this renewed notice. Hospitals are required to use the new MOON beginning April 1, 2020. Both the previous and new versions of the notice are acceptable for use through March 31, 2020. The notice, in English and Spanish, is available below under “Downloads.” Learn More .
Free PEPPER Resources Available for HIM Professionals

The RELI Group, along with its partners TMF Health Quality Institute and CGS, is contracted with the Centers for Medicare & Medicaid Services to develop, produce and disseminate provider-specific comparative data reports, referred to as the P rogram for Evaluating Payment Patterns Electronic Report, or PEPPER . PEPPER summarizes one provider’s Medicare claims data statistics and provides comparative data with the state, jurisdiction and nation. Providers can review the PEPPER to evaluate their statistics and determine whether they should take any actions, such as reviewing records to ensure the care provided was necessary, and that documentation supports the diagnosis codes and services billed. 

Discover more information on PEPPER , including sample reports, user’s guides, recorded training sessions and national-level comparative data. View the PEPPER distribution schedule and information on how to get your organization’s PEPPER. 
CHIA Events Calendar
Social Determinants of Health: Time to Initiate Data Capture with ICD-10-CM
Thursday, January 9 - Live Webinar  

Managing and Preventing Denials in a Clinically-Driven Revenue Cycle
Wednesday, January 15 - Live Webinar
eHIM Operational Best Practices: The Road to Health Information Integrity
Tuesday, January 28 - Los Angeles
Thursday, January 30 - Sacramento
Operationalizing Information Governance: Beyond the Definition
Tuesday, February 4 - Live Webinar

CHIA Volunteer's Make a Difference
Wednesday, February 19 - Live Webinar
Advanced ICD-10 Coding Workshop
Wednesday, February 19 Day 1: CM - Irvine
Thursday, February 20 Day 2: PCS - Irvine

Unique Situations Involving Disclosure of Minors' Mental Health Records
Wednesday, February 26 - Live Webinar

Interventional Radiology: Peripheral Revascularization of the Lower Extremity
Tuesday, March 10 - Live Webinar

CHIA Convention & Exhibit
Sunday, June 14 thru Wednesday, June 17 - Riverside