MHA705 - Module 3 TEST
documentation of healthcare services provided to an individual during any aspect
of healthcare delivery in any type of healthcare organization - CORRECT ANSWER
legal health record (LHR)
provides the organization with the ability to accurately and uniquely identify its
patients
--the first step in the creation of each patient's record within the EHR and
initiates the flow of patient information within the EHR - CORRECT ANSWER
patient registration
key application within an organization's registration system; uniquely identifies
the individuals who have received services from the organization - CORRECT
ANSWER master patient index (MPI)
when an insurer providers financial incentive or discounted rates to a facility to
obtain a flow of patients it would not otherwise receive - CORRECT ANSWER
steerage
a collaborative process of assessment, planning, facilitation, care coordination,
evaluation, and advocacy for options and services to meet an individual's and
family's comprehensive health needs through communication and available
resources to promote quality cost effective outcomes - CORRECT ANSWER case
management
the evaluation of the medical necessity, appropriateness, and efficiency of the
use of healthcare services, procedures, and facilities under the provisions of the
applicable health benefits plan - CORRECT ANSWER utilization management/
review
method of recording services and supplies or items delivered to the patient and
directing them to be billed on a claim form - CORRECT ANSWER charge capture
designed to detect errors that would result in payer denials - CORRECT ANSWER
claims scrubber software
number of days in which accounts will be held from billing so charges can be
entered after the patient is discharged - CORRECT ANSWER bill hold days
documentation of healthcare services provided to an individual during any aspect
of healthcare delivery in any type of healthcare organization - CORRECT ANSWER
legal health record (LHR)
provides the organization with the ability to accurately and uniquely identify its
patients
--the first step in the creation of each patient's record within the EHR and
initiates the flow of patient information within the EHR - CORRECT ANSWER
patient registration
key application within an organization's registration system; uniquely identifies
the individuals who have received services from the organization - CORRECT
ANSWER master patient index (MPI)
when an insurer providers financial incentive or discounted rates to a facility to
obtain a flow of patients it would not otherwise receive - CORRECT ANSWER
steerage
a collaborative process of assessment, planning, facilitation, care coordination,
evaluation, and advocacy for options and services to meet an individual's and
family's comprehensive health needs through communication and available
resources to promote quality cost effective outcomes - CORRECT ANSWER case
management
the evaluation of the medical necessity, appropriateness, and efficiency of the
use of healthcare services, procedures, and facilities under the provisions of the
applicable health benefits plan - CORRECT ANSWER utilization management/
review
method of recording services and supplies or items delivered to the patient and
directing them to be billed on a claim form - CORRECT ANSWER charge capture
designed to detect errors that would result in payer denials - CORRECT ANSWER
claims scrubber software
number of days in which accounts will be held from billing so charges can be
entered after the patient is discharged - CORRECT ANSWER bill hold days
