complete solutions 2024
Utilization jReview j(UR) j- jANS✓✓-Process jof jdetermining jwhether jthe jmedical
jservice jprovided jto ja
specific jMedicare jor jMedicaid jpatient jis jnecessary.
Flow jChart j- jANS✓✓-A jgraphic jtool jthat juses jstandard jsymbols jto jvisually
jdisplay jdetailed
information, jincluding jtime jand jdistance jof jthe jsequential jflow jof jwork jof jan
jindividual jor ja
product jas jit jprogresses jthrough ja jprocess.
Custodian jRecords j- jANS✓✓-When jrecords jfor jevidence jis jinvolved jat jthe jtrial,
jthe jrecords jcustodian
is jcalled ja jwitness jby jone jparty jor jother jto jtestify jas jthe jauthenticity jof ja
jrecord jas jevidence.
The jrecords jcustodian jverifies jthat jit jcontains jinformation jabout jthe jindividual
Aggregated jData j- jANS✓✓-Data jthat jhas jbeen jextracted jfrom jindividual jhealth
jrecords jand jcombined
to jform jdeidentified jinformation jabout jgroups jof jpatients jthat jcan jbe
jcompared.
Overlay j- jANS✓✓-Mistakenly jassigned janother jpersons jhealth jrecord jnumber
Overlap j- jANS✓✓-When ja jpatient jhas jmore jthan jone jhealth jrecord jnumber jat
jdifferent jlocations jwithin
an jenterprise.
Duplicate jRecord j- jANS✓✓-The jcreation jof ja jsecond jrecord jin jan jMPI jon ja
jsingle jpatient jwhich joccurs jwhen ja jpatient jhas jbeen jassigned jmultiple junique
jpatient jidentifiers, jresults jin ja jpatient jhaving jmultiple jhealth jrecords jwithin ja
jsingle jhealthcare jorganization.
Security j- jANS✓✓-To jcontrol/protect jaccess jof jhealth jinformation jand jrecords.
, ROI jTurnaround jTime j- jANS✓✓-Time jbetween jreceipt jof jrequest jand jwhen jthe
jrequest jis jsent jto jthe
requester.
30 jdays jon jsite, j60 jdays joff jsite.
Qualitative jAnalysis j- jANS✓✓-Reviewing ja jrecord jand jensuring jthat jstandards
jare jbeing jmet. jHIM
professionals jcan jreview jlegibility, jtimeliness jof jdocumentation, juse jof
japproved
abbreviations jand jother jdocumentation jstandards.
Quantitative jAnalysis j- jANS✓✓-A jreview jof jthe jhealth jrecord jto jdetermine
jcompleteness jand
accuracy. jIs jeverything jthere? jAny jforms jor jsignatures jmissing?
Concurrent jReview j- jANS✓✓-A jreview jof jthe jhealth jrecord jwhile jthe jpatient jis
jstill jhospitalized jor junder jtreatment. jFrom jadmission jto jdischarge.
Retrospective jReview j- jANS✓✓-Review jafter jpatient jhas jbeen jdischarged.
Prospective jReview j- jANS✓✓-reviewing jappropriateness jand jnecessity jof jcare
jprovided jto jpatients jprior jto jadministration jof jcare.
Licensure j- jANS✓✓-Organizations jare jthe jlegal jauthority jfrom jthe jauthorities jto
jcarry jon jcertain
activities jthat jrequire jpermission. jBefore jhealthcare jorganizations jcan jprovide
jservices, jthey
usually jmust jobtain jlicensure jby jgovernment jentities jsuch jas jthe jstate jor
jcounty jin jwhich jthey
are jlocated.
Conditions jof jParticipation jand jConditions jfor jCoverage j- jANS✓✓-
Administrative jand joperational jguidelines junder jwhich jfacilities
are jallowed jto jtake jpart jin jthe jMedicare jand jMedicaid jprograms
The jJoint jCommission j(TJC) j- jANS✓✓-A jprivate, jnot-for-profit jorganization jthat
jevaluates jand jaccredits jhospitals jand jother jhealthcare jorganizations jon jthe
jbasis jof jpredefined jperformance jstandards; jformerly jknown jas jthe jJoint
jCommission jon jAccreditation jof jHealthcare jOrganizations j(JCAHO)
Privacy j- jANS✓✓-The jright jof ja jpatient jto jcontrol jthe jdisclosure jof jPHI
Confidentiality j- jANS✓✓-Legal jand jethical jconcept jthat jrequires jhealthcare
jproviders jto jprotect
records jand jpersonal/private jinformation. jResponsibility jto juse, jdisclose jor
jrelease