|Industry & Standards Activities
Coded data is used for multiple purposes in the healthcare industry. Up-to-date terminologies and classification systems will provide much better data for:
- Measuring the quality, safety, and efficacy of care
- Designing payment systems and processing claims for reimbursement
- Conducting research, epidemiological studies, and clinical trials
- Setting health policy
- Operational and strategic planning and designing healthcare delivery systems
- Monitoring resource utilization
- Improving clinical, financial, and administrative performance
- Preventing and detecting healthcare fraud and abuse
- Tracking public health and risks
The quality and usefulness of this coded data depends upon sufficient maintenance of the code set standards themselves and consistent and appropriate application of the codes in practice. AHIMA is actively involved in the following efforts in support of quality coded data.
- Represents and serves AHIMA members at the national level by promoting uniformity of health care data by collaborating on the establishment of coding and classification standards and guidelines across health care settings.
- Represents AHIMA members' needs by recommending revisions to the Centers for Medicare and Medicaid Services (CMS) and National Center for Health Statistics (NCHS) that ensure that the classification remains current, viable, and robust.
- Represents AHIMA members at key standards development
organizations including ISO, WHO-FIC, HL7 International, and IHTSDO.
- Provides educational coding resources so that providers have well-trained, well-informed coders to allow appropriate capture of information.
- Is involved in endeavors that rely on the use and interpretation of data including development of standards, implementation, and enforcement not only in the inpatient and outpatient setting but post acute care settings, such as long term care and home care, as well because clinical terminologies and classification systems comprise the core of the information infrastructure.