Uhdds data Study guides, Class notes & Summaries

Database - ANSWER-A collection of data organized for rapid search and retrieval is called a Sharing of patient information between providers - ANSWER-Health Information Exchange provides Human populations - ANSWER-Demographics is the study of statistical information and Provider query form - ANSWER-The main communication for between physicians and clinical documentation improvement programs is Clinical Data - ANSWER-Which of the following would be used to locate a patient's health i...

01. Personal Identification - Correct Answer-The unique number assigned to each patient within a hospital that distinguishes the patient and his or her hospital record from all others in that institution. 02. Date of Birth - Correct Answer-Month, day, and year of birth. Capture of the full four-digit year of birth is recommended 03. Sex - Correct Answer-Male or female 04. Race and ethnicity - Correct Answer-04a. Race American Indian/Eskimo/Aleut Asian or Pacific Islander Black W...

Qualifier for other diagnoses - A qualifier is given for each diagnosis coded under "other diagnoses" to indicate whether the onset of the diagnosis preceded or followed admission to the hospital. The option "uncertain" is permitted. Present on Admission requirement. Admission Date - Month, day, and year. Clarification is added to this data item to note that for emergency and observation type patients, the time of admission is guided by the time that the physician gives the order to adm...

UHDDS DATA ELEMENT questions with correct answers

Admission Following Postoperative Observation - *A patient undergoing outpatient surgery may require postoperative admission to an observation unit to monitor a condition that develops postoperatively.* Principal Diagnosis and " After study" - *The principal diagnosis is NOT the admitting diagnosis* BUT the diagnosis found after workup or surgery that proves to be the reason for admission. UHDDS application - Definitions and guidelines for selection of principal diagnosis and other (seco...

01. Personal Identification - Answer The unique number assigned to each patient within a hospital that distinguishes the patient and his or her hospital record from all others in that institution. 02. Date of Birth - Answer Month, day, and year of birth. Capture of the full four-digit year of birth is recommended 03. Sex - Answer Male or female 04. Race and ethnicity - Answer 04a. Race American Indian/Eskimo/Aleut Asian or Pacific Islander Black White Other Race Unkn...

Mary Smith, RHIA, has been charged with the responsibility of designing a data collection form to be used on admission of a patient to the acute-care hospital in which she works. The first resource that she should use is: UHDDS UACDS MDS ORYX Correct Answer: a When the CCI editor flags that a comprehensive code and a component code are billed together for the same beneficiary on the same date of service, Medicare will pay for: The component code but not the comprehensive code ...

A health record technician has been asked to review the discharge patient abstracting module of a proposed new electronic health record (EHR). Which of the following data sets would the technician consult to ensure the system collects all federally required discharge data elements for Medicare and Medicaid inpatients in an acute-care hospital? a. CARF b. DEEDS c. UACDS d. UHDDS (Ans- d. UHDDS (Uniform Hospital Discharge Data Set) The Uniform Hospital Discharge Data Set (UHDDS) data cha...

) A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. A) Accreditation manual B) Core content C) Continuity of care record D) Data dictionary (Ans- D) Data dictionary (2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: A) Data sets B) Data elements C) Electronic data interchange D) Bi...

Admission Following Medical Observation - A patient may be treated in a hospital's observation unit to determine if the condition improves sufficiently for the patient to be discharged. If the condition either worsens or doesn't improve, the physician may decide to admit the patient as an inpatient. Principal diagnosis: Report the medical condition that led to the hospital admission. UHDDS application - Originally developed for hospital reporting of inpatient data elements. Application of...