Hipdb - Study guides, Class notes & Summaries

What are four models of HMOs? - Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - 5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - 5 At least five active medical staff How many medical staff members must serve on an Infection Co...

RHIT PRACTICE EXAM DOMAIN 5 COMPLIANCE 1. What is one purpose of a physician query? Answer: To clarify conflicting documentation. 2. What is a general statement that defines the parameters for decision-making guidance on a topic? Answer: Policy. 3. What best describes the planning, organizing, directing, and controlling of information in an EHR? Answer: Workflow management. 4. Where can you find information on healthcare fraud and abuse mandated by HIPAA? Answer: Healthcare inte...

CPCS / CPMSM Sample Questions | Questions with 100% Correct Answers | Latest Update 2024 | Verified Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to the Joint Commission, who may amend the medical staff bylaws? - Governing Body Failure to meet the established qualifications and criteria for appointment should be reported to whom? - The applicant NCQA requires the MCO to obtain a minimum of ???? years of work ...

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) logic-based encoder The best resource for checking out specific voluntary accreditation standards and guidelines for a rehabilitation facility is the 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-discharge-tra...

CPCS - Certified Provider Credentialing Specialist Exam Study Questions 2022 96 Questions with 100% Correct Answers – COMPLETE SOLUTION Document Content and Description Below CPCS - Certified Provider Credentialing Specialist Exam Study Questions 2022 96 Questions with 100% Correct Answers – COMPLETE SOLUTION Are limitations of the clinical privileges of a psychiatris t for more than 30 days reportable to the NPDB? - Yes According to TJC, who may amend the medical staff bylaws? - Governing...

CHC Practice Test At which level of the Medicare Part A or B appeals process is the appeal reconsidered by a qualified independent contractor? a. first level appeal b. second level appeal c. third level appeal d. fourth level appeal - ANS b. second level appeal There are five levels of appeal. First level entails a redetermination of claim; second level involves reconsideration by a qualified independent contractor; third level includes a hearing overseen by admin law judge; fou...

This committee makes recommendations to the governing board for appoints to the medical staff - Correct answer-executive physicians who deliver most of the medical care in hospitals and who site on committees are - Correct answer-active staff accreditation organization which accredits health information educational programs is - Correct answer-CAHIIM which component, group has ultimate authority and is responsible for providing quality care to patients? - Correct answer-governing board w...

primary data source - ANSWER-The health record is considered a ________________________ because it contains information about a patient that has been documented by the professionals who provided care or services to that patient. secondary data source - ANSWER-Data taken from the primary health record and entered into registries and databases are considered a _____________________. patient-identifiable data - ANSWER-The health record consists entirely of _____________________. In other word...