eNews from MdHIMA
Issue 30 - February 2012
Inside this Issue:

President's Message
ICD-10 Corner
The Minute Mentor
MdHIMA Annual Meeting Silent Auction
RHIA/RHIT Study Sessions
Welcome New MdHIMA Members!
Dates to Remember
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President’s Message

It’s hard to imagine that we are already half way thru winter. Fortunately, we haven’t had to experience a large snow storm yet this year but I’m sure we all have been weathering the storm within our own places of employment. Now more than ever, our HIM profession seems to be front and center on so many key issues and initiatives. If we are lucky, HIM is involved in the beginning on EHR projects, ICD-10 work plans as well as patient portals and PHR implementations. It is crucial to have our expertise and knowledge at the table when discussing these important activities. There are some upcoming events that AHIMA will be having that all members are able to participate in and gain additional knowledge about our profession.
In March, AHIMA will hold Winter Team Talks on March 26th in Washington, DC. A virtual team talk will also be hosted online, as close as your Internet-connected desktop.  This is our opportunity to discuss future directions of our profession and our association. These meetings are also a chance to do some networking. There’s no cost to register, and you can even earn some continuing education credits. Our delegates will be attending the Winter Team Talks, but it would be great to have more participation from members of the MdHIMA community. For more information, go to the AHIMA website
AHIMA will also be holding Capitol Hill Day on March 27th in Washington, DC. This is a not-to-be missed chance to meet your elected representative in Washington and advocate for legislative changes that benefit our profession and the healthcare system. If you are interested in attending Hill Day, please reach out to a delegate to let them know you are signed up. This is a wonderful experience and something that is even fun to be a part of. 
As the month of February ends, I am reminded that this year is a leap year. If you break those letters down, you can actually use them for our profession. HIM is truly taking a LEAP this year as we embark on so many exciting opportunities and developments. 
L = Learning – HIM professionals continually need to brush up on our skills and take lifelong learning seriously. There are so many new opportunities for us to participate and be a part of in today’s healthcare environment. Learning is, and must always be, a priority. 
E = Energy – We all need large amounts of energy to positively impact our profession and career and be more productive. This may mean changing lifestyle behaviors to eat better, get more exercise, meditate, etc. Whatever it takes it will prove worthwhile in the future.
A = Attitude – It takes a great attitude and perspective sometimes to get acknowledgement and satisfaction in your job. Having a great attitude is hard work and not easy everyday. It is something that needs to be practiced and maintained and good results will come from having a positive outlook. 
P = Persistence – By working hard and being persistent, an individual can reap many benefits. Many students graduating from HIM programs find it hard to enter the HIM workforce. Persistence is the key. Get yourself out there, take chances, and lastly don’t get discouraged. It may not be your time today, tomorrow, but if you are persistent your time will come to shine.
Have a safe winter.

Until next time . . .
Dina Smoker RHIA, CPC
President, MdHIMA

ICD-10 Corner - Sponsored by MdHIMA Data Quality Committee

Submitted by Karla Lovaasen, RHIA, CCS, CCS-P
AHIMA Certified ICD-10 Trainer
One of the “new” features in the ICD-10-CM classification is the “Excludes Notes”. ICD-10-CM has two types of excludes notes which helps the coder differentiate what is meant by the Excludes note. 

A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

A type 2 Excludes note represents “Not included here”. An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
J03   Acute tonsillitis

Excludes1:      acute sore throat (J02.-)
                        hypertrophy of tonsils (J35.1)
                        peritonsillar abscess (J36)
                        sore throat NOS (J02.9)
                        streptococcal sore throat (J02.0)
Excludes2:      chronic tonsillitis (J35.0)
Using acute tonsillitis as an example, you cannot code J03 acute tonsillitis with strep throat J02.0 because of the Excludes1 note that states these two codes should not be used together.  The excludes2 note indicates that you can code J35.0 for chronic tonsillitis and J03 for acute tonsillitis when a patient has both of those conditions at the same time.

The Minute Mentor

This edition is going to be part editorial and part a call to discussion. The spring semester has started and a new brood of HIM professionals are anticipating the jump into their new careers, providing they have completed and passed all their courses to include their Professional Practice Experience (PPE) assignments. It’s interesting to see in the Communities of Practice (CoP) how widespread the difficulty is for placing students for these CAHIM mandated requirements. More interesting is even though this is a tough hurdle in a student’s ability to graduate and eventually sit for an exam; there are very few discussions on how to make this process less painful and more productive. I’m hoping to start a conversation with everyone and anyone willing to discuss this topic. I do not want to point fingers or lay blame, instead I’m inviting everyone to a brain storming session in how we can creatively come up with ways to help students achieve their goals of graduating and getting some experience, so they can in turn become productive members in the HIM universe. Several articles by AHIMA have mentioned how the quantity of certified HIM professionals are in a shortage status; however, the difficulty in finding clinical sites seems to give a different perception.

