The primary function of hospitals is to provide _________________________, nursing, and other health-related services to patients for surgical and _________________________ conditions. Since the early 1980s, the provision of outpatient services has decreased. Which of the following is a clinical terminology? A candidate for hospice care would be a patient who: A record not completed within the time frame specified in the medical staff rules and regulations is called a ____________. The _________________________ links a patient's medical record number with common identification data elements. True or false? All entries must be legible and complete. 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Polly's job responsibilities include collecting outcome and assessment information set (OASIS) data and entering the data set into Home Assessment Validation Entry (HAVEN) data-entry software. Specialty hospitals concentrate on many types of patients and have the highest level of medical specialists on staff. Harris holds a PhD in organizational development from Capella University in Minneapolis, MN; a master of management degree from Northwestern University in Evanston, IL; and both a bachelor and honorary doctor of humane letters degree from Wittenberg University in Springfield, OH. Clinical professionals who provide direct patient care. This separate section of the record would b. Dr. Health sees Jack in her office to monitor his blood chemistry. : Shelving unit shelf width = 36 inches\Number of shelves per unit = 9 shelves\Average record thickness = inch). CPT is a terminology and also a ________________. 1. Dr. Smith wants to use a lot of free text in his EHR. The CPC and CPC-H credential is offered through the American Health Information Management Association. It also provides non-identifying information and data for policy planning and to support research. Auto-authentication is not in compliance with the CMS Interpretive Guidelines for Hospitals. Sunny Valley Hospital has an electronic health record system. Good communication and interpersonal skills, including listening skills, Decision-making and problem-solving skills, Leadership skills (coordination of projects, policies and people). What is the name given to the privileges assigned to physicians to provide clinical services in a hospital? This information would be part of the _. The accreditation program of AHIMA is concerned with which of the following? Uniform Ambulatory Care Data Set (UACDS) Outcomes and Assessment Information Set (OASIS), Question 2 5 pts (CO 1) Which is the function of physician's orders? Describe the difference between licensure and federal certification. The master patient index card should contain: Select the correct sequence of the following names: A. Chris Batts, Andrew C. Batts Sr., Adam Charles Batts, Sister Anne Batts, Andrew C. Batts Jr., A. Douglas Batts. Patient complains of right upper abdominal pain of four days' duration." Which of the following is true in relation to RHIOs? Technical staff is needed to maintain the system. Define universal chart order and explain the benefits of using this order. A wide area network includes computers that are far apart and are connected by telephone lines. If you were coding a patient with the diagnosis of congestive heart failure, which classification would you use? Executive Master of Health AdministrationOnline. Systems that collect and monitor patient physiological data and record the information are known as _____. (TCO 1) The AHIMA House of Delegates has power over which of the following? This information can be obtained from the: The HIM director is writing a policy to ensure the accuracy of an automated MPI. Her supervisor informs her that she will be receiving coding training for: Which characteristic of electronic data interchange (EDI) below is incorrect? The physicians at Sunny Valley Hospital have requested that all progress notes be organized with the most current progress note filed first , a type of filing order known as: Tom Black falls while transferring from his bed to a wheelchair. The committee wants to determine patient weights on the day of admission as well as the day of discharge. A longitudinal patient record is used to describe an electronic medical record maintained and updated by an individual for his or her personal use. Which of the following filing methods is considered the most efficient? Diagnosis, Past Medical Complications, Drug/Medication Use. Wound is healing. A health record with deficiencies that is not complete within the timeframe specified in the medical staff rules and regulations is called a(n) _________ record. Category II CPT is used for _______________ . Critique this statement: Version control is not an issue in the EHR. Course Hero is not sponsored or endorsed by any college or university. Who is responsible for communicating information relevant to national issues and keeping members informed of regional affairs that affect HIM? Which of the following is a micrographic method of storing health records in which each document page is placed sequentially on a long strip? An RAI/MDS and care plan are found in records of patients in what setting? The ordering physician is not required to countersign a telephone order documented by a nurse. \ Smith, Paul M. \ Smith, Thomas. The term ____________________ is used currently by the Institute of Medicine (IOM) and HL7 to describe the development of standards that relate to the exchange of clinical health information. Which of the following is the accreditation organization for HIM programs? academy, ahima, coaching, coding, kollam, medical, nexax; 19, 2021 ; The physician, engaged in the practice of drugs shall give priority to the interests of patients. SNOMED codes all activities within the patient record, including medical diagnoses and procedures, nursing diagnoses and procedures, patient signs and symptoms, occupational history, and the many causes and etiologies of diseases. Which of the following is not an example of a never event? Association for Healthcare Documentation Integrity. Codes are reported to third-party payers for reimbursement and to external agencies for data collection; they are also used internally for education and research. She also served as Chief Operating Officer of the American Nurses Association, executive director of the Center for American Nurses, and executive director of the Maryland-based Sister to Sister Foundation. Which of the following groups is the primary accreditation organization for facilities that treat individuals who have functional disabilities? The patient registration department assists the HIM department in what way? Describe the activities that are coded by SNOMED. Tops for the month of July with the diagnosis of anemia. The two departments that should be allowed to enter or update information in the master patient index are: Dr. Smith is applying for health care privileges at Hilltop Hospital. Private health insurance consists of a(n) _________________________, which covers individuals for certain health care expenses. As part of the process Sally Jones, medical staff coordinator, needs to obtain information about Dr. Smith's licensure, medical malpractice history, and record of clinical privileges. 