Uhdds inpatient coding - Study guides, Class notes & Summaries

Your organization is sending confidential patient information across the Internet using technology that will transform the original data into unintelligible code that can be re-created by authorized users. This technique is called a. firewall c. a call-back process b. validity processing d. data encryption d. data encryption As part of a concurrent record review, you need to locate the initial plan of action based on the attending physician's initial assessment of the patient. You c...

The first step in coding the principal diagnosis is to ____. - Answer C. review the medical record NOS codes should never be assigned when a more specific code is available. - Answer TRUE Which of the following statements is true of the ICD-10-PCS code structure? A. Codes are numeric. B. Codes are made up of seven characters and no decimal points C. Codes are alphanumeric and made up of four characters. D. Codes have a minimum of three characters, and up to four characters. - Answer...

CCA Exam Preparation Updated Questions and Answers ;All domain modules with complete solutions During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the foll...

CCA Exam Preparation Updated Questions and Answers ;All domain modules with complete solutions During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the foll...

RHIA AHIMA practice Test 108 Questions with Verified Answers Processing - CORRECT ANSWER Domain 2 Classifying, sorting, storing and retrieving data are all characteristics of which system component? 1. Output 2. Feedback 3.Processing 4.Input K81.2, OFT40ZZ, OFJ44ZZ - CORRECT ANSWER Domain 1 The patient is taken to the OR for a laparoscopic gallbladder removal secondary to acute and chronic cholecystitis. The surgeon encounters difficulty secondary to the patients body habitus and co...

CDIP LATEST 2023 GRADED A+ eMAR Electronic medication administration record PACS Picture archive and communication system CPOE Computerized provider/practitioner/physician order entry CAMP Coaching, asking, mastering, peer learning ICEHR Integrated care EHR HCO Health care organization HIM Health Information Management Stage 0 EHR implementation Lowest level of transformation Stage 1 EHR implementation Electronic capture of health info is in standardized format, track key clinical condit...

Chapter 3 Introduction to the Uniform Hospital Discharge Data Set and Official ICD-10-CM Coding Guidelines Review Exercises: Chapter 3 Practice Questions and Answers 100% Pass 1.What is the purpose of the Uniform Hospital Discharge Data Set? What healthcare organizations collect UHDDS? - Answer️️ -To establish a minimum common core of data to be collected on individual acute care short-term hospital discharges in Medicare and Medicaid programs. UHDDS sought to improve the uniformity...

CCS Mock Exam 1 Section 1 Questions with correct Answers 2024 As part of a concurrent record review, you need to locate the initial plan of action based on he attending physician's initial assessment of the patient. You can expect to find this documentation either within the body of the history and physical or in the? doctor's admitting progress note Employing the SOAP style of progress notes, choose the "assessment" statement. Sciatica unimproved with hot pack therapy You h...

Carcinoma in situ Tumor cells that are undergoing malignant changes but are still confined to the point of origin without invasion of the surrounding normal tissue Examples of carcinoma in situ Intraepithelial infiltrating The patient was admitted from the emergency department because of chest pain. Following blood work, it was determined that the patient had elevated CPKs and MB enzymes. The EKG shows nonspecific ST changes. What type of diagnosis might this indicate? a. Uns...

The Acronym for ICD-10 system that reports inpatient procedure is __________. - Answer PCS The mapping system serves as a crosswalk from I9 to I10 is _________. - Answer GEMS When more then one diagnosis is reported with one code, it's a____________. - Answer combination code. The organization that developed and maintains the ICD10 is the _______. - Answer WHO The type of code expanded the injury code in the ICD10 is . - Answer activity The_________ does not apply for outpatient ...