Introduction Midterm

Premier medical research organization in the US that supports research projects nationwide

To calculate the delinquent record rate, divide the total number of delinquent records by the

A candidate for hospice care would be a patient who

Med staff committee is responsible 4 review of Preop & Path dx 2 determine necessity of surgery

Patients that undergo procedures that can be performed on an outpatient basis are categorized

Which of the following record formats links all documentation to a specific problem?

Voluntary compliance with standards (example: CAHIIM) is known as ____________________.

Tom falls while transferring from his bed to a wheelchair. This would be documented on a(n)

A student can be terminated from the professional practice site, receive a failing grade for

The assembly and analysis of discharged patient records is called

Which is an example of clinical data?

Use of microscope allowed ____ to discover certain microbes that later became known as bacteria

The JC requires that the H&P exam be documented in the patient record within ____ of INPT admit

The abbreviation URI means

Patients that undergo procedures that can be performed on outpatient basis are categorized as

The Medicaid Integrity Program, a fraud and abuse detection program, was established by the

Universal chart is created when INPT & _______ patient records are organized in the same order.

AHIMA requires RHITs and RHIAs to submit proof of continuing education every

Administration of iv chem agent that have specific & toxic effect disease-causing cell/organism

Healthcare service to patients who have serious, sudden, or acute illness, injury, need surgery

Most hospitals in the US are ____ and are operated by religious or other charitable groups.

The abbreviation q.h. means

Incident reports are not subject to ____________________ when patient records are subpoenaed.

US Public Health Agency responsible 4 services 2 the elderly 2 enable them 2 remain independent

Home care record generated 4 Medicare Pt contains a Home Care Certification & Plan of Care form

Joint state & fed program(s) assist w/ medical costs 4 those w/ low income & limited resources

Code system used in US 2 collect info on diseases, injuries & 2 classify diagnoses, procedures

Sunny Valley Hospital uses auto-authentication for transcribed records. Which is correct?

Which of the following is not a primary care service?

Hospital that provides emergency care, surgery, and admits patients for a range of problems is

Advance the health of individuals & communities, hospitals & healthcare network represented by

An inpatient record is typically between ____ in length.

At times its necessary 4 provider to amend an entry that was made in Pt record by adding a(n)

The abbreviation PCS means

The CPC, CPC-H, CPC-A, and CPC-H-A certifications are sponsored by

Sally is responsible for analyzing, organizing, & presenting info based on PT records. She does

Medical assistants routinely perform which task?

The anatomist who revolutionized anatomy by writing De Humani Corporis Fabrica was

Pam reviews INPT admits 2 assess Pts who may need posthospital service 4 discharge. She works 4

A ____________________ ensures an appropriate response to internal and external disasters.

Which filing order saves time in processing discharged records?

The professional association that sponsors the Coding Specialist for Payors certification is

Which credentials does AHIMA sponsor?

Primary reason 2 complete med records consistent w/ medical staff policies & procedures

Long & Morton discover that ether gas could be used during surgery as a(n) ____put Pts to sleep

Quaternary care is provided most commonly at ____________________ centers.

Which organization currently provides voluntary accreditation of health care organizations?

The first physician to document accurate descriptions of measles and smallpox was

A plastic card that contains a small central processing unit & memory, can interact w/ a reader

Operative reports, laboratory reports, and nursing intake/output records are types of _________

Critical access hospitals (CAHs) are located at a distance of ____ miles from any hospital

The National Practitioner Data Bank (NPDB) was established by the

Funding for health care for the homeless was provided by the ____ Act.

JC and _ work together 2 standardize common measures called National Hospital Quality Measures.

The American Hospital Association recommends that patient records be retained for