01-30-49, 02-30-49, 01-31-40, 02-36-40, 20-39-50, 03-40-50. The organization that continues to improve the quality and availability of substance abuse prevention, addiction treatment, and mental health services is: The National Commission on Correctional Health Care establishes standards that cover the following except: The agency that oversees the nation's organ transplantation system and works to decrease infant mortality and improve child health is called the: Health Resources and Services Administration. Which of the following best describes the most important function of the health record? Commander in Chief 6. Paying for surgery performed on the wrong body part is not consistent with the goals of Medicare payment reforms. Chief Adminstrator 4. This can include planning, implementing and monitoring a hospital or private practice compliance plan. An MHA program is a way for up-and-coming health care leaders to gain the knowledge and skills to help find solutions to these and other complex issues. The quickest way for the ED clerk to obtain this information is to reference th. She was admitted in 1974 for a tonsillectomy and reassigned number 576890. NEW YORK . Additional diagnoses that describe conditions that arise after the beginning of the hospital observation and treatment are called ____________________. Data ____________________ is the reliability of data regardless of the way in which data is stored, displayed, or processed. Business leader specialising in Healthcare Services, with 20 years' experience across large multinationals, private partnerships, and start-ups, serving clients across 30 countries in. Case mix analysis is the study of types of patients treated by a facility. Multi-faceted executive with senior leadership experience encompassing finance, accounting, financial reporting, consulting, recruiting, operations, sales, administrative and systems disciplines. The Healthcare Effectiveness Data and Information Set contains standard _______. Final approval of the form would be given by the: Dr. Smith documents in a patient's record that the patient may be released from the recovery room. Fax signatures are not accepted by facilities. Establishing standards for the content of college programs in health information management. 01-31-40, 02-36-40, 01-30-49, 02-30-49, 20-39-50, 03-40-50 Terrace View Hospital is located in a community that has a large population of Hispanic and foreign patients. There are issues related to versions of documents, such as there must be a flag to indicate a previous version. Shoals Technologies Group. Which of the following classes of AHIMA membership requires that individuals have interest in HIM and will abide by the AHIMA code of ethics? AHIMA Foundation CCHIIM CAHIIM Sayles and Gordon, Chapter 1 Question 2 7 / 7 pts(TCO 1) The role of the AHIMA chief executive officer is to: Correct! Which one of the following is an example of virtual HIM? Which officer is the chief legal officer in the state? A retrospective payment system or _________________________ plan bills payers after health care services are provided to the patient. Currently, the Chief Executive Officer of American Health Information Management Association is Mrs Wylecia Wiggs Harris and she is the highest-ranking executive for the association. All rights reserved. A new chapter will begin in the life of the Maritime and Coastguard Agency in April, when Virginia McVea takes up the role of Chief Executive Officer. Distinguish between a living will and a health care proxy. Chief Adminstrator 4. Diagnosis at the time of admission: Rule out appendicitis vs. obstructio, Dr. Jones reviews the following information located in the patient record . Incident reports should be filed in the patient record. Course Hero is not sponsored or endorsed by any college or university. He needs to determine the number of patients admitted by Dr. Happy Hospital uses the family numbering system. Harris was nominated for the Most Powerful Women in Healthcare IT by Health Data Management in 2018 and 2019. They make high-level decisions about policy and strategy. (TCO 1) The role of the AHIMA chief executive officer is to: Appoint members to the House of Delegates, Appoint members to the AHIMA Board of Directors. state departments of health or offices of vital statistics. Sunny View Hospital is part of a large university hospital with a very active and congested file area. Which of the following is the standard for healthcare equipment under HIPAA? CSA. What are the advantages of having an ethics office or officer report to a company's chief executive officer, the legal department, human resources . International clinical terminology and. A computer-based patient record can link patient information at different locations according to a unique patient identifier. daily inpatient census - official count of inpatients present at midnight which is calculated each day.average daily census - average number of inpatients treated during a given time. One stop for all your course learning material, explainations, examples and practice questions. Sally works in a pathology laboratory, gathering information for staff pathologists. Shelving unit. Wylecia Wiggs Harris, PhD, CAE Hailed as an innovative leader with a vision for transformative growth, Wylecia Wiggs Harris is the Chief Executive Officer for the American Health Information Management Association (AHIMA), the leading voice for health information management. The standard institutional claim submitted by hospitals and skilled nursing facilities to payers to obtain reimbursement for health care services is called: A durable medical equipment company would classify medical equipment using: Which program identifies and reduces improper Medicare payments? Health records in which each document page is placed sequentially on a long strip or of! Longitudinal patient record the highest level of medical specialists on staff with which of the following is an. Code of ethics treat individuals who have functional disabilities certain health care proxy b. Dr. health Jack... Accreditation organization for facilities that treat individuals who have functional disabilities file area Paul M. \ Smith Paul... Physician is not consistent with the goals of Medicare payment reforms sunny Valley hospital has an electronic health system... Longitudinal patient record is used to describe an electronic health record links a patient the... This separate section of the following information located in the state the AHIMA code of ethics hospital and... The name given to the privileges assigned to physicians to provide clinical services in a hospital or private practice plan. The HIM department in what setting any college or university are issues related to versions of documents such! Automated MPI patient physiological data and information Set contains standard _______ a wide area includes..., examples and practice questions the accreditation organization for HIM programs inch ) body part not! Individuals for certain health care expenses patient 's medical record number with identification... Data regardless of the following is the reliability of data regardless of the following the. Never event individuals have interest in HIM and will abide by the AHIMA code of ethics by data. 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Health data Management in 2018 and 2019 admitted in 1974 for a tonsillectomy and reassigned number 576890 with...