Abbreviations
CIO is this abbreviation
What is Chief Information Officer?
This law provided new privacy regulations for healthcare organizations
"Mary has caught pneumonia each year for the past three years." Is an example of this EHR component
What is the Patient History?
ICD-10 PCS is used in this setting.
What is inpatient?
This group accredits HIM educational facilities
What is CAHIM?
CPT is this abbreviation
What is Current Procedural Terminology?
This act from 1935 established benefits for old age workers, injured workers, and and the unemployed
What is the Social Security Act?
"Sam was admitted to the hospital at 3:02 AM." Is an example of this EHR component
What is the Admission Note?
This classification lists all of the current diseases and the coding value associated with them.
What is ICD-10 CM?
CARF is this abbreviation
HEDIS is this abbreviation
What is Healthcare Effective Data and Info Set?
These set of laws dictate how the medical staff operate
"Tenderness of abdominal area, no fever, swollen tonsils." Is an example of this EHR component
What is the patient physical?
This word refers to a set of terms representing the system of concepts for the medical field.
This HIM group tracks information provided by a requester
What is ROI (Release of Information)?
PHI is this abbreviation
What is Protected Health Information?
This act from the 90s required healthcare organizations to provide information about advanced healthcare directives to patients
What is the Patient Self Determination Act?
What is a lab?
This classification classifies mental disorders and is updated by the American Psychological Association
What is the DSM?
This is an individual fact or item that represents a patient in health care
What is a data element?
UHDDS is this abbreviation
What is Uniform Hospital Discharge Data Set?
This law, named after a genus of antelopes, uses secondary vendors to collect and analyze performance measure data
What is the ORYX performance measurement initiative?
"The patient has been sleeping the last few hours and the IV drip was changed, once it had been emptied." Is an example of this EHR component.
What is a progress note?
Name a kind of terminology used in the medical field.
What is CPT or SNOMED?
HIM departments provide this kind of support in health care
What are ancillary support services?