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LCHI Final Exam (Ch 17, 18, and 19) 2024 Questions With Complete Solutions!!
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LCHI Final Exam (Ch 17, 18, and 19) 2024 Questions With Complete Solutions!!
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Name: Score:90 Multiple choice questions
Definition 1 of 90
Entry of items charged into an accounting system as well as clinical documentation within the
chart to substantiate the claim. Must be cataloged appropriately
Revenue Cycle Management Components:
Utilization Review
Revenue Cycle Management Components:
Charge Capture = middle of the revenue cycle
Revenue Cycle Management Components:
Prior Authorization (Precert)
Revenue Cycle Management Components:
Care Coordination
Definition 2 of 90
the function of electronically delivering data and automating the workflow around the
management of clinical data
patient portal
Clinical and financial data needs to be
workflow technology
clinical messaging
,Term 3 of 90
information as a service
cloud-based offering of EC3M
an integrated platform on which multiple different EDM and ECM systems can exchange
content
provide permission for use and track what access has been made
requires vendor to report breaches to Federal Trade Commission
Term 4 of 90
Case mix
ensure access to health information through third-party apps is appropriate, secure, and at
the direction of the patient
distribution of patients into categories reflecting differences in severity of illness or
resource consumption
patient owns it, team effort to care. Activism, engagement in care, they are seeking
knowledge and skills
connected to sponsor (each of which may supply data to or use data from a PHR in
different ways)
Definition 5 of 90
The cataloging in a database of all the supplies and services provided to patients and the
corresponding charges for those items
-Must be accurately maintained on a timely basis in order to capture charges as they incur
-Also useful for budgeting/profitability by comparing charges to costs
Patient Responsibility
consumer empowerment
Charge description master
Patient-Centered Medical Home
,Definition 6 of 90
group of providers, including physicians, hospitals, LTPAC providers, and others, who are
collectively responsible for the care outcomes of a patient population.
No Surprises Act (1/1/2022)
Knowledge management system
Accountable Care Organizations (ACO)
Enterprise master person index (EMPI)
Term 7 of 90
Value-Based Payment Models
cloud-based offering of EC3M
used to carry out VBPs.
used to describe paying for the value (cost and quality) of services, as opposed to paying
for the volume of services
architecture for exchange
Term 8 of 90
Scan on demand
consumers deserve to know the quality and cost of their healthcare. Provides consumers
with the information necessary, and the incentive to choose health care providers based on
value
enables customers to pay for services as they are used and not a flat monthly or annual fee
reimbursed under FFS with reimbursement for care coordination and sometimes pay for
performance bonuses
A health record that includes both paper and electronic elements; offers risks:
-authoring and printing issues
-access and disclosure issues (where is the record. Printouts may get lost)
-Operational issues in HIM Department
, Term 9 of 90
personal health record (PHR)
enables a paperless environment, one place to look for everything, reduces the risks of a
hybrid environment, and supports the creation of a legal health record. Minimizes risks
the entire practice of the patient being registered to coding the chart to billing for the
services and ultimately when the revenue comes into the door (front-end and back-end
processes)
a storage solutions based on digital scanning technology in which source documents are
scanned to create digital images of the documents that can be stored electronically on
optical disks
maintained by the patient, which is why we dont use it. NOT portal, NOT the EHR; distinct
from portals that allow patients to view provider information/ communicate with providers
Definition 10 of 90
Specification of content for an organized, transportable set of basic patient information
consisting of most relevant and timely facts about a patient's condition, especially for use in
referrals and transfers of patients across the continuum of care.
•It is not an EHR.
•It does not provide interactive clinical decision support.
•It is not universally accessible.
•It does not have a universal patient identifier or record locator service.
•It may be rendered in XML or as a document when combined with HL7 CDA.
Continuity of Care Record (CCR)
21st Century Cures Act
HIPPA breach notification rule
Revenue Cycle Management Components:
Patient Financial Counseling
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