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