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[Show more]A four-digit code that describes a classification of a product or service provided to a patient is a - revenue code State Medicaid programs are required to offer medical assistance for - individuals with qualified financial need. Based on CMS's DRG system, other systems have been developed for paym...
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Add to cartA four-digit code that describes a classification of a product or service provided to a patient is a - revenue code State Medicaid programs are required to offer medical assistance for - individuals with qualified financial need. Based on CMS's DRG system, other systems have been developed for paym...
Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on a. demonstrative clinical data b. comparative aggregate data c. objective i...
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Add to cartEach month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on a. demonstrative clinical data b. comparative aggregate data c. objective i...
A coding supervisor audits coded records to ensure the codes reflect the actual documentation in the health record. This coding auditing process addresses the data quality element of: a. Granularity b. Reliability c. Timeliness d. Accuracy - Correct Answer: D The quality of coded clinical data depen...
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Add to cartA coding supervisor audits coded records to ensure the codes reflect the actual documentation in the health record. This coding auditing process addresses the data quality element of: a. Granularity b. Reliability c. Timeliness d. Accuracy - Correct Answer: D The quality of coded clinical data depen...
A discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ - 30 days/24 hours/48 hours systematic random sample - a...
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Add to cartA discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ - 30 days/24 hours/48 hours systematic random sample - a...
The legal health record for disclosure consists of: 
a. Any and all protected health information data collected or used by a healthcare entity when delivering care 
b. Only the protected health information requested by an attorney for a legal proceeding 
c. The data, documents, reports, and informat...
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Add to cartThe legal health record for disclosure consists of: 
a. Any and all protected health information data collected or used by a healthcare entity when delivering care 
b. Only the protected health information requested by an attorney for a legal proceeding 
c. The data, documents, reports, and informat...
Data mapping is used to harmonize data sets or code sets. The code or data set from which the map originates is the: Correct Answer: Source 
 
For the purposes of mapping, the term coding system is used very broadly to include? Correct Answer: classification, terminology, and other data representa...
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Add to cartData mapping is used to harmonize data sets or code sets. The code or data set from which the map originates is the: Correct Answer: Source 
 
For the purposes of mapping, the term coding system is used very broadly to include? Correct Answer: classification, terminology, and other data representa...
A patient has HIV with disseminated candidiasis. What is the correct code assignment? 
a. B20, B37.0 
b. B37.7, B20 
c. B20, B37.7 
d. B20, B37.89, B37.7 correct answer: c Patients who are admitted for an HIV-related illness should be assigned a minimum of two codes in the following order: code B20...
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Add to cartA patient has HIV with disseminated candidiasis. What is the correct code assignment? 
a. B20, B37.0 
b. B37.7, B20 
c. B20, B37.7 
d. B20, B37.89, B37.7 correct answer: c Patients who are admitted for an HIV-related illness should be assigned a minimum of two codes in the following order: code B20...
Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on 
a. demonstrative clinical data 
b. comparative aggregate data 
c. objectiv...
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Add to cartEach month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on 
a. demonstrative clinical data 
b. comparative aggregate data 
c. objectiv...
Source-Oriented Health Record correct answer: Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) 
 
Problem-Oriented Health Record correct answer: Divided into four parts: database, problem li...
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Add to cartSource-Oriented Health Record correct answer: Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) 
 
Problem-Oriented Health Record correct answer: Divided into four parts: database, problem li...
What term is used in reference to objective descriptions of processes, procedures, people, and other observable objects and activities? correct answer: Data 
 
Which of the following processes is an ancillary function of the health record? correct answer: Biomedical Research 
 
What term is used i...
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Add to cartWhat term is used in reference to objective descriptions of processes, procedures, people, and other observable objects and activities? correct answer: Data 
 
Which of the following processes is an ancillary function of the health record? correct answer: Biomedical Research 
 
What term is used i...
HL7 correct answer: A set of international standards for transfer of clinical and administrative data between software applications used by various healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. 
 
Data Validity correct answer: Accuracy...
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Add to cartHL7 correct answer: A set of international standards for transfer of clinical and administrative data between software applications used by various healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. 
 
