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Exam (elaborations)

CCS EXAM PREP || UPDATED QUESTIONS AND VERIFIED ANSWERS. GRADED A+

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CCS EXAM PREP || UPDATED QUESTIONS AND VERIFIED ANSWERS. GRADED A+

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CCS EXAM PREP|UPDATED QUESTIONS AND
VERIFIED ANSWERS
GRADED A+


QUESTIONS & ANSWERS
Primary Data Source. ANSWER -Patient specific/identifiable data
Related to a specific individual
ex. The Health Record


Secondary Data Source. ANSWER -Information on groups of people or patients
without identifying any particular patient individually.
Also called "Aggregate Data"
Compiled from multiple health records
Ex. Data taken from the health record and entered into registries and databases are
considered secondary data.


Confidentiality. ANSWER -...


Security. ANSWER -...


Privacy. ANSWER -...


Quantitative Analysis. ANSWER -Checking for the presence or absence of necessary
reports or signatures. Ex. progress notes, orders
Completeness and Accuracy
Making sure a document is there and authenticated
Focuses on physician documentation

, Qualitative Analysis. ANSWER -Ex. Checking documentation consistency, such as
contraindications in entries,progress note dated prior to admission etc
Quality of records
Does documentation reflect the quality of patient care provided


Incident Report. ANSWER -Written accounts of unusual events that have an adverse
effect on a patient, employee, or facility visitor.
Never filed in patient health record.
Used by risk management and or attorney to investigate incidents that have the
potential to become claims against the organization or individual provider.


Incident. ANSWER -An event considered to be inconsistent with accepted standards
of care.
Ex.


res ipsa loquitor. ANSWER -"the thing speaks for itself"
The injury would not ordinarily occur without someones negligence Ex. Surgical
instrument left in patient after surgery


Currency. ANSWER -...


Data Accessibility. ANSWER -data is available to those authorized to use it


Relevancy. ANSWER -...


Consistency. ANSWER -...


Benchmarking. ANSWER -Process of comparing an organization to a standard, a
peer group, or other organization.
Ex. A hospital may want to compare its ALOS (average length of stay) with the ALOS
for all hospitals nationwide.

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