Answers10
PHI - ANSWERS -protected health information - defined as health data that can be connected to
an individual.
Physician's order - ANSWERS -verbal or written direction regarding patient's care. Ex: MRI script,
therapy, medication
HIM - ANSWERS -Health Information Management - administration of health information,
including collection, storage, retrieval, securing/protecting, and reporting of that information.
May assist in the development and implementation of EHRs, oversee maintenance of those
databases, provide support services such as patient registration, retrieve data for reporting and
continuing patient care, and participate in billing process.
AHIMA - ANSWERS -American Health Information Management Association - an association that
supports HIM by promoting high-quality information standards through a variety of activities,
including continuing education, professional development and educational publications and
legislative and regulatory advocacy.
Alphabet Soup - ANSWERS -R - Registered, individuals have complied w/ the standards of
registering organization
C - Certified;
F - Fellow; demonstrated a long-term contribution to his or her discipline or a specific high level
of competence
L - License; denotes compliance w/ state regulations
Job tasks and titles in HIM - ANSWERS -Medical Coder - assigns, collects and reports codes
representing clinical data
, Release of information specialist - specializes in privacy and security aspects of HIM practice
Data Analyst - analyzes health care data
Clinical Documentation Improvement Professional - Supports collection of clinical
documentation
Health Unit Coordinator - Transcribes physician's orders, prepares and complies records during
patient hospitalization
Registered Health Information Technician/Administrator - provides administrative support
targeting the collection, retention, and reporting of health information
Admission - ANSWERS -the process that occurs when a patient is registered for evaluation or
treatment by provider on the order of the physician.
Inpatient - ANSWERS -Patient who's admitted by a physician's order with intention of staying
overnight in the hospital and being discharged on a different day.
Exs: inpatient rehab, inpatient psychological facility, long term rehab, inpatient hospice.
Outpatient - ANSWERS -Patient's health services are to be delivered within 1 calendar day or 24
hr period
Exs: doctor's office, imaging center, same day sx, colonoscopies, eye sx, sleep studies,
observation status, ambulatory care, chemo or dialysis
Palliative Care - ANSWERS -make the patient comfortable by easing his or her pain and other
discomforts.
LTC - ANSWERS -Long term care treats a wide variety of patients who need more care than they
would be able to get at home but who do not need the intensity of care provided by and acute
care facility. ALOS is 30 days
Rehab facility - ANSWERS -treats patients who have suffered a debilitating illness or trauma or
recovering from a certain type of sx