Data Validity correct answer: Accuracy...
In order to prevent the accidental introduction of a virus into your facility's local area network, your facility has a policy that strictly prohibits: 
 
a. Doing personal work on the computer system, even during personal time 
b. Sharing disks from one workstation to another within the facility 
...
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Add to cartIn order to prevent the accidental introduction of a virus into your facility's local area network, your facility has a policy that strictly prohibits: 
 
a. Doing personal work on the computer system, even during personal time 
b. Sharing disks from one workstation to another within the facility 
...
An audit trail is a good tool for which of the following? correct answer: Reconstructing electronic events 
 
The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. based on...
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Add to cartAn audit trail is a good tool for which of the following? correct answer: Reconstructing electronic events 
 
The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. based on...
Authorizations are always required for the use or disclosure of psychotherapy notes except in which of the following situations: 
 
- employee and employment-related activities 
 - health insurance carrier 
 -media-related activities 
 -carry out payment, treatment and operations correct answer: ...
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Add to cartAuthorizations are always required for the use or disclosure of psychotherapy notes except in which of the following situations: 
 
- employee and employment-related activities 
 - health insurance carrier 
 -media-related activities 
 -carry out payment, treatment and operations correct answer: ...
Processing correct answer: Domain 2 
Classifying, sorting, storing and retrieving data are all characteristics of which system component? 
1. Output 
2. Feedback 
3.Processing 
4.Input 
 
K81.2, OFT40ZZ, OFJ44ZZ correct answer: Domain 1 
The patient is taken to the OR for a laparoscopic gallbladd...
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Add to cartProcessing correct answer: Domain 2 
Classifying, sorting, storing and retrieving data are all characteristics of which system component? 
1. Output 
2. Feedback 
3.Processing 
4.Input 
 
K81.2, OFT40ZZ, OFJ44ZZ correct answer: Domain 1 
The patient is taken to the OR for a laparoscopic gallbladd...
This committee makes recommendations to the governing board for appoints to the medical staff correct answer: executive 
 
physicians who deliver most of the medical care in hospitals and who site on committees are correct answer: active staff 
 
accreditation organization which accredits health i...
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Add to cartThis committee makes recommendations to the governing board for appoints to the medical staff correct answer: executive 
 
physicians who deliver most of the medical care in hospitals and who site on committees are correct answer: active staff 
 
accreditation organization which accredits health i...
Mildred Smith was admitted to a nursing facility with the following information: "Patient is being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical information was listed along with a summary of the care already provided. This information is documented on the: 
a.) Admitt...
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Add to cartMildred Smith was admitted to a nursing facility with the following information: "Patient is being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical information was listed along with a summary of the care already provided. This information is documented on the: 
a.) Admitt...
A discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ correct answer: 30 days/24 hours/48 hours 
 
systematic...
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Add to cartA discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ correct answer: 30 days/24 hours/48 hours 
 
systematic...
A method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called: correct answer: Charting by exception 
 
The discharge summary must be completed within _________ after discharge for most patients but within ___...
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Add to cartA method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called: correct answer: Charting by exception 
 
The discharge summary must be completed within _________ after discharge for most patients but within ___...
Data capture: correct answer: the process of recording healthcare-related data in a health record system or clinical database 
 
Data cleansing correct answer: The process of detecting, diagnosing, and editing faulty data 
 
DEEDS correct answer: Data Elements for Emergency Department Systems: a ...
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Add to cartData capture: correct answer: the process of recording healthcare-related data in a health record system or clinical database 
 
Data cleansing correct answer: The process of detecting, diagnosing, and editing faulty data 
 
DEEDS correct answer: Data Elements for Emergency Department Systems: a ...
Data Set correct answer: A group of data items or elements and their definitions. Each element can have its own defined value. 
 
Clinical or Medical Vocabulary correct answer: A formally-recognized list of preferred medical terms and their corresponding definitions. They assist in standardizing t...
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Add to cartData Set correct answer: A group of data items or elements and their definitions. Each element can have its own defined value. 
 
