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[Show more]During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur nea...
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Add to cartDuring an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur nea...
1. A patient is admitted with spotting. She had been treated two weeks previously for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is treated with an aspiration dilation and curettage and products of conception are found. Which of the following should be ...
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Add to cart1. A patient is admitted with spotting. She had been treated two weeks previously for a miscarriage with sepsis. The sepsis had resolved, and she is afebrile at this time. She is treated with an aspiration dilation and curettage and products of conception are found. Which of the following should be ...
Limit use, access, and disclosure to the minimum necessary to accomplish the intended purpose - Answer The concept of "minimum necessary" included in the HIPAA means that healthcare providers must 
 
2 - Answer Code assignment for stage three decubitis ulcers of the hip and heel requir...
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Add to cartLimit use, access, and disclosure to the minimum necessary to accomplish the intended purpose - Answer The concept of "minimum necessary" included in the HIPAA means that healthcare providers must 
 
2 - Answer Code assignment for stage three decubitis ulcers of the hip and heel requir...
Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: 
 
UHDDS 
 
UACDS 
 
MDS 
 
ORYX - Answer a 
 
When the CCI editor flags...
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Add to cartMary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: 
 
UHDDS 
 
UACDS 
 
MDS 
 
ORYX - Answer a 
 
When the CCI editor flags...
This system will require the author to sign onto the system using a user ID and password to complete the entries made. 
a. Digital dictation 
b. Electronic signature authentication 
c. Single sign on technology 
d. Clinical data repository - Answer b. Electronic signature authentication 
 
The...
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Add to cartThis system will require the author to sign onto the system using a user ID and password to complete the entries made. 
a. Digital dictation 
b. Electronic signature authentication 
c. Single sign on technology 
d. Clinical data repository - Answer b. Electronic signature authentication 
 
The...
CMS - Answer It is the organization responsible for updating the procedure classification of ICD-10-PCS 
 
The Seventh Character - Answer Which character in an ICD-10-CM diagnosis code provides information regarding encounter of care? 
 
Etiology - Answer What does the fourth chara...
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Add to cartCMS - Answer It is the organization responsible for updating the procedure classification of ICD-10-PCS 
 
The Seventh Character - Answer Which character in an ICD-10-CM diagnosis code provides information regarding encounter of care? 
 
Etiology - Answer What does the fourth chara...
Type of organization and federal/state laws - Answer What two main factors does the retention of health records depend on 
 
The period specified by the state statute of limitations - Answer How long should health records be retained for malpractice, and other claims 
 
five years - A...
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Add to cartType of organization and federal/state laws - Answer What two main factors does the retention of health records depend on 
 
The period specified by the state statute of limitations - Answer How long should health records be retained for malpractice, and other claims 
 
five years - A...
Allowable fee - Answer Average or maximum amount the third-party payer will reimburse providers for the service 
 
Block grant - Answer It is a fixed amount of money given or allocated for a specific purpose. Ex. Medicare's payment system for home health services are consolidated into t...
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Add to cartAllowable fee - Answer Average or maximum amount the third-party payer will reimburse providers for the service 
 
Block grant - Answer It is a fixed amount of money given or allocated for a specific purpose. Ex. Medicare's payment system for home health services are consolidated into t...
Code assignment - Answers 2nd step in reimbursement process 
 
Documentation - medical/ financial record - Answers 1st step in reimbursement process 
 
Claim preparation - Answers 3rd step in reimbursement process 
 
Claim to payer(s) - Answers 4th step in reimbursement proce...
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Add to cartCode assignment - Answers 2nd step in reimbursement process 
 
Documentation - medical/ financial record - Answers 1st step in reimbursement process 
 
Claim preparation - Answers 3rd step in reimbursement process 
 
Claim to payer(s) - Answers 4th step in reimbursement proce...
A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes. - Answer 45385, 99156, 99157 
 
A code of 45385 should be used for the colonoscopy procedure with the removal of polpys...
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Add to cartA 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes. - Answer 45385, 99156, 99157 
 
A code of 45385 should be used for the colonoscopy procedure with the removal of polpys...
Discharge summary documentation must include - Answer Significant findings during hospitalization 
 
In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The ...
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Add to cartDischarge summary documentation must include - Answer Significant findings during hospitalization 
 
In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The ...
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