Coding/CDI
This type of code may be assigned without documentation of a change in the patient’s condition Documentation that the patient is taking less of a medication than is prescribed or self -discontinued the prescribed medication is sufficient for code assignment.
What is Underdosing?
A common acronym used in the privacy world, TPO means this.
What is Treatment, Payment, & Healthcare Operations?
A patient that is prepped for surgery and placed face down on the bed is known to be in this position.
What is the prone position?
The three most common groups that make up a Revenue Cycle Department.
What are Patient Registration/Access, Health Information Mangement and Patient Financial Services?
This law entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.
What is the Family Medical Leave Act or FMLA?
The Current Procedural Terminology (CPT) code set is a procedural code set developed by this entity and is maintained by the CPT Editorial Panel.
Who is the American Medical Association (AMA)?
According to HIPAA, when a breach involves ____ or more individuals, a covered entity must notify the Secretary of HHS, without reasonable delay and no later than 60 days following the breach.
What is 500
A pathologic condition in which there is destructive enlargement of the air sacs in the lungs resulting in damage and lack of elasticity to the alveolar walls, commonly seen in long term smokers..
What is emphysema.
Process of checking claims for errors prior to filing with payers?
What is scrubbing?
Rebound tenderness is commonly found in patients presenting with this condition.
What is appedicitis?
A physician query that is sent to the provider after the patient has been discharged is known as this.
What is a retrospective query?
According to federal law, a covered entity has this long to respond to a request for an accounting of disclosures?
What is 60 days with one 3-day extension
In estimation of total body surface area burned, this guidance is commonly used.
What is The Rule of 9s?
A comprehensive list of a hospital’s billable products, procedures, and services.
What is a chargemaster?
Commonly audited for their use, these 2 modifiers are often misused?
What are 59 and 25?
ICD 10 CM & PCS code & guideline changes are effective (unless emergency dates are needed such as with COVID-19 ) on this date, yearly.
What is October 1?
This rule protects “records of the identity, diagnosis, prognosis, or treatment of any patient which are maintained in connection with the performance of any program or activity relating to substance abuse education prevention, training, treatment, rehabilitation, or research, which is conducted, regulated, or directly or indirectly assisted by any department or agency of the United States.”
What is CFR 42 Part 2?
This condition is marked by low blood pressure due to positional changes, as when sitting or laying down and then standing up.
Orthostatic Hypotension
Sum of DRG relative weights divided by the total number of patients in a given time period.
What is a case mix index?
What is sepsis?
It is not necessary to query the physician for a causal relationship between peripheral neuropathy and diabetes mellitus because they are linked in the index by this.
What is the term “ with”?
The three major safeguards of the HIPAA Security Rule
What are Administrative Safeguards, Physical Safeguards, and Technical Safeguards?
This is the movement of molecules (by passive diffusion or active transport) from the digestive tract to adjacent blood and lymphatic vessels. It is the entrance of the digested food (now called nutrients) into the body.
Absorption
DNFC
What is done, not final coded?
The number of inpatient service days (excluding newborns) divided by the total number of days is known as this.
What is an average daily census?