Clinical or Medical Vocabulary correct answer: A formally-recognized list of preferred medical terms and their corresponding definitions. They assist in standardizing t...
A Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. What is the root operation performed for this procedure? 
 
a. Destruction 
b. Extirpation 
c. Fragmentation 
d. Release correct answer: b. Extirpation...
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Add to cartA Staghorn calculus of the left renal pelvis was treated earlier in the week by lithotripsy and is now removed via a percutaneous nephrostomy tube. What is the root operation performed for this procedure? 
 
a. Destruction 
b. Extirpation 
c. Fragmentation 
d. Release correct answer: b. Extirpation...
Information Governance correct answer: Refers to the overall management of the availability, usability, integrity, and security of company data 
 
Data Governance correct answer: Establishes the processes and responsibilities that ensure the quality and security of the data used across a business ...
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Add to cartInformation Governance correct answer: Refers to the overall management of the availability, usability, integrity, and security of company data 
 
Data Governance correct answer: Establishes the processes and responsibilities that ensure the quality and security of the data used across a business ...
Primary responsibility of coder correct answer: Ensure quality of coded data 
 
Responsible for quality and completion of discharge summary correct answer: Attending Physician 
 
Data set for px that does not require an overnight stay correct answer: Uniform Ambulatory Care Data Set 
 
Records no...
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Add to cartPrimary responsibility of coder correct answer: Ensure quality of coded data 
 
Responsible for quality and completion of discharge summary correct answer: Attending Physician 
 
Data set for px that does not require an overnight stay correct answer: Uniform Ambulatory Care Data Set 
 
Records no...
quantitative analysis correct answer: HIM professionals analyze medical records for any missing reports, forms, or required signatures and deletions. 
 
Which of the following is not usually a component of acute care patient records? 
medical history 
nurse assessment 
problem list 
progress not...
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Add to cartquantitative analysis correct answer: HIM professionals analyze medical records for any missing reports, forms, or required signatures and deletions. 
 
Which of the following is not usually a component of acute care patient records? 
medical history 
nurse assessment 
problem list 
progress not...
__________ are implemented prior to an activity to stop an error from occurring. correct answer: Preventative controls 
 
________are designed to find errors that have already been made. correct answer: Detective controls 
 
_______- are designed to fix problems that have been discovered (LaTour, ...
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Add to cart__________ are implemented prior to an activity to stop an error from occurring. correct answer: Preventative controls 
 
________are designed to find errors that have already been made. correct answer: Detective controls 
 
_______- are designed to fix problems that have been discovered (LaTour, ...
Legal Health Record correct answer: Formal business record to be utilized during legal procedings 
 
If privacy issues emerge... correct answer: Determine source of problem and issue HIPAA training 
 
If patient is unable to sign... correct answer: Implied Consent 
 
Psychiatric patients may view...
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Add to cartLegal Health Record correct answer: Formal business record to be utilized during legal procedings 
 
If privacy issues emerge... correct answer: Determine source of problem and issue HIPAA training 
 
If patient is unable to sign... correct answer: Implied Consent 
 
Psychiatric patients may view...
An HIM professional who releases health information that he or she knows will result in genetic discrimination is violating the ethical principle of: 
 
A. nonmaleficence 
B. Autonomy 
C. Beneficence 
D. Justice correct answer: A 
 
Define nonmaleficence correct answer: There is an obligation not ...
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Add to cartAn HIM professional who releases health information that he or she knows will result in genetic discrimination is violating the ethical principle of: 
 
A. nonmaleficence 
B. Autonomy 
C. Beneficence 
D. Justice correct answer: A 
 
Define nonmaleficence correct answer: There is an obligation not ...
Source-Oriented Health Record correct answer: Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) 
 
Problem-Oriented Health Record correct answer: Divided into four parts: database, problem li...
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Add to cartSource-Oriented Health Record correct answer: Documents organized into sections according to the provider's and departments that provide treatment (lab together, rad. together, clinical notes together) 
 
Problem-Oriented Health Record correct answer: Divided into four parts: database, problem li...
Request for proposal (RFP) correct answer: A type of business correspondence asking for very specific product and contract information that is often sent to a narrow list of vendors that have been preselected after a review of requests for information during the design phase of the systems developm...
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Add to cartRequest for proposal (RFP) correct answer: A type of business correspondence asking for very specific product and contract information that is often sent to a narrow list of vendors that have been preselected after a review of requests for information during the design phase of the systems developm...
Record retention program correct answer: conducting an inventory of the facility's records, 
Determining the format and location of record storage, 
Assigning each record a retention period, 
Destroying records no longer needed 
 
root operation: resection (T) correct answer: What operation does:...
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Add to cartRecord retention program correct answer: conducting an inventory of the facility's records, 
Determining the format and location of record storage, 
Assigning each record a retention period, 
Destroying records no longer needed 
 
root operation: resection (T) correct answer: What operation does:...
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