QUESTIONS AND ANSWERS 100% CORRECT
Data Repository - The database used in every industry to store large amounts of information
Data Modelling - The process of determining a users information needs and identifying relationships
among the data.
Fee-for-Service - A healthcare payment method in which provider receives payment for services
rendered.
Hospital Payment Monitoring Program - One of the purposes of the program is to monitor the
inpatient payment error rate.
The Uniform Hospital Discharge Data Set (UHDDS) - The data set uses a minimum set of data
elements based on standard definitions used for consistent data for multiple users.
Physician Query - One of the purposes of this tool is to clarify conflicting documentation.
National Correct Coding Initiatives (NCCI) - One of the reasons the Centres for Medicare and
Medicaid Services (CMS) developed this initiative is to control improper coding practices.
Other Diagnosis - The Uniform Hospital Discharge Data Set (UHDDS) defines the diagnosis as all
conditions that coexist at the time of admission.
Diagnosed three days into the present - All general acute healthcare providers must report a Present
on Admission (POA) indicator. The purpose of reporting Present on Admission (POA) is to indicate
conditions:
Current Procedural Terminology (CPT) Codes - Healthcare Common Procedure Coding System
(HCPCS) is divided into two level of code sets. The first levels of Healthcare Common Procedure
Coding System consist of:
, Transfer Policy - Centre for Medicare and Medicaid Services (CMS) policy that generally result in
reducing payment to the transferring facility.
Processing mortality statistics - In addition to promoting international comparability, International
Classification of Diseases was originally designed as a means for:
24 hours after admission - According to Center for Medicare and Medicaid Services (CMS) Hospital
Conditions of Participation, a medical history and physician examination must be completed for a
patient no more than 30 days before or:
Flag the record for the physician - When a medical record analyst identifies an unsigned order, their
first step should be to:
Quantitative Analysis - The purpose of the analysis is to determine the completeness of patient
health records.
Demographics - The study of statistical information and human populations.
Significant Procedure - The Uniform Hospital Discharge Data Set (UHDDS) requires that all of this kind
of procedures be reported. It is defined as surgical in nature..
Center for Medicare and Medicaid Services (CMS) - The Agency that is responsible for the
maintenance and distribution of Healthcare Common Procedural Coding System (HCPCS) Level II
codes
Diseases or injuries, surgeries, and procedures - A classification system is an arrangement of
elements into groups according to established criteria. In International Classification of Disease,
Ninth Revision, Clinical Modification (ICD-9-CM), these elements are:
Family History - The Uniform Hospital Discharge Data Set (UHDDS) does not require this item:
All non-outpatient settings - The Uniform Hospital Discharge Data Set (UHDDS) application of
definitions was expanded to include what type of healthcare facilities:
Physician services - Current Procedural Terminology (CPT) was originally designed for reporting: