Ms. Moneybags MIC Bootcamp Alpha Session
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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| MDS | Minimum Data Set
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| Minimum Data Set | used in long term facilities; assesses residents;required by Medicare and Medicaid
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| UHDDS | Uniform Hospital Discharge Datra Set
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| Uniform Hospital Discharge Data Set | data created to collect inpatient data by acute care hospitals
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| Tumor registry | every case entered is assigneda unique accession number preceeded by accession year
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| TNM tumor staging | system for staging malignant neoplastic disease
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| T in TNM | Tumor
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| N in TNM | Regional lymph node involvement
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| M in TNM | Metastases
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| CTR | Cancer Tumor Registry
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| COP | Conditions of participation
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| Conditions of Participation | published by CMS; set of regulations health care institutions must follow to receive Medicare reimbursement
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| Disease index | Lists in diagnostic order
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| Number control Index | ID's new health record numbers and patients assigned to those numbers
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| Physician index | ID's all patients treated by a physician
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| Master patient index | links each patient treated in a facility with the health number
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| Operation index | ID's operations performed
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| Procedure index | ID's procedures performed
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| Patient care plan | foundation of care for long term facilities
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| Charting by exception | method of charting only abnormal or unusual findings or deviations of standard of care
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| Hospital bylaws | general principals and policies of the medical staff
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| Federal Register | where CMS publishes Conditions of Participation (COP) for hospitals
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| SOAP | subjective;objective;assessment;physical
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| ROS | Review of systems
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| CC | chief complaint
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| Nomenclature | system of terms that is structured according to pre-established naming rules
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| Data Dictionary | Descriptive list of data elements to be collected in an information system or database
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| Patient self determination act of 1991 | requires advance directives not need to be placed in patients charts
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| HEDIS | Healthplan Employer Data and Information Set
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| Healthplan Employer Data and Information Set | measures outcome of care for managed care plan
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| OASIS | Outcome and Assessment Information Set
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| Outcome and Assessment Information Set | core items of an assessment for adult home care patient; measures patient outcomes
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| Interrator reliability | the extent to which two coders agree' addresses consistency
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| Data encryption | changes readable text into different set of characters and numbers
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| audit trail | program that records the action of a user
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| Firewall | system that prevents access to a private network from the outside or limits it
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| Utilization review | assessment of appropraiteness and economy of an admission. Length of stay is compared with other similar diagnoses.
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| Peer Review | evaluation of individuals professional performance by others in the profession
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| Continuity of Care | ensures that care stays consistent
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| CCI | Correct Coding Initiative; implemented in 1996
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| 42 Code of federal Regulations part 2 | refers to regulations on confidentiality of alcohol and drug abuse patients records
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| Social Security Act of 1935 | established the social security program
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| Omnibus Budget Reconciliation Act of 1989 | created the Agency for Health Care Policy and Research
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| Health care Quality Improvement Act of 1986 | provided immunity to peer review entities and created national Practitioner Data Bank
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| ad hoc | means "for a special purpose"
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| POMR | Problem oriented medical record
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| granularity | relates to the fact that data can not be furhter subdivided
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| QIO | Quality Improvement Organization
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| SI/IS | severity of illness/ intensity of service
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| Auto authentication | allows dictated reports to be automatically considered signed unless the health management dept. is notified that revisions are needed
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| RVG's | Relative value guide
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| Relative Value Guide | reflects the difficulty and time spent by an anesthesiologist for a particular service
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| DRG | Diagnosis resource group
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| Diagnosis Resource Group | classify hospital cases into approximately 500 groups according to diagnoses
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| APC | Ambulatory Payment Classification group
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| HHRG | Home health resource Group
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| Home health resource group | source of payment for Home Health Agencies
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| RBRV's | Resource Based Relative Value
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msmoneybags
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