Note dictated by a physician upon admission to the hospital.
What is History and Physical
The year the HIPAA Privacy Act passed
What is 1996?
The term for the number of inpatients present in a healthcare facility at any given time.
What is Inpatient Census?
This coding classification system is updated annually on January 1.
What is CPT Coding?
Tumor Registries, Trauma Registries, Birth defect registries and Hospital Disease Indexes are known as this type of data in the medical record.
What is Secondary Data.
This Act was to be complied with in 2005 and included requirements related to passwords, biometrics, firewalls, audit trails and contingency planning.
What is the Security portion of the HIPAA Act.
What is Average Daily Inpatient Census?
This modifier is added for a bilateral procedure.
What is modifier 50?
This data set is used in the Nursing Home/SNF setting to report data to CMS for reimbursement purposes.
What is the MDS? Minimum Data Set
This legal term means 'acting in good faith'
What is nonmaleficence?
This type of graph would be used to display percentages of death rates by age groups in the state of Wisconsin.
Pie Graph
This component of Medicare covers hospital charges.
What is Medicare Part A?
This data quality term means 'ensuring that data is free from errors and is accurate across the EHR'
What is data accuracy?
This 2009 Act paved the way to promoting healthcare information technology, including patient access to electronic health records.
What is the ARRA-HITECH Act?
A report that provides the number of hypertensive patients in the past year at your facility is an example of what type of analytics.
What is Descriptive Analytics
What are APC's?
An organization-wide framework for managing information throughout its lifecycle and supporting the organization's strategy, operations, and regulatory, legal and environmental requirements.
What is Information Governance
This division of the national government publishes an annual guide related to compliance for healthcare facilities and providers.
What is the OIG (Office of Inspector General)?
A table or graph that displace the number of times a particular observation occurs.
What is frequency distribution?
The general term for software that assigns inpatient diagnosis related groups.
What is a Grouper?