- 1 SD or + 1 SD Correct Answer 1) Calculate mean;
2) Mean (-) SD or Mean (+) SD
"Duty to warn" Correct Answer In therapist-client relationship.
If client makes threats against anyone, therapist is obligated by
"duty to warn" to inform & break confidentiality (Tarasoff v.
Regents of the University of California)
2 coding & classification systems Correct Answer ICD &
HCPCS
3 key components when assigning E/M codes Correct Answer
1) Hx;
2) Examination;
3) Medical decision making
3 of 6 elements that a special report must contain Correct
Answer 1) Nature;
2) Extent;
3) Need
4 parts of Medicare Correct Answer Part A - Hospital
Insurance (pays for IP care, Home health, SNF, Hospice);
Part B - Medical insurance (MD care, OP services, Home health,
Equipment, Other health services);
Part C - Medicare Advantage (I buy health insurance plan from
a private Co approved by Medicare to cover me for services
excluded by Parts A & B;
Part D (created by MMA, optional) - Rx drug coverage
,5 core measures of ORYX Correct Answer CHF. AMI.
Pneumonia (CAP). Each has requirements, e.g. ASA at arrival &
DC, beta-blockers, blood culture, smoking cessation advice, etc.
ORYX has more core measure sets. A hospital chooses the set
according to the type of pts it treats (can be one core & rest non-
core)
60 percent rule Correct Answer One of the criteria to define a
hospital as an IP Rehab Facility (IRF)
A list of clinical words or phrases with their meaning is Correct
Answer A clinical vocabulary
A&C Correct Answer All IPs except NBs born in hospital (but
not en route to hospital & then admitted)
A&D Correct Answer Admitted & Discharged the Same Day
NOT same as OP
Abbreviations: A - E Correct Answer AHRQ - Agency for
Healthcare Research and Quality;
AAAHC - Accreditation Association for Ambulatory Health
Care;
CAP - Commission on Lab Accreditation;
Abbreviations: F - K Correct Answer FMEA - Failure Mode
and Effects Analysis;
IHI - Institute for Healthcare Improvement;
ISMP - Institute for Safe Medication Practices;
,Abbreviations: L - P Correct Answer HFAP - Healthcare
Facilities Accreditation Program of American Osteopathic
Association;
NCCHC - National Commission on Correctional Health Care;
NCQA - National Committee on Quality Assurance;
NAHQ - National Association for Healthcare Quality;
NPSF - National Pt Safety Foundation;
Abbreviations: Q - Z Correct Answer q
ABC codes Correct Answer Facilitate aggregation of data for
comparison at local, regional, national & international levels
According to CPT, antepartum care doesn't include Correct
Answer Monthly visits up to 36 wks of pregnancy
Accreditation by what organization provides "deemed" status as
far as CoP of CMS? Correct Answer 1) TJC;
2) HFAP (Healthcare Facilities Accreditation Program;
3) AOA (American Osteopathic Association);
4) NIAHO (National Integrated Accreditation of Healthcare
Organization from DNV Healthcare, Inc.
ACOG NB classifications of age Correct Answer 1) Preterm
neonate: Birth to 38th week;
2) Term neonate: 39th week to 42nd week;
3) Post term neonate: From 43rd wk & on;
Low birth-weight neonate: <2,500 G
ACOs Correct Answer Accountable Care Organizations
, Established by Affordable Care Act as a pilot payment models
for Medicare
ACS Correct Answer American College of Surgeons. Began
establishing standards for hospitals to improve the quality of
care for surgical pts.
Ad hoc committee Correct Answer Organized for a purpose.
Once purpose is achieved, committee dissolves
ADEA (Age Discrimination in Employment Act) protects
employees in what age group? Correct Answer 40 - 70
Adjusted/ Standardized rates Correct Answer Used for
comparison between 2 or > groups C dif-nt variables
Administrative simplification Correct Answer Provision of
HIPAA.
Covers:
1) Standardization of electronic data interchange;
2) Privacy of health info;
3) Security of health data
Affirmative Action Act Correct Answer Equal employment
opportunities for protected groups, e.g. American Indians,
blacks, women, etc
AHIMA & CFR 482 CoP for hospitals recommend to keep MRs
for Correct Answer 5 years
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