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CAHIMS Exam prep (Verified) Questions & Answers, Already Passed!!
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CAHIMS Exam prep (Verified) Questions & Answers, Already Passed!!
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Name: Score:91 Multiple choice questions
Definition 1 of 91
physical structures that house patients who are sick or injured. Person may be admitted in one of
two ways: emergency room and evaluated by a team of clinicians- if patient is sick enough then
admitted, and a patient may also be directly admitted from a physician's office
Physicians
Medicare
Ambulance Services
Hospitals
Term 2 of 91
CNO
chief nursing officer, head of the nursing department of a medical institution and is in
charge of developing the programs, processes, and procedures for the other nurses to
follow. Directly involved in projects involving nurse use of IT systems
chief information officer, leader of health IT department. In charge of planning, choosing,
installing, and supporting a healthcare organization's computer and information-processing
operation
a set of standards being developed by the U.S. Department of Health and Human Services,
in collaboration with CMS and ONC, to govern use of EHRs. Compliance with criteria to
earn incentive payments paid by CMS. Focus is to promote the application of EHRs in ways
to improve the outcomes of care. Stage 2 in 2014 requires providers offer secure electronic
messaging to patients, enable patients to securely view online, download, and transmit their
health information
chief medical officer, usually a physician serving as a liaison between upper management
and the medical staff at a HCO. Responsible for clinical care, quality improvement, and
sometimes graduate medical education
,Definition 3 of 91
episode-of-care method that pays a fixed dollar amount for each episode of care a patient
receives in a given time period, such as a month or year
Global payment
Bundled payment
Episode based payment
Prospective payment
Term 4 of 91
CMO
chief operating officer, reports directly to the CEO and is responsible for the day-to-day
operations of the healthcare organization
chief medical officer, usually a physician serving as a liaison between upper management
and the medical staff at a HCO. Responsible for clinical care, quality improvement, and
sometimes graduate medical education
chief nursing officer, head of the nursing department of a medical institution and is in
charge of developing the programs, processes, and procedures for the other nurses to
follow. Directly involved in projects involving nurse use of IT systems
physical structures that house patients who are sick or injured. Person may be admitted in
one of two ways: emergency room and evaluated by a team of clinicians- if patient is sick
enough then admitted, and a patient may also be directly admitted from a physician's office
,Definition 5 of 91
located in an employment facility or can be mobile clinic. Focus on occupational health and injury
prevention but now include preventive care, screening and chronic disease management. Allow
employer to have control over healthcare costs by emphasizing wellness care, and employees to
receive healthcare without taking off work
Managed care plan
Hospice care
Medicare part c
Employer-based health clinics
Definition 6 of 91
Structured documentation- data entered into predefined fields, codified data stored in a standard
format, ie allergy, problem, and medication lists support;
Electronic prescribing- enables physician to create and electronically transmit prescriptions to
pharmacy;
CPOE- integrated with pharmacy system and employs CDS to issue alerts and reminders during
order process;
CDSS- clinical decision support systems, enhance clinician workflow by issuing alerts and
reminders at the point of care;
CDS- clinical decision support, assists providers at all stages of care- diagnostic, treatment, and
follow-up
Conditions of coverage rules
Medical billing cycle
Health privacy requirements
Meaningful use requirements
, Term 7 of 91
APC
majority of patient healthcare needs, often the entry point into healthcare, includes
screening, prevention, diagnosis, and treatment for acute and chronic health problems
separate apartments or private rooms in a common building where a number of services,
such as personal care, medication administration, meals, and housekeeping are provided
ambulatory payment classification, U.S. government's way of paying for facility outpatient
services for Medicare. Outpatient prospective payment system applicable to only hospitals,
code determines amount paid
third-party payers reimburse a provider for each service, according to a fee schedule,
which is a list of allowable services and procedures, developed from historical claims data
using the average of the usual, customary, and reasonable charges submitted by providers,
ie not cosmetic plastic surgery
Definition 8 of 91
Health Information Technology for Economic and Clinical Health Act, billions in funding to guide
important initiatives to improve healthcare through the use of health IT. Seeks to improve patient
care and promote patient-centered healthcare through the use of interoperable EHRs.
Information should follow the patient, make the right data available to the right time to the right
people. Goals- improve individual and population health outcomes, increase transparency and
efficiency, improve ability to study healthcare, and improve care delivery
HITECH
PCI-DSS
HIPAA
MEDICARE
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