Vocab 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Abstracting | collection of data from the medical record for statistical and planning purposes.
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| Analysis | Reviewing the medical record to determine that all required documentation is present including signatures and reports.
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| Cancer registry | A database of patients diagnosed with cancer.
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| Coding | Assignment of number to diagnose and/or procedures using the current edition of coding or classifications system such as the international classification of disease ( ICD ) or current procedural terminology
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| Defiency slip | a document that identifies deficiencies in documentation.
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| Healthcare provider | an individual or facility such as a hospital that provides healthcare to patient
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| JCAHO | Joint commission on the accreditation of health organizations
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| litigation | lawsuit
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| Medical transcription | interpretation and typing of reports dictated by physicians and other healthcare personnel
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| medicare | federal insurance for patients over 65 or for disabled
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| Performance improvement | evaluating the overall performance of a healthcare facility from the environment to patient care with the purpose of continues improvement
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| periodical | a magazine or journal published at specified periods for example weekly or monthly
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| physician incomplete area | are of the health information management where physicians come to work on incomplete records
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| Physician progress note | handwritten or typed entries made by physicians regarding the patients progress during hospitalization or other treatment
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| risk management | addressing the risk to which patients visitors hospital staff medical staff vendors and others are exposed
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| third party | a person or entity such as an insurance company other than healthcare facility or patient
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