AHIMA Exam One Questions Correctly Answered.

AHIMA Exam One Questions Correctly Answered. 1. Structured data re data that are able to be read and interpreted by a computer. Examples of structured data include check boxes, drop-down boxes, and radio buttons 2. Which of the fol- lowing should the HIM professional perform first to identify the compo- nents of the desig- nated record set? 3. e HIM profession- al must consid- er multiple fac- tors when develop- ing health record retention policies that determine how long health records are to be kept. 4. ally has request- ed an account- ing of PHI disclo- sures from Commu- nity Hospital. Which of the following must be included in an accounting of disclosures to com- ply with this re- quest? Develop a list of statutes, regulations, rules, and guidelines that contain re- quirements attecting the release of health records. These factors include applicable federal and state statutes and regulations; accreditation standards; operational needs of the organization; and the type of organization, thus retention policies ditter among healthcare facilities PHI sent to a physician who has not treated Sally 5. Healthcare Cost and Utilization Pro- ject (HCUP) 6. he Medicare Out- patient Code Editor (OCE) consists of a set of databases that are unique because they include data on inpatients whose care is paid for by all types of payers, including Medicare, Medicaid, private insurance, self-paying, and uninsured patients. is a software program designed to process data for the Medicare Hospital Outpatient Payment System pricing and to audit facility claims data. The OCE audits claims for coding and data entry errors. The extensive edits in the OCE are applied to claims, individual diagnoses and procedures, and code sets. The procedure and sex conflict edit occurs when the sex of the patient does not match the sex designated for the procedure code reported 7. Medicare does have receives an advance beneficiary notice (ABN) before the test is performed. a provision that a patient may be billed for a test that is not medical- Therefore, not only must the registration statt determine whether the sign or symptom is suflcient, they also may contact the patient's physician to obtain a new order or, if a new order is not provided, to issue an ABN. Success in the patient registration process involves a thoroughly educated statt with the tools ly necessary if he or to determine medical necessity, the processes in place to clarify orders, and the she ability to obtain signatures on ABNs 8. The utilization man- Prevent denials for inappropriate levels of service ager's role is essen- tial to: 9. The responsibilities of the quality im- provement organi- zations One of the ele- ments of the audit- ing process is iden- tification of risk ar-