Clinical encoder program - Study guides, Class notes & Summaries

WGU D033 Glossary Terms. Acceptance testing - Answer A type of testing that occurs after the go-live date Access controls - Answer A computer software program designed to prevent unauthorized use of an information resource Addressable standards - Answer Must be evaluated by the entity to determine whether or not the standard is reasonable and appropriate Administrative information system - Answer A system that manages the business of healthcare; is the first information systems to be used...

While the focus of inpatient data collection is on the principle diagnosis, the focus of outpatient data collection is on the: - ️️Reason for encounter Which process requires the verification of the educational qualifications, licensure status, and other experience of healthcare professionals who have applied for the privilege of practicing within a healthcare facility? - ️️Credentialing Which of the following processes is an ancillary function of the health record? - ️️Biomedi...

HISM (D033): Chapter 6 Questions and Answers Rated A Healthcare quality indicator system An abstracting system that records information about the patient, the care provided to the patient, and the healthcare practitioner(s) involved in the care delivered Automated codebook encoder An encoder that lists diagnoses and procedures in alphabetic order much like the alphabetic index Birth certificate information system A state-approved system in which the birth certificate data are entered, after th...

In a joint effort of the Department of Health and Human Services, Office of Inspector General, Centers for Medicare and Medicaid Services, and Administration on Aging, which program was released in 1995 to target fraud and abuse among healthcare providers? - Answer Operation Restore Trust All of the following should be part of the core areas of a coding compliance plan except: - Physician query process - Correct use of encoder software - Coding diagnoses supported by medical record do...

Encoder correct answers Computer software that helps the coding professional to assign codes. This software now includes assistance with other coding systems Computer Assisted Coding correct answers Utilizes natural language processing (NLP) and algorithmic software to electronically analyze entire medical charts to pre-code with both CPT procedure and ICD10 diagnostic nomenclatures Natural language processing correct answers Considered a special form of data entry, it is the capability of...

Medical Coding Study Guide Latest 2023 Already Passed What are the purposes of coding? Facilitate accurate medical record keeping Make insurance claims processing faster Track Healthcare Statistics Receive the highest level of reimbursement What is coding Assigning a numerical code to a medical diagnosis, procedure, or service as part of submitting a claim to an insurance company What are compliant standard code sets? The ICD, CPT and HCPCS are HIPPA compliant standard code sets. How often ar...

Which of the following elements is not a component of most patient records? Patient Idenfification Clincal History Financial Information Test Results - Answer Financial information Identify where the following information would be found in the acute care record. Following induction of an adequate general anesthesia, and with the patient supine on the padded table, the left upper extremity was prepped and draped in the standard fashion. Anesthesia report Physican progress report Op...

RHIA Exam Prep 35 Questions with Verified Answers What term is used in reference to objective descriptions of processes, procedures, people, and other observable objects and activities? - CORRECT ANSWER Data Which of the following processes is an ancillary function of the health record? - CORRECT ANSWER Biomedical Research What term is used in reference to electronically accessed information that provides physicians with pertinent health information beyond the health record itself? - ...

which volume of icd9 contains the tabular and alphabetic indexes of procedures. - Answer- volume 2 which of the following icd9 codes are always alphanumeric - Answer- v codes which of the following organizations is responsible for updatitng the procedure classification of icd9 - Answer- centers of medicare and medicaid services. at which level of the classification system are the most specific icd9cm codes found. - Answer- subclassification level what are five-digit icd9cm diagnosis ...

An encounter that prompts the coder to answer a series of questions and choices based on the documentation in the medical record is called a(n) - Answer- logic-based encoder The best resource for checking out specific voluntary accreditation standards and guidelines for a rehabilitation facility is the - Answer- CARF Manual You have been asked to give an example of a clinical information system. Which one of the following would you cite? A. Financial information system B. Admission-dis...