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Ch. 7 ICD-10-CM Outpatient and Physician Office Coding.

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Ch. 7 ICD-10-CM Outpatient and Physician Office Coding.

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Ch. 7 ICD-10-CM Outpatient and Physician Office Coding

1. Uniform Ambulatory Care Data Set (UACDS) was established by the feder
ment as a standard data set
latory care facility records. It
improve data comparison for
tory and outpatient care setti

2. UACDS stands for Uniform Ambulatory Care Da

3. OASIS stands for Outcome and Assessment In
Set

4. Outcome and Assessment Information Set a core set of comprehensive
(OASIS) ments for adult home care p

5. OASIS is used for: measuring patient outcomes
conducting patient assessme
tient care planning, and inter
performance improvements,
ing agency-level case mix re
contain aggregate statistics a
ious patient characteristics s
mographic, health, or functio
at start of care.

6. OBQI stands for: Outcome-Based Quality Imp

7. DEEDS stands for: Data Elements for Emergenc
ment Systems

8. Data Elements for Emergency Department Hospital-based emergency d
Systems (DEEDS) ments use this to report for u
collection of data to reduce i




, patibility in emergency depar
records.

9. Outpatient care (or ambulatory care) includes any health care ser
vided to a patient who is not
as an inpatient to a facility.

10. Ambulatory (Outpatient) care is provided in: a physician's office, stand-al
care facility, a hospital outpa
emergency department (ED)
patient's home.

11. Primary care includes both preventive and
care services, which are ofte
as outpatient care and are re
as the "point of first contact".

12. Primary care provided, usually in an office set- continuous and comprehens
ting, where the care is,

13. Primary Care Provider (PCP) manages and coordinates th
care, including referring the p
to a medical specialist for co
and a second opinion.

14. Primary care services include the following: Annual physical examination
Early detection of disease
Family planning
Health education
Immunizations
Treatment of minor illnesses
juries
Vision and hearing screening

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