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CCS Exam Prep Questions and Correct
Answers/ Latest Update / Already
Graded
Primary Data Source
Ans: Patient specific/identifiable data
Related to a specific individual
ex. The Health Record
Secondary Data Source
Ans: 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
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Ans: ...
Security
Ans: ...
Privacy
Ans: ...
Quantitative Analysis
Ans: 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
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Ans: 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
Ans: 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
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Ans: An event considered to be inconsistent with accepted standards of
care.
Ex.
res ipsa loquitor
Ans: "the thing speaks for itself"
The injury would not ordinarily occur without someones negligence Ex.
Surgical instrument left in patient after surgery
Currency
Ans: ...
Data Accessibility
Ans: data is available to those authorized to use it
Relevancy
CCS Exam Prep Questions and Correct
Answers/ Latest Update / Already
Graded
Primary Data Source
Ans: Patient specific/identifiable data
Related to a specific individual
ex. The Health Record
Secondary Data Source
Ans: 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
,2 | Page
Ans: ...
Security
Ans: ...
Privacy
Ans: ...
Quantitative Analysis
Ans: 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
,3 | Page
Ans: 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
Ans: 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
, 4 | Page
Ans: An event considered to be inconsistent with accepted standards of
care.
Ex.
res ipsa loquitor
Ans: "the thing speaks for itself"
The injury would not ordinarily occur without someones negligence Ex.
Surgical instrument left in patient after surgery
Currency
Ans: ...
Data Accessibility
Ans: data is available to those authorized to use it
Relevancy
