DSR
Designated record set
The coding classification system that is alphanumeric and represents 7 different characters.
What is ICD 10 PCS
Medical Records are considered Delinquent and must be completed within
What is 30 days past discharge.
The acronym HIPAA
What is Health Information Portability and Accountability Act
Events celebrated by Boston Celebrate this past Patriots Day weekend
What is the following: 1. Boston Marathon; 2. 250 years celebration of the American Revolution between Lexington and Concord; 3. Boston Red Sox Day
A covered entity must provide access to the PHI requested no later than.
What is 30 days
A condition that is established "after study" to be chiefly responsible for occasioning the admission of the patient to the hospital for care
What is Principal Diagnosis
What accreditation agency sets Standard for Quality Improvement and Pt Safety.
What is Joint Commission
Federal Regulation implemented May 2021. The rule that holds patients own their health data, and that CHA is required to make a patient’s data available to the individual. Prevents information blocking.
What is 21st Century Cures Act Interoperability & Information Blocking Rules?
You can drive 90 feet underground in Boston. The deepest in America.
What is Ted Williams Tunnel
LHR
What is Legal Health Record
A five digit code system that signifies the reporting of procedures and services provided and is updated every January 1 each year
What is CPT
What are the key components of a patient inpatient record?
What is Discharge Summary, H&P, Operative notes.
The Notice provided to all CHA patients that informs patients of their rights to privacy, how their health information will be used and disclosed for treatment, payment, or healthcare operations
What is the Notice of Privacy Practice
What is the official state dessert
What is Boston Cream Pie
Manages and tracks vital records in Massachusetts since 1931
What is Registry of Vital Records and Statistics
These reporting options that include Y, N,U,W are used on inpatient admissions and assigned on all principal and secondary diagnosis are called
POA (Present on admission) indicators
What technology is transforming the landscape of Health Care
What is Artificial Intelligence
Disclosing only the essential PHI needed for a specific purpose. It applies to disclosure of PHI for treatment, payment, healthcare operations.
What is the minimum necessary rule under Hipaa
This lovely stretch of sand was established in 1896
What is Revere Beach
20 years from last date of treatment plus 18 years if a minor.
What is Medical Record Retention
A condition that occurs after patient admitted and reasonably is preventable that affects reimbursement and is reportable
What is HAC ( Hospital Acquired Condition )
What has created access for patients to view their EHR
What is patient portal
Healthcare providers, health plans, and health clearinghouses that transmit health information electronically.
What is Covered Entities under HIPPA.
The Fig Newton was named after what Boston Suburb
What is Newton,MA