ANSWERS.
abuse - CORRECT ANSWER✅✅describes practices that either directly or indirectly
result in unnecessary costs to Medicare. Abuse includes any practice that is not
consistent with the goals of providing patients with services that are medically
necessary, meet professionally recognized standards, and priced fairly.
Accessibility - CORRECT ANSWER✅✅Proper safeguards must be established and
employed to assure the data is available when needed while implementing proper
precautions and safeguards to protect the information.
Accreditation - CORRECT ANSWER✅✅voluntary process review in which a quasi-
independent body periodically evaluates teh quality of work against pre-established
written criteria. CMS CoPs and Conditions for Coverage (CFCs) ensure patient care
quality, safety, and improvement of clinical outcomes. CFCs are standards applied to
facilities that choose to participate in Medicare and Medicaid. Organizations must
demonstrate they at least meet, if not exceed, teh CoPs and CFCs.
Accuracy - CORRECT ANSWER✅✅focuses on the data being free of errors. It is
important that the data within the record is accurate across the entire record.
aggregate data - CORRECT ANSWER✅✅Data extracted from individual health
records and combined for form deidentified information about groups of patients that
can be compared and analyzed.
AHIMA principles of information governance - CORRECT ANSWER✅✅Accountability,
transparency, integrity, protection, compliance, availability, retention, disposition.
AHIMA's Data Quality Management Model - CORRECT ANSWER✅✅based on 10
characteristics: Accuracy, accessibility, comprehensiveness, consistency, currency,
definition, granularity, precision, relevancy and timeliness.
By-laws mandates (CMS and Joint commission) - CORRECT ANSWER✅✅1) be
approved by the governing body of the medical staff.
2) address the duties and privileges of each medical staff category.
3) describe the organization of the medical staff
4) Describe the qualifications that must be met by any individual wishing to seek
appointment to the medial staff.
Cancer Registries - CORRECT ANSWER✅✅- can be facility based or population
based
, - information included in addition to demographics would be type and site of cancer,
diagnostic methodologies, treatment methodologies, and staging.
- Standards and approval processes for cancer registries - ACS, North American
association of Center Cancer Registries (NAACCR), Centers for
disease Control and Prevention (CDC)
Case definition - CORRECT ANSWER✅✅Each registry must define the cases that are
to be included known as case definition
case finding - CORRECT ANSWER✅✅after case definition the next step is case
finding. It is a method used to identify the patients who have been seen or treated in the
facility for the particular disease or condition of interest to the registry. After they are
identified extensive information is abstracted from the patients paper based health
records into the registry database or extracted from other databases and automatically
entered in the registry.
Certification - CORRECT ANSWER✅✅is the process by which a duly authorized body
evaluates and recognizes an individual, institution or educational program as meeting
predetermined requirements. The more commonly know programs that often obtain
certification address asthma, diabetes and heart failure .
Classification - CORRECT ANSWER✅✅system where related entities are organized
together.
Clinical documentation - CORRECT ANSWER✅✅is any manual or electronic notation
(or recording) made by a physician or other healthcare clinician related to a patient's
medical condition or treatment. Foundation of every patient record.
clinical terminology - CORRECT ANSWER✅✅is a set of terms representing the system
of concepts for the medical fields
code system - CORRECT ANSWER✅✅an accumulation of numeric or alphanumeric
representations or codes for exchanging or storing information
Common Clinical Data set - CORRECT ANSWER✅✅A common set of data types and
elements and associated standards for use across several certification criteria
Comprehensiveness - CORRECT ANSWER✅✅Certifies all required data elements
that should be collected throughout the health record are documented.
Conditions of Participation (CoP) - CORRECT ANSWER✅✅Conditions that healthcare
organizations must meet in order to participate with the plan or program. Also dictate
what should be in Medical by-laws.