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HC265 F. study guide
Health Information Technology
| Question | Answer |
|---|---|
| The term used to describe the training to familiarize a new employee with the job | Orientation |
| A health care organization that has permanent facilities, 24-hour nursing care, and an organized medical staff | Hospital |
| CD-9-CM is coordinated and maintained by a group of four organizations collectively called | cooperating parties |
| The application to an insurance company for reimbursement | claim |
| Data collected pertaining to the investigation of the patient's current health situation | clinical data |
| The cause or source of a patient's condition or disease | etiology |
| A hospital with an average length of stay less than 30 days, an emergency department, operating suite, and clinical departments to handle a broad range of diagnoses and treatments | acute care facility |
| The first page in a paper record is usually | admission record |
| A list of potentially inaccurate or problem data, usually generated by a computer | error report |
| A paper record must be _________ before it can be analyzed | assembled |
| The blending of the insurance and provider roles in health care delivery | managed care |
| ICD-9-CM diagnosis and procedures codes are used to derive the DRG by following the flowchart | grouper |
| The minimum data set for emergency services | DEEDS |
| involves the review of a function to determine all of the tasks or components that make up an employee's job | job analysis |
| contains patient and encounter information, often used to correlate the patient to the file identification | master patient index |
| A physical file is used to identify an alternate location of a file in the paper-based health care record system | outguide |
| A way to authenticate electronic data such as a password or pin number is with a | digital signature |
| is a summary of the patient record | abstract |
| A report of a group of patients including their age is an example | aggregate data |
| The number of patients present in the health care facility, counted at the same time each day | census |
| is a quality improvement technique used to elicit participation and information from an entire group | Brainstorming |
| A method used to effectively manage patients during their hospitalization | case management |
| If a facility meets the standards set by a licensing or accrediting body | compliance |
| Example -A facility is reviewing its policies and procedures to ensure that they comply with JCAHO standards | Accrreditation |
| Who administers Medicare? | CMS |
| What amendment established Medicare to the Social Security Act? | Title XVIII is the amendment to the Social Security Act |
| A contractor who manages health care claims for Medicare | Fiscal Intermediary |
| The study of health trends or patterns | Epidemiology |
| The ability of a patient to see a physician without an appointment | Open-access |
| In a paper record, the admission record is often synonymous | Face sheet |
| the capture of data concurrently with its observation associated with data quality characteristic | Timeliness |
| In an electronic environment, changes to a patient’s record should be tracked | Audit trail |
| Per a day - long-term care prospective payment is based on per diem | Per diem |
| Ambulatory care visits measured? | Encounters or visits |
| What patient attributes are important to grouper assignment? | Gender and body system |
| RAI used where? The MDS is one component of a series of data collections called the RAI, | Long-term care |
| What is color coding of a numerical identification of a file for? | Prevents misfiles |
| How long must health records be kept? | Five years |
| A federally mandated database collected on all inpatients discharged from a hospital | UHDDS |
| The database mandated for collection on outpatients | UACDS |
| What does the Medical executive committee oversee? | liaison to the governing board |
| Who was the predecessor of JCAHO? | ACS |
| What is an example of Prospective consent? | Conditions of admission |
| The practice of maintaining confidentiality in health care is | Physician –patient privilege |
| career opportunity for HIM professionals in information technology? | Project Management, Design and Development, Marketing and Sales |
| advantages of the Electronic Health Record? | Accessibility, Standardization, Improvement in quality of health |
| An employee, who works 16–20 hours each week, occasionally earning partial benefits | part time employee |
| How often should policy and procedures be updated | Annually and as needed due to change |
| Which organization orientation topics may be presented by an HIM employee? | Confidentiality |
Created by:
timbischoff@yahoo.com
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