Is this email not displaying correctly? View it in your browser.

June 2011

Inside this Edition:

Message from the President

New State Legislation Regarding Verbal Orders

Volunteer Spotlight

ICD-10 Trainers

Health IT Workforce Development Programs In Tennessee

New and Exciting Opportunities For HIM Professionals

AHIMA Foundation Launches Delta Project

Top Reason for RAC Denials: Lack Of Medical Necessity In Wrong Setting

CCHIIM ICD-10 Continuing Education Requirements for AHIMA Certified Professionals

Legal Handbook Web Portal


Message from the President 

I want to take this opportunity to thank all of you who support the Tennessee Health Information Management Association. The past year of my Presidency has been so rewarding; I found it to be an honor to serve the members of THIMA and to represent the membership at the National Level. THIMA is without a doubt the strongest CSA in the AHIMA umbrella, and we have some great partners --  other CSA’s, Healthcare Associations, and Vendors.  We could not be successful without them.   As I transition to the Executive Committee and turn over the lead to Stacy, I feel comforted her leadership will take THIMA to the next level in Education, Advocacy, and HIM Awareness.

I am excited to announce the creating of the Tennessee Health Information Management Association Foundation. This exciting addition to THIMA will provide great benefits to you as a member. The THIMA Board has approved the creation of this Foundation and the Bylaws and structure are currently being worked out. The Foundation will allow THIMA the opportunity to offer additional education opportunities, scholarships, and fund more events for your benefit. You will  see additional benefits as a donating member through tax deductible contributions. Stay tuned for more info as the Foundation is created and begins to secure the longevity of the Tennessee Health Information Management Association.

Thank you again for a great year to our Executive Committee, Board, Workgroups, and of course the lovely and talented Wanda Johnson. TAWANDA!
Seth Johnson, MBA, RHIA

New State Legislation Regarding Verbal Orders

On May 23rd, 2011, Governor Bill Haslam signed into law an amendment to TCA Title 68, Chapter 11, Part 3 regarding the authentication of verbal orders of physicians or authorized individuals.   The effective date of the new amendment will be July 1, 2011.  The amendment added the following sections:


(a)(1) A hospital licensed pursuant to this chapter shall require that all verbal orders be authenticated by a physician or authorized individual who has the authority to issue verbal orders in accordance with hospital policies or medical staff bylaws.

(2) The policies or bylaws shall require that: authentication of a verbal order occurs within forty-eight (48) hours after the time the order is made unless a read-back and verify process pursuant to subdivision (a)(3) is used. The individual receiving a verbal order shall record the date and time of the verbal order, and sign the verbal order in accordance with hospital policies or medical staff bylaws.

3) A hospital policy may provide for a read-back and verify process for verbal orders. A read-back and verify process shall require that the individual receiving the order immediately read back the order to the physician or authorized individual, who shall immediately verify that the read-back order is correct. The individual receiving the verbal order shall record that the order was read back and verified. If the read-back and verify process is followed, the verbal order shall be authenticated no later than fourteen (14) days after the date of the verbal order.

(b) Nothing in this subsection shall be interpreted to encourage the more frequent use of verbal orders by the medical staff of a hospital.

(c) Hospital policies or medical staff bylaws may establish a variety of modalities for communicating verbal orders and a read-back and verify process including, but not limited to, oral or electronic means so long as the provisions of
subdivisions (a)(2) and (3) are met.

(d) For the purposes of this section, telephone orders are considered verbal orders.

SECTION 2. This act shall take effect on July 1, 2011, the public welfare requiring it

Access to the full legislation can be found at this link:

Volunteer Spotlight
Local Association Officers for the 2011 – 2012 Term

Memphis HIMA
President- Jaycie Music
President-Elect- Chevella Oliver
Secretary- Laritha Boone
Treasurer- Jessica Choe

West Tennessee HIMA
President:  Alicia Collins
President-Elect: Trannie Woodsen
Secretary: Misty Watson
Treasurer: Amy Weeks

Middle-TN HIMA
President:  Donna Wayman
President-Elect:  Jon Koederitz
Secretary:  Joleen Berry
Treasurer:  Elizabeth Kunnu

Mid-East HIMA
President- Cindy Nixon
President-Elect- Lisa Fox
Secretary- Debbie Ryan
Treasurer- Kim Lee

Knoxville HIMA
President- Jane Shrader
President-Elect- Tempe Kelly
Secretary- Jennifer Vanover
Treasurer- Karen Feltner

Upper East HIMA
President-Elect- Donna Coomes               
Secretary-  Sherry Stiltner
Treasurer-  Sherry Stiltner
ICD-10 Trainers

This Volunteer Spotlight will feature individuals by THIMA regions who completed AHIMA’s Academy for ICD-10. Program information at AHIMA’s website indicates that prerequisites for participating in the Academy include three years of direct experience assigning ICD-9-CM codes, plus training or teaching experience. Trainers are required to complete an advanced program that includes two online courses and three days of face to face training. After successful completion of the training, attendees must complete an assessment in order to receive an AHIMA Trainer Certificate.

