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Data capture: - ANSWER-the process of recording healthcare-related data in a health record system or clinical database Data cleansing - ANSWER-The process of detecting, diagnosing, and editing faulty data DEEDS - ANSWER-Data Elements for Emergency Department Systems: a data set designed to support the uniform collection of information in hospital-based emergency departments Breach notification: - ANSWER-HITECH Act Rule that requires both HIPAA-covered entities and business associates to...

One member of the medical staff reviewed a patient's history, examined the patient, and wrote findings and recommendations at the request of another member of the medical staff. The resulting medical report that documents the response of the reviewing medical staff member is a: - ANSWER-Consultation report In developing a coding compliance program, who would NOT ordinarily be included as participants in coding compliance education? - ANSWER-Nursing staff What would be used to determine wh...

Mary Smith, RHIA, has been asked to work on the development of a hospital trauma data registry. What data set would be most helpful? - ANSWER-DEEDS Who owns the health records of patients treated in a healthcare facility? - ANSWER-The facility A procedure that attempts to obstruct the blood flow to a malignant tumor would be coded to which root operation in ICD-10-PCS? - ANSWER-Occlusion Legally, what is most important in determining the length of time a hospital must retain health reco...

What do Case Managers do? - ANSWER-Monitor high resource cases to ensure effective utilization What is HIM responsible for? - ANSWER-all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? - ANSWER-manage cases: services correct, on time What are the three types of utilization review? - ANSWER-Prospective, Concurrent, Retrospective Where can home health services be offered? - ANSWER-Home, Assist ...

EMTALA - ANSWER-- Emergency Medical Treatment and Labor Act - requires hospitals to provide a medical screening examination and any needed stabilizing treatment to every person presenting at an ED and requesting medical evaluation or treatment - EMTALA prohibits inquiries about insurance or payment if the inquiry will delay examination or treatment MRN - ANSWER-Medical Record Number. Will have 1 MRN wherever they go in the facility (Cerner) EDI - ANSWER-Electronic Data Interchange is...

What are collection agency fees based on? - ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - ANSWER-Case rates What customer service improvements might improve the patient accounts department? - ANSWER-Holding staff accountable for customer service dur...

Important revenue cycle activities in the pre-service stage include; - ANSWER-Obtaining or updating patient and guarantor information In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; - ANSWER-The amount the patient may be expected to pay after insurance. Demographic and health plan edit failures are identified and resolved within the Patient Access area. Census activity is processed, Discharges are ...

What are collection agency fees based on? - ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - ANSWER-Case rates What customer service improvements might improve the patient accounts department? - ANSWER-Holding staff accountable for customer service dur...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by - ANSWER-The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid - ANSWER-Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost - ANSWER-Respect the patients privacy A nightly room charge will be incorrect if the patient...

What are collection agency fees based on? - ANSWER-A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? - ANSWER-Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? - ANSWER-Case rates What customer service improvements might improve the patient accounts department? - ANSWER-Holding staff accountable for customer service dur...

A corporation has issued 50,000,000 shares of common stock at $.50 par. The corporation has 10,000,000 shares of Treasury Stock on its books. The aggregate par value of the outstanding shares is: - ANSWER-$20,000,000 (50 mil- 10 mil= 40 mil x.5 par = 20mil) Dawn owns 100 shares of ACME Company common stock, currently trading at $60 per share. She receives a notice that ACME has declared a 20% stock dividend. What does this mean to Dawn? - ANSWER-Dawn will receive 20 additional shares of stoc...

What is the "intrinsic value" of the following contract? 1 ABC Jan 55 Put @ $9ABC Market Price = $49 - ANSWER-$6 (55-49=6) An investor writes 1 ABC Jan 45 Put @ $3. The contract subsequently is exercised. The writer is obligated to: - ANSWER-buy stock at $45 per share The holder of a Put on a listed stock exercises. The holder must: - ANSWER-deliver stock An investor purchases 1 ABC Jan 45 Call @ $3. The investor subsequently exercises his option contract. The holder has the right to:...

Common Stock - ANSWER-Is a security that represents ownership in a corporation. Exercise control by electing a board of directors and voting on corporate policy. Are on the bottom of the priority ladder for ownership structure Have rights to a company's assets only after bondholders, preferred shareholders and other debt holders are paid in full. Preferred Stock - ANSWER-Is a class of ownership in a corporation that has a higher claim on its assets and earnings than common stock. ...

What are statutory voting rights? - ANSWER-Allows the shareholder to vote one time per share for each seat on the board. If the investor owns 10 shares, she can use 10 shares to vote for position #1 and 10 shares to vote for position #2. What are cumulative voting rights? - ANSWER-Allows the shareholder to pool votes together and then allocate as desired. If the investor owns 10 shares and there are 2 open seats, she can use all 20 shares to vote for a single candidate. When are comm...

When are cold calls permitted? - ANSWER-Between 8am and 9pm in the time zone of the person being called Are broker-deals required to maintain a record of new account forms? - ANSWER-Yes What is an introducing firm? - ANSWER-Has a direct relationship with the client -- can open accounts and accept customer orders Does not handle customer assets or actual trade What is a clearing firm? - ANSWER-Responsible for processing and selling customer transactions, maintaining custody of custome...

Who does the SEC regulate? - ANSWER-FINRA, MSRB, and other SROs The SEC is not a SRO Do the SEC and SROs have criminal authority? - ANSWER-No, they cannot put anyone in jail Does the MSRB regulate issuers of municipal securities? - ANSWER-No, they only regular securities firms and professionals What does it mean for a broker-dealer to be SEC and FINRA registered? - ANSWER-The broker-dealer is authorized to do securities business Does not mean that the SEC is endorsing the services...

Broker-Dealer that doesn't comply is subject to: - ANSWER--censure -limits on activities -suspension -revocation of reg -fine FINRA - ANSWER-regulates all matters related to investment banking, trading in the OTC market, trading in the NYSE listed securities, and the conduct of FINRA member firms and associated persons FINRA Purpose - ANSWER--promote investment banking and securities business -provide medium for communication among its members -adopt, admin, and enforce rules design...