Reviews charts to make sure the healthcare facility's employees are coding, billing and documenting health information correctly.
What is a Medical Chart Auditor?
100
A systematic record.
What is documentation?
100
A facility or individual is abiding by all rules, regulations, and laws.
What is compliance?
100
HIPPA
What is Health Insurance Portability and Accountability Act.
100
Responsible for a patient's care while the patient is hospitalized.
What is an Attending Physician?
200
Types dictation from physicians into a word processing program.
What is a Medical Transcriptionist?
200
One of the first forms you are likely to sign as a health information professional.
What is a confidentiality statement?
200
Signed by a patient that authorizes the physician or facility to release information for certain specific purposes.
What is a consent form?
200
ICD-9-CM
What is International Classification of Diseases, Ninth revision Clinical Modification
200
The difference between inpatient and outpatient care
What is a patient who requires at least an overnight stay versus a patient that can be released on the same day?
300
Individual who analyzes patients health record to ensure they are accurate, assign codes to patients diagnosis and procedures and prepares physicians reports about treatment.
What is a Health Information Tech?
300
A Federal law that provides rules for the use of client health information?
What is HIPPA?
300
Department that maintains health record systems.
What is Health Information Management (HIM)?
300
CPT
What is Current Procedural Terminology?
300
Hospital bills are prepared on this standard government form.
What is a UB-92 claim form?
400
Work in patient accounting and reimbursement departments. Requires only a high school diploma.
What is Medical Biller?
400
In addition, to being complete, all records must also meet this standard.
What is entries must be signed?
400
Main database that identifies patients.
What is the Master Patient Index?
400
DRGs
What is Diagnosis-Related Groups?
400
Analyzes clinically related groups of patines to decide what hospital services and length of stay each group usually needs. Also assigns payment amount.
What is the Center for Medicare and Medicaid Services (CMS)?
500
Healthcare information professionals are responsible for documentation on health records - T/F.
What is False?
500
Five-digit numbers, organized into six sections that provides codes for physicians' procedures.
What is a CPT code?
500
Lists all the services the hospital can provide, along with the procedure code and the charge for each service.
What is the change master?
500
HCPCS
What is Healthcare Common Procedural Coding System?
500
In the ICD-9-CM, diagnoses are listed in two different places - Tabular and ___________.