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Practice questions for this set
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HIPAA requires covered entities to retain patient health records for at least _____, from
either the date of creation, or the last "effective date," whichever date is later.
Choose matching definition
1 six years 2 ten years
3 five years 4 three years
Don't know?
Terms in this set (105)
, Patient undergoes a posterior L1-L5 spinal 22800, 22840
fusion for scoliosis with placement of a
Harrington rod. Code using CPT.
D&C for missed abortion, first trimester. 59820
You would expect to find documentation postpartum record.
regarding the assessment of an obstetric
patient's lochia, fundus, and perineum on
the
Procedure-to-Procedure (PTP) Edits review procedures that cannot or should not be provided to the same patient on the same
claims for codes that report day.
It is September 15th, and you have just put in a change ticket for the hospital's chargemaster to be updated.
received the upcoming year's ICD-10-PCS
code set updates. The next step is to
Hysteroscopy with D&C and polypectomy 58558
Patient came to the hospital ambulatory 49615
surgical center for repair of incisional
abdominal hernia 4 cm long that was
reducible. This is the second time the
patient has developed this problem.
You are conducting an educational session improve your department's processes.
on benchmarking. You tell your audience
that the key to benchmarking is to use the
comparison to
A physician has come to the HIM encrypt the phone so access is protected.
department because he wants a new
smartphone to be able to access patient
records. This way he can enter orders when
he is outside of the hospital. You need to
direct the IT department to
The APC payment system is based on what CPT/HCPCS codes
coding system(s)?
The Joint Commission requires that all 30 days
medical records be completed within
___________ following patient discharge.
Patient has breast carcinoma and is now 38745
undergoing complete axillary
lymphadenectomy.
You have been hired to work with a natural language processing
computer-assisted coding (CAC) initiative.
The technology that you will be working
with is
External audits may be conducted by any of these.
several organizations in the federal
government as well as the private sector,
including