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RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 1 Exam | Questions And Answers Latest {} A+ Graded | 100% Verified
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RHIA Domain 1 Exam | Questions And Answers Latest {2024- 2025} A+ Graded | 100%Verified
Medicare restructuring of reimbursement of inpatient hospital admissions - MS-DRG Medicare Severity
Diagnosis Related Groups
Used by Federal and state agencies to collect data on inpatients. - UHDDS Uniform Hospital Discharge
Data Set (UHDDS) Used for reporting inpatient data in acute care, short-term care, and long-term care
hospitals. Minimum set of items based on standard definitions to provide consistent data for multiple
users. Required for reporting Medicare and Medicaid patients.
Advisory body of health data, statistics and national health information policy - NCVHS:
The National Committee of
Vital and Health Statistics
Works to improve data collected in the ambulatory setting - UACDS . Uniform Ambulatory Care Data Set
Legislation in 1996 whose focus is health insurance and health information - HIPAA . Health insurance
portability and accountability act
Oversees and accredits private standards developing organizations in the US - ANSI . American National
Standards Institute
Uniform specifications for data entered in ED patient records - DEEDS Data Elements for Emergency
Department Systems.
promotes comparability and compatibility of standard data items using uniform definitions. - MDS .
Minimum data set
Standardized reproducible assessment instrument used to monitor home health care - OASIS .Outcome
and Assessment Information Set. Data set for use in home health agencies (HHAs), State agencies,
,software vendors, professional associations and other Federal agencies in implementing and
maintaining OASIS.
Concerned with communicable diseases and environmental health - CDC Center. Centers for Disease
control and prevention.
Branch of the Federal Government who has responsibility for regulatory programs affecting the health
care industry - DHHS. Department of Health and Human Services
Private accrediting organization whose goal is to improve the quality of patient care through the
development and assessment standards of performance by health care organizations. - TJC. The Joint
Commission
Accrediting agency for MCO's - NCQA.National Committee for Quality Assurance.
NCQA manages voluntary accreditation programs for individual physicians, health plans, and medical
groups. It offers dedicated programs targeting vendor certification, software certification, and
compliance auditing.
Standardized set of performance measures designed to allow purchaser/consumers of managed care
plans to compare performance - HEDIS. Healthcare Effectiveness Data and Information Set (HEDIS)
is a widely used set of performance measures in the managed care industry, developed and maintained
by the National Committee for Quality Assurance (NCQA).
web-based strategy intended to monitor and assess disease trends, guide prevention and intervention
programs, inform the public health makers, identify issues of concern. - NEDSS. The National Electronic
Disease Surveillance System.
(NEDSS) is a secure online framework that allows healthcare professionals and government agencies to
communicate about disease patterns and coordinate national response to outbreaks.
National standards development body - NSDM
, Provides leadership in the development and implementation of information systems to improve patient
care. - AMIA. American Medical Informatics Association
Is a professional scientific association that was formed by the merger of three organizations in 1988: the
American Association for Medical Systems and Informatics (AAMSI); the American College of Medical
Informatics (ACMI); and the Symposium on Computer Applications in Medical Care (SCAMC).
Focuses on optimal use of health care information technology and management systems for the
betterment of human health. - HIMSS- Healthcare Information and Management Systems Society
HIMSS is a global, cause-based, not-for-profit organization focused on better health through information
and technology. HIMSS leads efforts to optimize health engagements and care outcomes using
information technology
Committed to the creation of quality health record reports from dictation by healthcare providers. -
AAMT. American Association for Medical Transcription
Agency, whose focus is to produce and disseminate information which improves quality, reduces cost
and enhances the effectiveness of health care. - AHRQ- Agency for Healthcare Research and Quality
A formally recognized list of preferred medical terms and their corresponding definitions; also called a
medical vocabulary. Clinical vocabularies are an integral part of the EHR transition because they assist in
standardizing the language within the health record. An example of a clinical vocabulary is the ICD-10-
CM.
Example: The documentation in the health record supports the diagnosis of acute pneumonia. The ICD-
10-CM code for this diagnosis is J18.9, which represents pneumonia, unspecified. The word "acute" is a
nonessential modifier and therefore has no bearing on code assignment. - Clinical Vocabulary
A set of standardized terms and their synonyms that record patient findings, circumstances, events, and
interventions with sufficient detail to support clinical care, clinical decisions, outcomes research, and
quality improvement. - Clinical terminology
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