Exam (elaborations)
Health Information Chapter 6 Questions With Complete Solutions
- Course
- Institution
Health Information Chapter 6 Questions With Complete Solutions
[Show more]
Content preview
Health Information Chapter 6 Questions With CompleteSolutions
Nosology is the branch of medical science that deals with
classification systems. A nosologist is a person who works with
using and developing classification systems. The AHIMA
Coding Futures Task Force envisions that the role of the coder
will change dramatically over the next decade. At present, the
coder's primary responsibility is the assignment of codes. In the
future, the coder will become responsible for the development,
maintenance, and management of classification systems and
vocabularies.
... Correct Answer In today's healthcare environment, HIM
professionals, especially those with career paths in clinical
coding, are enjoying a wealth of opportunity in the job market.
There is a critical need for qualified coding professionals to
classify, manage, and maintain clinical information for analysis
and transactions. As a result of increased regulation in
healthcare, heightened compliance risks, and progressively more
complex reimbursement tied to code assignments, coding
professionals have a greater array of choices within the
profession than ever before.
Along with increased demand for coding professionals is a clear
broadening of roles within the HIM profession. Today's work
force demands knowledge and job skills that go beyond the
basic conventions of standard diagnosis and procedure code
assignment from health records. Clinical terminologies are
expanding into a broader use of data sets beyond the traditional
ICD-9-CM and HCPCS/CPT code sets to include SNOMED-
,CT, LOINC, specialized terminologies for pharmaceuticals and
nursing care, and a host of others to serve an environment
hungry for data that is easily digested by computer software and
reliable, consistent, and accurate.
Many levels of HIM expertise are needed, and a variety of skills
are important for career success. Most employers are seeking a
minimum of a bachelor's degree in a healthcare discipline as
well as "high-end" knowledge that facilitates integration of data
management with a specific business case, software application,
or clinical workflow support process. Current employment
trends favor master's degree preparation in HIM, health
informatics, computer information management, or related fields
of study. A solid clinical knowledge base is required for many
positions related to clinical terminology use involving clinical
coding systems and data analysis
"SNOMED CT (Systematized Nomenclature of Medicine—
Clinical Terms) is: Correct Answer •A comprehensive clinical
terminology, originally created by the College of American
Pathologists (CAP) and, as of April 2007, owned, maintained,
and distributed by the International Health Terminology
Standards Development Organisation (IHTSDO), a non-for-
profit association in Denmark
•The CAP continues to support SNOMED CT operations under
contract to the IHTSDO and provides SNOMED-related
products and services as a licensee of the terminology" (NLM
2009)
3M Health Information Systems to developed a separate
procedure code system that would serve as a replacement for
,ICD-9-CM, Volume 3, what is this coding system known as?
Correct Answer •This coding system is known as the
International Classification of Diseases, Tenth Revision,
Procedure Coding System, or ICD-10-PCS.
6.5 Instructions: Indicate whether the following statements are
true or false (T or F) Correct Answer 1. __T__ Coding plays an
important role in the determination of reimbursement of
healthcare facilities.
2. _T___ The coding function must be reviewed on an ongoing
basis for coding consistency and accuracy.
3. __F__ The AMA publishes the official guidelines for CPT
coding in its newsletter, Coding Clinic.
4. __F__ Codes are sequenced in the patient's health record
according to AHIMA's Standards of Ethical Coding.
5. __T__ A baseline audit should include a sample of records
coded by all coders for all types of services
6.6 Instructions: Indicate whether the following statements are
true or false (T or F). Correct Answer 1. __F__ An encoder is
computer software that assists in determining coding accuracy
and reliability.
2. __T__ An interface is the total component of screens,
navigation, and input mechanisms used to operate encoding
software.
, 3. __T__ Good encoding software should include edit checks.
4. __T__ The NLP encoding system uses expert or artificial
intelligence software to automatically assign code numbers.
5. _T___ Diagnosis-related groups categorize patient cases that
are medically similar with respect to diagnosis, treatment, and
length of stay
6.7 Instructions: Indicate whether the following statements are
true or false (T or F) Correct Answer 1. _T___ The federal
Office of the Inspector General established compliance plans for
the healthcare industry.
2. __F__ The basis for prosecuting healthcare fraud and abuse is
the Federal False Compliance Act.
3. _T___ The OIG compliance programs offer guidelines that
healthcare organizations can follow to establish their internal
compliance programs.
4. __T__ A corporate compliance program should include the
development and implementation of education and training
programs for all affected employees.
5. _F___ HIM professionals are not involved in developing
policies and procedures for corporate compliance.
6.8 Instructions: Indicate whether the following statements are
true or false (T or F): Correct Answer 1. _T___ The UMLS
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76799 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now