If we need more professionals I would think, we, as a group of professionals focused on bringing up talented and qualified employees and co-workers, would have an easier and more accessible system to accomplishing this mission. I would like to post in the next edition, input from all of you about your PPE experience, suggestions for out-of-the box PPE sites, advice on how to help a student make this process as smooth as possible, do’s and don’ts for obtaining a site or hosting a site, or any anecdotal bits of wisdom on this subject you feel would be beneficial to the discussion. I will withhold listing your name as contributor if you prefer. I encourage everyone to participate, even those that don’t or didn’t have to go through a PPE. Everyone brings experience or ideas to the table on this issue. Since this is a national predicament, perhaps we can share what we’ve gathered and learned with the rest of AHIMA and hopefully ease this burden on future classes and their program educators. Please drop a line to or post a reply in the Maryland CoP community in the topic titled “PPE Discussion”.  I hope to have my in box and our CoP overflowing with ideas and advice from every nook and cranny where HIM professionals are found.
Until next time.
Laura Hoot, RHIT

MdHIMA Annual Meeting Silent Auction

We are currently accepting donations for our 2012 MdHIMA Annual Meeting’s Silent Auction scheduled for May 3-4, 2012. We are requesting participation from businesses and entertainment groups, however, you as a MdHIMA member may also make a donation. Donation deadline April 6th.
Donations should include:

  • New items such as clothing, hates or t-shirts
  • Gift items such as candles, artwork, floral arrangements, vases, gift certificates
  • Tickets to the theatre, entertainment circuits, local professional games such as the Orioles or Nationals, Museums or Tours

If interested, please ship your items to the Silent Auction Committee Chair, Linda Metro as stated on our website. If you wish for us to pick up any items that are too large to mail, please call Linda at 301-830-7123.

RHIA/RHIT Study Sessions

If you are interested in studying with your fellow HIM colleagues please contact Moses Asiedu for details.


Mary Lou Bond, RHIA, CCS, CHDA  Data Quality Manager at Sinai Hospital has been appointed to a 2 year term on Coding Clinics Editorial Advisory Board. If you have topics that you would like presented to the EAB, please contact Mary Lou Bond at

Welcome New MdHIMA Members!

MdHIMA welcomes the new and transfer members into our state association! We look forward to seeing you at the upcoming events and welcome your active participation.  Please feel free to contact any of the Board members if you are interested in joining a committee or if you have questions or need information. Again, welcome!

Ademola Abolarin Jennifer Richards
Ademola Apata, B.Sc Kathleen Mishuk
Adin R. Abung-Osayande, RHIT Kimberly A West, RN, BSN
Aisha Simmons Krasimira Kakarova
April Anderson Lakesha Cromwell
Asha F. Rouse Leigh A. Beckman, RHIT
Barbara A Kent, CCA Lila Hill
Barbara D Ogurcak, CCA Lillian M Overby, ROCC
Becky D Hanke, CPC Linda L. Pailen
Belinda D Deshields Lori A. Annon, RHIT
Caprice Jones Maria A Bristol-Reed
Caren Wu Maria Virginia F Quinn, CPC
Catherine Barrett, JD/MBA Mary Kay Fullenkamp
Charlotte L Cornish Maureen E Queenan-Flores
Christian D Bellamy, CCS Michelle Cole
Christie Howard Michelle L Cousineau, CCS
Ciera M Johnson Monica Redmond, CNA/GNA
Consuelo Hair Nancy A Mellott
Curtis Wills, MS, MS ATC, NASM-CES Neal Warfield
Cynthia Kershner, RHIT Nkechi Odukwe
Dagmawit Ayalew Patricia A. Wooten, CPC
Darlene Cochrane-Lee Patricia J Macon
Delisa Neville Princess John
Denis Mermod, MCP, NSA IAM Rebecca Vacek
Dina M Hess, RN, CTR Robert Branch IV
Donna Brownlee Robin Powell, CPC
Donna Drummond, CPC Sandar Win
Doug Byrne Sandra Martenot
Eileen Torres Shanthi G Shankar
Emily M Porter, RHIA Sharonne Sobers, CPC
Gilbert D Hayes Jr. Sheila Crews
Grace M Gregory Sitina Abdella
Guyane Massiah Suzanne S. Meiskey, RHIA, MSA
Hana M Alharthi, Ph.D Sylvia Perry, CPC
Heidi Thomas Tamika D Shropshire
IndiaL Anderson-Keene Toluwalope Ogunrinde
Jacqueline Bagley Toyin Sotola
Janay Holt Vanessa Childs
Jane Scott, MS Education Vivian F Cook
Janice D Greene Williette Teah

Dates to Remember

March 8, 2012 - Data Quality Meeting Committee Meeting - Conference Room B at Harbor Hospital

March 16, 2012 - Quarterly Business Meeting and Educational Session - All Day - Hampton Inn & Suites - Frederick, MD

May 3-4, 2012 - MdHIMA Annual Meeting - Racing to the Future in Health Information - Baltimore Convention Center, Baltimore, MD

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