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RHIA Domain 1 questions and answers
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RHIA Domain 1 questions and answers RHIA Domain 1 questions and answers RHIA Domain 1 questions and answers
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RHIA Domain 1Medicare restructuring of reimbursement of inpatient hospital admissions - answer MS-DRG
Medicare Severity Diagnosis Related Groups
Used by Federal and state agencies to collect data on inpatients. - answer UHDDS Uniform Hospital
Discharge Data Set (UHDDS) Used for reporting inpatient data in acute care, short-term care, and
long-term care hospitals. Minimum set of items based on standard definitions to provide consistent
data for multiple users. Required for reporting Medicare and Medicaid patients.
Advisory body of health data, statistics and national health information policy - answer NCVHS:
The National Committee of
Vital and Health Statistics
Works to improve data collected in the ambulatory setting - answer UACDS . Uniform Ambulatory
Care Data Set
Legislation in 1996 whose focus is health insurance and health information - answer HIPAA . Health
insurance portability and accountability act
Oversees and accredits private standards developing organizations in the US - answer ANSI .
American National Standards Institute
Uniform specifications for data entered in ED patient records - answer DEEDS Data Elements for
Emergency Department Systems.
promotes comparability and compatibility of standard data items using uniform definitions. -
answer MDS . Minimum data set
Standardized reproducible assessment instrument used to monitor home health care - answer
OASIS .Outcome and Assessment Information Set. Data set for use in home health agencies (HHAs),
State agencies, software vendors, professional associations and other Federal agencies in
implementing and maintaining OASIS.
, Concerned with communicable diseases and environmental health - answer CDC Center. Centers for
Disease control and prevention.
Branch of the Federal Government who has responsibility for regulatory programs affecting the
health care industry - answer DHHS. Department of Health and Human Services
Private accrediting organization whose goal is to improve the quality of patient care through the
development and assessment standards of performance by health care organizations. - answer TJC.
The Joint Commission
Accrediting agency for MCO's - answer NCQA.National Committee for Quality Assurance.
NCQA manages voluntary accreditation programs for individual physicians, health plans, and medical
groups. It offers dedicated programs targeting vendor certification, software certification, and
compliance auditing.
Standardized set of performance measures designed to allow purchaser/consumers of managed care
plans to compare performance - answer HEDIS. Healthcare Effectiveness Data and Information Set
(HEDIS)
is a widely used set of performance measures in the managed care industry, developed and
maintained by the National Committee for Quality Assurance (NCQA).
web-based strategy intended to monitor and assess disease trends, guide prevention and
intervention programs, inform the public health makers, identify issues of concern. - answer NEDSS.
The National Electronic Disease Surveillance System.
(NEDSS) is a secure online framework that allows healthcare professionals and government agencies
to communicate about disease patterns and coordinate national response to outbreaks.
National standards development body - answer NSDM
Provides leadership in the development and implementation of information systems to improve
patient care. - answer AMIA. American Medical Informatics Association
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