The Volunteer Spotlight is on these individuals in Memphis HIM Association, Mid-East HIM Association, and Middle TN HIM Association who have completed AHIMA’s Academy for ICD-10. Requirements include completing advanced on-line and face to face training and completing an assessment in order to receive an AHIMA Trainer Certificate.

Memphis HIM Association
Leigh Evans, MBA, RHIA, CCS, CCS-P, CPC, Medtronic

Middle TN HIM Association
Kathy Hallock, RHIA, Medical Coding Quality Consultant, Medical Information Services Dept., Vanderbilt University Medical Center
Joyce Mosier, MBA, RN, CPHQ, ACM, Senior Consultant, 3M Health Information Systems Division, AHIMA/THA member
Shawn Scarbrough, CPC, Vanderbilt Medical Group, Assistant Director, Coding and Charge Entry
Jane Beth Turner, RHIA, Independent Consultant, Lebanon, TN

Mid-East HIM Association
Beverly Cross, RHIT, CCS, Coding Manager, Medical Records, Cookeville Regional Medical Center

Health IT Workforce Development Programs In Tennessee

With the Health Information Technology Economic and Clinical Health Act (HITECH Act), enacted as part of the ARRA legislation in 2009, the Office of the National Coordinator of Health Information Technology was charged with the development and funding of a training program for workforce development to supplement the electronic health record initiatives and support medical providers with more highly skilled experts in HIT.
Three HIT Workforce Development programs within the state of Tennessee have been designated as members of the Community College Consortia which are Dyersburg State Community College, Chattanooga State Community College, and Walters State Community College.

The program designates specific workforce roles in training students that include:
  • Practice workflow and information management redesign specialists
  • Clinician/practitioner consultants
  • Implementation support specialists
  • Implementation managers
  • Technical/software support
  • Trainers
The programs can be completed in six months or less and a majority of the program’s curriculum is online-based, and some of the programs offer the workforce roles tuition at low or no cost, or refund the cost of the student’s tuition upon completion of the program.

The following is information for the programs offered in the state of Tennessee:

Dyersburg State Community College:
DSCC Website:

HIT Workforce Development Program Website:
For more information, contact Steve Robey at 731-286-3213 ( or Phyllis Boone at 731-286-3208 (

Chattanooga State Community College:
CSCC Website:

HIT Workforce Development Program Website:
For more information, contact Zebedee Williams at 423-493-8775 ( or Joejuana Morton at 423-493-8777 (

Walters State Community College:
WSCC Website:
HIT Workforce Development Program Website:

For more information, contact Gail Winkler, RHIA; Ginger Hughes, RHIA; Barbara Kelley, RHIT or Christina Owens, Walters State Community College at (423) 585-6851 (

New and Exciting Opportunities For HIM Professionals

Please read the article linked below and especially the links it contains to get a perspective on the impact that the EHR and Meaningful Use will have on healthcare professions.

Never before have RHITs and RHIAs been so aligned to step into these positions if they will further advance their body of knowledge to include more in-depth IT aspects.  Other health care professionals are actively seeking these skills as well to be ready to take these positions and become the experts in this field.

Please pass this article to those already in health information technology (as we have traditionally known the profession) so that they might have the opportunity to enhance their skills to be ready for these jobs as an extension of the skills they already have in place in the workforce and pass this on to those others in healthcare who want to take the next steps to further their education to be ready to move into these rapidly growing positions now becoming known as health information technology (IT).

If online education with tuition assistance (can range from nominal cost to free), job placement assistance and a free national competency examination will enable you to move into these positions, why not take advantage NOW? For more information, go to and

For more information about Region D HITECH Workforce Development Training, go to
Fact sheet from the Office of the National Coordinator for Health Information Technology:

AHIMA Foundation Launches Delta Project

The AHIMA Foundation and the AHIMA education staff have designed a course to provide additional training for currently enrolled HIT (associate degree) and/or HIM (baccalaureate degree) students to prepare for the HITPro Certificate Exam for EHR Implementation Specialist (EIS). This is one of six roles identified by the Office of the National Coordinator for Health IT (ONC) as having a critical need for individuals with a background in HIM. It is anticipated that the project will continue to develop curricula for the remaining roles in the near future.

