Abstracting - Study guides, Class notes & Summaries

NCRA Study Guide CTR 2023 : FollowUp, Case-Finding, Abstracting/Coding What is the primary purpose of performing follow-up? - Correct answer-Ensure continued medical surveillance to evaluate success of therapy The two most important case-finding sources for central registries are - Correct answerPathology reports and disease indices Disease index - Correct answer-List of diseases and conditions diagnosed in identified patients that are coded by using a standard classification system (such a...

What is primary literature - ANSWER reports of original research, theories, ideas and opinions - most current info at time of publication What is secondary literature - ANSWER indexing and abstracting databases used to organize primary and tertiary resources -- search yield list of citations or citations with abstracts

What is the primary purpose of performing follow-up? - ANS - Ensure continued medical surveillance to evaluate success of therapy The two most important case-finding sources for central registries are - ANS - Pathology reports and disease indices Disease index - ANS - List of diseases and conditions diagnosed in identified patients that are coded by using a standard classification system (such as ICD and CPT codes) Freestanding pathology laboratories may be a case-finding source for a - AN...

NHA,CBCS Study Guide (2024/ 2025 Update) | Questions and Verified Answers| 100% Correct| A Grade Explain the difference between fraud and abuse? Answer: Fraud - intentionally misrepresenting services rendered for the purpose of receiving a higher payment Abuse - refers to practices that are often done unknowingly as a result of poor business practices, directly, or indirectly resulting in unnecessary costs to the program through improper payments QUESTION What is the di...

WGU D033 Questions and Answers Already Passed A physician group is adopting a new electronic health record (EHR). Some members of the group prefer to dictate, and others prefer direct data entry. Which data capture method should the EHR coordinator recommend to meet the needs of all physicians? - Voice data entry - Structured data entry - Template-based entry - Unstructured data entry Template-based entry A hospital's health information management (HIM) department receives numerous pa...

HIM 101 Final Actual Exam Questions and CORRECT Answers HIMs most important functions - CORRECT ANSWER- storage and retrieval of patient information. Additional functions managed: Research and statistics, Cancer and/or trauma registries, and Birth certificate completion Critical support services managed by HIM - CORRECT ANSWER- Record processing, Monitoring of record completion, transcription, release of patient information, clinical coding, abstracting, and clinical data analysis H...

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 near the time of the event. To remedy this situation, the HIM director should recommend which of the following? - Develop a facility policy that defines the acceptable period of time allowed for a t...

CTR EXAM-DATA COLLECTION (ABSTRACTING_CODING) QUESTIONS WITH 100% CORRECT ANSWERS

MHA 705 exam 4 | Questions with 100% Correct Answers | Verified | Latest Updated 2024 | Already Passed Abbreviated injury scale (AIS) - A set of numbers used in a trauma registry to indicate the nature and severity of injuries by body system abstracting - 1. The process of extracting information from a document to create a brief summary of a patient's illness, treatment, and outcome 2. The process of extracting elements of data from a source document or database and entering them into an...

Classification of the extent of disease is known as: Grading Coding Abstracting Staging - ️️Staging Examples of confidential information under HIPAA include the following except: Patient account passwords Patient SSNs Patient home address De-identified clinical information - ️️De-identified clinical information State collection of follow-up cancer data can be collected.... With patient consent With permission of the patient's primary physician With permission of the pa...