AHIMA & Professional Practice
What is the mission of AHIMA?
To empower people to impact health through accurate, trusted, and high-quality health information.
HIPAA stands for?
Health Insurance Portability and Accountability Act.
ICD-10-CM is used to code what?
Diagnoses
What does EHR Stand for?
Electronic Health Record
What does DRG stand for?
Diagnosis-Related Group.
What is the AHIMA Code of Ethics primarily designed to guide?
Professional values and ethical decision-making for HIM professionals.
What does PHI stand for?
Protected Health Information
ICD-10-PCS is used for coding what?
Inpatient Procedures
AHIMA defines data quality as having what characteristics?
Accuracy, completeness, consistency, timeliness, and relevance.
The OIG focuses on what?
Preventing fraud, waste, and abuse in healthcare.
What does RHIA stand for?
Registered Health Information Administrator.
Which HIPAA rule regulates the use and disclosure of PHI?
The Privacy Rule
What is the purpose of Clinical Documentation Integrity (CDI)?
To improve documentation accuracy, clarity, and completeness.
A legal health record is?
The official documentation of care used for legal purposes.
What type of reimbursement system do Medicare inpatients use?
Prospective Payment System (PPS).
According to AHIMA, what is Information Governance?
An organization-wide framework for managing information throughout its lifecycle.
The Minimum Necessary Standard requires what?
Using or disclosing only the PHI needed to complete a task.
What is the root operation for "removal of a device from a body part"?
Removal
Interoperability refers to…
Systems being able to exchange and use health information.
What does a compliance program aim to ensure?
That the organization follows laws, standards, and regulations.
Which AHIMA resource provides authoritative knowledge support for HIM studies and practice?
The AHIMA Body of Knowledge (BoK).
What is a covered entity under HIPAA?
Healthcare providers, health plans, and healthcare clearinghouses.
A coder queries a physician when…
Documentation is incomplete, unclear, or inconsistent.
What is data governance?
Oversight and control of data policies, standards, and procedures.
What is Risk Adjustment?
A method that accounts for severity of illness to predict costs and payments.