This course has been developed through an award from the Department of Health and Human Services’ Office of Minority Health (award # 1 CPIMP091054-02-00) to the University of Mississippi Medical Center’s Institute for Improvement of Minority Health and Health Disparities in the Delta Region, and the AHIMA Foundation has been issued a sub-award (# 68141-AHIMA-02) to partner with Universities/Community Colleges to offer this educational opportunity under the project entitled: Manpower Training in Electronic Health Record (EHR) Use through Community Colleges in the Delta Region (Delta Project).

The Delta Project will also study the impact of these courses within the standard model curriculum in preparing the HIT and HIM students to challenge these six ONC certification exams. In early May faculty training was completed for the new 10-16 week EIS course by the two CAHIIM-accredited colleges currently collaborating on the Delta Project: Alabama State University in Montgomery, AL, and Louisiana Tech University in Ruston, LA.

We would like to encourage other schools in Alabama, Louisiana, and Mississippi to join the program. Some compensation can be granted to schools that commit to providing two or more courses per year.

Please contact Nadine Caputo, Delta Project Director, at (312) 253-1532 or to join us in this effort to expand student opportunities. For more information on the latest Foundation research projects, visit the AHIMA Foundation Web site.

Top Reason for RAC Denials: Lack Of Medical Necessity In Wrong Setting
Written by Carol Spencer, BA, RHIA, CCS, CHDA

CCHIIM ICD-10 Continuing Education Requirements for AHIMA Certified Professionals


Are you aware of the ICD-10 Continuing Education requirements for all AHIMA certified professionals?  The Commission on Certification for Health Informatics and Information Management (CCHIIM) has committed that all AHIMA certified professionals to become knowledgeable with the ICD-10-CM/PCS coding system in order to ensure that all of the certified professionals through CCHIIM can continue to demonstrate at least a baseline level of comprehension for the new coding system.  For specific credentials, the following number of CEUs specific to ICD-10 are required and included in the total CEU reporting cycle:

If the AHIMA certified professional has more than one credential, then the required number of CEUs is the highest number related to the credential indicated above.  AHIMA professionals can begin reporting their ICD-10 specific CEUs starting January 1st of this year and the requirement deadline is December 31st, 2013.  Those professionals who have already attended AHIMA’s Academy for ICD-10 will be allowed to use those CEUs as credit for the required numbers.
For more detailed information regarding the required CEUs for ICD-10, refer to the AHIMA website or visit the web address below.

Legal Handbook Web Portal

This valuable online resource is updated in real time and provides information regarding state and federal legislation, regulation, and professional best practices for all legal aspects of managing, maintaining, and releasing health information.

Authors: Faculty of the Department of Health Informatics & Information Management at the University of Tennessee Health Science Center

To access the recorded Legal Handbook Web Portal Preview webinar, please click here.

About the Legal Handbook Web Portal

This valuable online resource is updated in real time and provides information regarding State and Federal legislation, regulation, and professional best practices for all legal aspects of managing, maintaining, and releasing health information.

Who would benefit from this valuable web portal? HIM Directors, Physician Practice Managers, Release of Information Companies, Legal Consultants, and the list goes on!

Chapters include Consents, Subpoenas, Release of Information, Behavioral Health Records, The Medical Record (including the Legal EHR), Required Reporting just to name a few.

Click here to order your THIMA Legal Handbook today!

A very special thank you to the sponsor of the THIMA Legal Handbook:     For more information about iod, just click this link!


What: Middle TN Health Information Management Association June Business Meeting (2 CE’s – External Forces)
When: Wednesday, June 29
Where: Williamson County Medical Center, Main Conference Room (front door, right down hallway, room is on the left)
Time: 11 AM - 1 PM
Guest Speakers:     
Anelisa Martin - Recent Accounting of Disclosure Changes
Armelle Maxey - What is Hospice
Kim Huddleston (THIMA ICD-10 Committee) - Mastering Root Operations One at a Time

Lunch will be available for members. $5.00 for non-members.  Membership is $15.00 a year.

RSVP by Monday, June 27@ 5:00 pm to

Upcoming Events

Anatomy and Physiology Refresher for ICD-10-CM/PCS Audio Conference Series

Middle TN HIMA Meeting
June 29, 2011 | 11:00-1:00
Williamson County Medical Center

2012 THIMA Annual Meeting
March 12-14, 2012
Gatlinburg, TN


To learn more visit the job board

Concurrent Coding & Diagnosis-Related Group Appeal Specialist
Cookeville Regional Medical Center

In-Patient Coder
Volunteer Community Hospital

Coding/Abstracting Specialist
Hamilton Health Care System

CBO Coding Manager
Tennessee Orthopaedic Alliance (Nashville)

Corporate Coder II
IASIS Healthcare