C810 Key words, Definitions, Cohorts, Preassessment questions with 100% correct answers

C810 Key words, Definitions, Cohorts, HCPCS - correct answer Healthcare Common Procedure Coding System -Claim reimbursement Morphology - correct answer Refers to the size of a tumor FDA - correct answer Developed NDC IHTSDO - correct answer International Health Terminology Standards Development Organization -Owns SNOMED-CT Concepts - correct answer Most granular unit in terminology Mapping - correct answer Reuse of data for another purpose CPT - correct answer Current Procedural Terminology -Outpatient setting Standards - correct answer HCO accreditation 1996 - correct answer What year was HIPAA enacted? Correcting mistakes - correct answer When a nurse makes a mistake while writing down information it is corrected by a line across the incorrect word and signing with a date Informed consent - correct answer Surgical procedure, what kind of consent? History and Physical (H&P) - correct answer Required 30 days before admission or 24 hours after admission H&P - correct answer History and physical Physician, written - correct answer Discharge orders must be given to a patient by who and in what form Advanced directive - correct answer Living will Progress notes - correct answer Chronological statements about patient's treatment during their stay -Documentation of care, treatment & therapeutic response 30 - correct answer Records must be completed within _________ days after discharge according to CMS and The Joint Commission Terminal - correct answer Records are filed with 2 digit paired filing system Patient portal - correct answer Test results Clinical pathways - correct answer Created for patients with the same diagnosis to achieve consistent outcomes Protocols - correct answer Used for written documents that guide a practice Telehealth - correct answer HCO would like to start working with another doctor in another state. Technology used? POC - correct answer Guides healthcare providers in getting necessary data to collect on patients medication management Medication Administration Record - correct answer Nurse scans the RFID before administering meds to patients and information goes where? Medication reconciliation - correct answer Patient is transferred to another facility Expert systems - correct answer Major category of clinical decision support Databases - correct answer EHR data held there Two factor authentication - correct answer A password and a token 100 - correct answer Total number of days that Medicare covers for SNF Diagnosis-related groups (DRGs) - correct answer An investor wants to look into the number of hospital admission for a certain diagnosis, this report would be used to get this data Principal diagnosis - correct answer Present on admission Federal register - correct answer Medicare fee schedule Minimum Data Set (MDS) Keyword - correct answer Skilled nursing CMS 1450 - correct answer Paper form of UB-04 IRF (IPR Inpt. Rehab) - correct answer Entity required by CMS to provide intensive social services Metadata - correct answer Date on a document -Data image example