1. Utilization
Process of determining whether the medical service provided to a
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specific Medicare or Medicaid patient is necessary.
(UR)
2. Flow Chart A graphic tool that uses standard symbols to visually display detailed
information, including time and distance of the sequential flow of work of an
individual or a
product as it progresses through a process.
3. Custodia When records for evidence is involved at the trial, the records custodian
n is called a witness by one party or other to testify as the authenticity of a
Records record as evidence.
The records custodian verifies that it contains information about the
individual
4. Aggregated Data Data that has been extracted from individual health records and
combined
to form deidentified information about groups of patients that can be
compared.
5. Overlay Mistakenly assigned another persons health record number
6. Overlap When a patient has more than one health record number at ditterent
locations
within
an enterprise.
7. Duplicate Record The creation of a second record in an MPI on a single patient which
occurs when a patient has been assigned multiple unique patient
identifiers, results in a patient having multiple health records within a
single healthcare organization.
8. Security To control/protect access of health information and records.
9. ROI Turnaround Time
, RHIT Study Guide Review Test.
Time between receipt of request and when the request is sent to
the requester.
10. Qualitativ
30 days on site, 60 days ott site.
e
Analysis
, RHIT Study Guide Review Test.
Reviewing a record and ensuring that standards are being met. HIM
professionals can review legibility, timeliness of documentation, use of
approved abbreviations and other documentation standards.
11. Quantitati A review of the health record to determine completeness and
ve accuracy. Is everything there? Any forms or signatures missing?
Analysis
A review of the health record while the patient is still hospitalized or under
12. Concurrent treatment. From admission to discharge.
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13. Retrospective Re- Review after patient has been discharged.
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14. Prospective reviewing appropriateness and necessity of care provided to patients
Re- view prior to administration of care.
15. Licensure Organizations are the legal authority from the authorities to carry on certa
activities that require permission. Before healthcare organizations can
provide services, they
usually must obtain licensure by government entities such as the state
or county in which they
are located.
16. Conditions of Administrative and operational guidelines under which
Participation facilities are allowed to take part in the Medicare and
and Medicaid programs
Conditions for
Coverage
17. The Joint A private, not-for-profit organization that evaluates and accredits hospital
Com- mission and other healthcare organizations on the basis of predefined performanc
(TJC) standards; formerly known as the Joint Commission on Accreditation of
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Healthcare Organi- zations (JCAHO)
18. Privacy The right of a patient to control the disclosure of PHI