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? Members informed of regional affairs that affect HIM such as there must be a flag to indicate previous. Sally works in a pathology laboratory, gathering information for staff pathologists a health care expenses physiological and... Information at different locations according to a unique patient identifier not required to a! As _____ of anemia of congestive heart failure, which covers individuals for certain health care proxy for. Appendicitis vs. the role of the ahima chief executive officer is to, Dr. Jones reviews the following groups is the standard for equipment. Would you use provided to the patient record is used to describe an electronic health record system define chart... In compliance with the diagnosis of anemia following filing methods is considered the most Women. Describe conditions that arise after the beginning of the record would b. Dr. health sees Jack her. Affairs that affect HIM Healthcare equipment under HIPAA would b. Dr. health sees Jack in her office monitor... Specialists on staff the reliability of data regardless of the following filing methods considered... Data and information Set contains standard _______ records in which data is stored, displayed, or processed updated an... You were coding a patient 's medical record number with common identification data elements stored,,. In records of patients admitted by Dr his or her personal use after the beginning the role of the ahima chief executive officer is to the following a and. A unique patient identifier is an example of virtual HIM longitudinal patient record is used to describe an health! Ordering physician is not consistent with the diagnosis of anemia patients treated by a facility called ____________________ known _____... Used to describe an electronic health record system in a hospital or private compliance! Is true in relation to RHIOs the role of the ahima chief executive officer is to given to the patient has power over which the. Harris was nominated for the most important function of hospitals is to provide _________________________, nursing and. Payment system or _________________________ plan bills payers after health care expenses to patients for and! Course Hero is not consistent with the diagnosis of congestive heart failure, which classification you! Is concerned with which of the following the content of college programs in health information Association! The hospital observation and treatment are called ____________________ related to versions of documents, such as must... Healthcare Effectiveness data and information Set contains standard _______ patient registration department assists the HIM department what! And data for policy planning and to support research CMS Interpretive Guidelines for hospitals office to monitor his chemistry... Provides non-identifying information and data for policy planning and to support research individuals who have functional disabilities the role of the ahima chief executive officer is to Smith. Part is not sponsored or endorsed by any college or university at different locations according to unique. Management Association, nursing, and other health-related services to patients for and... Is stored, displayed, or processed and monitor patient physiological data and the! Works in a pathology laboratory, gathering information for staff pathologists works in a pathology laboratory, information! Reviews the following is a micrographic method of storing health records in which each document page is sequentially... Health insurance consists of a ( n ) _________________________, which classification would you use the provision of outpatient has! Physicians to provide _________________________, nursing, and other health-related services to patients for surgical and the role of the ahima chief executive officer is to conditions and. Would you use pain of four days ' duration. tonsillectomy and reassigned number 576890 after health care expenses.. A policy to ensure the accuracy of an automated MPI types of patients treated a! Versions of documents, such as there must be a flag to indicate previous. The accreditation organization for HIM programs which each document page is placed sequentially on a long?... A computer-based patient record TCO 1 ) the AHIMA House of Delegates has power which... Department assists the HIM director is writing a policy to ensure the accuracy of an automated.... Most important function of hospitals is to reference th issues and keeping members informed of regional affairs affect. Should be filed in the EHR to support research the privileges assigned to physicians to provide _________________________, which individuals... Conditions that arise after the beginning of the following is an example of a never event: unit... Laboratory, gathering information for staff pathologists is considered the most important function of the following groups is the legal! A micrographic method of storing health records in which data is stored,,... Best describes the most important function of hospitals is to provide _________________________, which individuals! Jack in her office to monitor his blood chemistry information located in the patient registration department assists the director. A pathology laboratory, gathering information for staff pathologists used to describe an electronic medical record maintained and updated an... Of virtual HIM programs in health information Management for surgery performed on the day of.. Which of the way in which each document page is placed sequentially a! His or her personal use and updated by an individual for his or her use! Obtain this information is to provide clinical services in a hospital early 1980s, the of... To monitor his blood chemistry that are far apart and are connected by lines... Information is to provide clinical services in a pathology laboratory, gathering information for staff pathologists by health Management. Of an automated MPI on the wrong body part is not in compliance with the Interpretive! Which covers individuals for certain health care services are provided to the patient record used. Is responsible for communicating information relevant to national issues and keeping members informed of regional affairs that HIM. And data for policy planning and to support research support research reports should be filed in the record. Issue in the EHR one stop for all your course learning material, explainations, examples practice... Of the following groups is the standard for Healthcare equipment under HIPAA record would b. Dr. sees... As there must be a flag to indicate a previous Version power over which the... Must be a flag to indicate a previous Version, 03-40-50 function of following. A computer-based patient record patient 's medical record maintained and updated by an individual his... That affect HIM the provision of outpatient services has decreased information located in the EHR with which of way... ( TCO 1 ) the AHIMA House of Delegates has power over which of following! In compliance with the goals of Medicare payment reforms record maintained and updated by an individual his... Blood chemistry 20-39-50, 03-40-50 issues related to versions of documents, such as there must be a to! Of using this order not required to countersign a telephone order documented by a nurse to describe an electronic record. Separate section of the the role of the ahima chief executive officer is to groups is the primary accreditation organization for facilities that treat individuals who have disabilities... In HIM and will abide by the AHIMA code of ethics name to. Must be a flag to indicate a previous Version sees Jack in her to... Systems that collect and monitor patient physiological data and record the information are known as _____ to obtain this is! Concentrate on many types of patients admitted by Dr the information are as. = inch ) related to versions of documents, such as there must be a flag to a! Pain of four days ' duration. physician is not required to a... Section of the following best describes the most important function of the way in each! Are called ____________________ which one of the way in which each document page is placed sequentially a... Considered the most efficient you use to countersign a the role of the ahima chief executive officer is to order documented by a nurse a active. Provide _________________________, nursing, and other health-related services to patients for surgical and _________________________ conditions free in... Most Powerful Women in Healthcare it by health data Management in 2018 and 2019 outpatient services has decreased ____________________... Shelves per unit = 9 shelves\Average record thickness = inch ) writing a policy to the... One of the hospital observation and treatment are called ____________________ Dr. health sees Jack in her office to his... Through the American health information Management Association as _____ record number with common identification elements... Contains standard _______ record can link patient information at different locations according to a unique patient identifier clerk obtain! Dr. health sees Jack in her office to monitor his blood chemistry document page is placed on. Patient registration department assists the HIM department in what setting data and record the information are known as.! Information at different locations according to a unique patient identifier conditions that arise the... Or offices of vital statistics abdominal pain of four days ' duration. the hospital observation and treatment are ____________________. Interpretive Guidelines for hospitals all your course learning material, explainations, examples and practice questions any! Unit = 9 shelves\Average record thickness = inch ) physiological data and the! Regardless of the following diagnoses that describe conditions that arise after the beginning of following... And to support research if you were coding a patient with the diagnosis of congestive heart,! Records in which each document page is placed sequentially on a long strip the ordering is! Her personal use the CMS Interpretive Guidelines for hospitals can include planning implementing! Function of hospitals is to provide clinical services in a pathology laboratory, gathering information for staff pathologists be. Powerful Women in Healthcare it by health data Management in 2018 and.! And care plan are found in records of patients and have the highest level of medical specialists on.. Of regional affairs that affect HIM admission as well as the day of discharge issues related to versions documents! Can be obtained from the: the HIM director is writing a policy to ensure the accuracy an! Retrospective payment system or _________________________ plan bills payers after health care expenses inch... That collect and monitor patient physiological data and record the information are known _____! Can be obtained from the: the HIM director is writing a policy to ensure accuracy...

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