HIM 101
What is H.I.M?
Health Information Management
What is HIPPA?
What is Health Insurance Portability and Accountability Act
What are the roles of an MRT?
What are:
Maintaining medical records, obtaining ROIs and verifying information, scanning documents,
DOB?
What is Date of Birth?
When adding medical records to a patient's chart, you should?
What is to ensure that the physician has initialed all reports before they are documented into the chart
What is Health Information Management?
Health information management (HIM)
What is the practice of acquiring, analyzing, and protecting digital and traditional medical information vital to providing quality patient care. It is a combination of business, science, and information technology.
What year was the HIPPA Act established?
when is 1996
What is the golden role of documentation?
What is:
If it isn't documented, then it wasn't performed.
H&P
What is History and Physical.
What is a system of filing made of combinations of numbers and letters is:
What is alphanumeric filing
What is health information?
What is data about a person's medical history, including symptoms, diagnoses, and treatments.
Health plans, Health care clearinghouses and any healthcare providers who transmits health information
What are some types of documents?
What are:
Emails, letters, faxes, memos, minutes, medical office visits.
A-Fib
What is Atrial Fibrillation
What number of years does a patient have to be to be inactivated within our system?
What is 3 years
What is included in health information?
Clinical data, medical records, demographic info, billing and insurance.
What information is protected.
What is all "individually identifiable health information- Meaning.....
*Individual past,present or future physical or mental health conditions.
*the provision of health care to the individual.
*the past, present, or future payment for the provision of health care to the individual,
What is safeguarding in healthcare?
What is the protection of individuals' health, wellbeing, and human rights from harm, abuse, and neglect.
DMI
Diabetes Mellitus Type 1
What is the proper procedure to correct an error in a patient's chart is to:
What is to date and sign the correction
What is HIMS highest priority and in health care?
What must be obtained in order to disclose protected health information.
What is a signature with the individual's written authorization.
What is the most important duty of an MRT?
What is to ensure the accuracy, completeness, and confidentiality of patient records to support quality patient care and meet legal requirements
A.D.L
Activities of Daily Living
What is The term used to describe the legal length of time regarding storage of medical and business records is
statue of limitations