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What are the social determinants of health? - Correct Answer ️ ️conditions in which people are born, grow, live, work and age. Where can providers collect socioeconomic and psychosocial circumstances to assign a code? - Correct Answer ️️Social workers, case management, and Nursing Notes What codes are used for potential health hazards related to socioeconomic and psychosocial circumstances? - Correct Answer ️️Z55-Z65 When do you code HIV code? - Correct Answer ️️Code only ...

Which of the following statements about the Continuity of Care Record (CCR) is correct? - Correct Answer ️️It is intended to be transmitted directly between providers. b. It is a standard set of patient data. c. It facilitates direct communication of important patient information. d. All answers listed Dr. Kimble is documenting a patient exam at the point of care using a template. Which of the following best describes the process for developing a treatment plan for the patient? - Cor...

Which method of providing care to patients may not be reimbursable by a third party payer? - Correct Answer ️️Communicating with a patient using text messaging A health care provider who is ordering a medication for a patient requires which patient-specific data in order to select the correct medication? - Correct Answer ️️Patient's age Dr. Brown is ordering a prescription for Celebrex using an EHR system. As part of this process, Dr. Brown might use drug reference information ...

At what point would a CCR for an individual patient be produced? - Correct Answer ️️All answers listed Mr. Davidson decides he would like to create a personal health record because he takes many different medications. If Mr. Davidson wants to make it easy to share his PHR with his different doctors, he should do which of the following - Correct Answer ️️All answers listed Which of the following best describes SNOMED-CT? - Correct Answer ️ ️A federal information system vocabula...

1. What is the primary CDI focus in surgical MDCs? - Correct Answer ️ ️Capture of complications and comorbidities. 2. What is one risk if surgical complications are under-documented? - Correct Answer ️️Reduced DRG weight and revenue. 3. What documentation supports acute vs. chronic osteomyelitis? - Correct Answer ️️Provider must specify acuity (acute or chronic). 4. What is a clinical indicator of acute osteomyelitis? - Correct Answer ️ ️Fever, elevated ESR/CRP, positive b...

Fluoroscopy operators should use the acquisition, or cine, mode sparingly because about _____ times more radiation per frame is needed to obtain diagnosticquality images than the fluoroscopy mode. Your Answer 5 10 15 20 - Correct Answer ️️ Which of the following are advantages of flat-panel detector fluoroscopy systems?1. They are less expensive than image intensifier systems.2. They offer less image distortion.3. They allow more space for practitioners to maneuver. Your Answer 1...

Digital chapter 15 worksheet Pass Guide: Real Exam Questions & Expert Answers”

ist actual time of discharge, mode of transportation, and who accompanied the patient for discharge summary information. In some settings, a Kardex, a portable "flip-over" file or notebook, is kept at the nurses' station. A Kardex is for nurses, not for patients to take upon discharge. A nurse completes a nursing history form when a patient is admitted to a nursing unit, not when the patient is discharged. SOAP notes are not given to patients who are being discharged. SOAP notes ar...

What type of note-taking method describes how a patient's treatment has changed? - Correct Answer ️️Narrative What is another term for "symptom"? - Correct Answer ️️Subjective observation Which of the following describes all parts of a patient's health history? - Correct Answer ️️It is confidential. Why do we document - Correct Answer ️️-Written record of nursing interactions -Guide for reimbursement -Evidence of care in court of law -Shows use of the nursin...

Why do we document - Correct Answer ️️-Written record of nursing interactions -Guide for reimbursement -Evidence of care in court of law -Shows use of the nursing process -Provides data for quality assurance studies Documentation - Correct Answer ️️-Written nursing or interdisciplinary care plans are the framework for documentation -Charting organized by nursing diagnosis or problem. -Implementation of each intervention documented on the flow sheet or nursing notes -Evaluation...

An effective compliance program should include some basic elements to comply with state and federal laws. These include policies, procedures, and standards of conduct; the identification of a compliance officer and committee; education of staff; establishment of communication channels; performance of internal monitoring; corrective action when a problem is identified; and which of the following? - Correct Answer ️️Penalties for noncompliance of standards Medical record completion compl...

In what year did ICD-10-CM/PCS go into effect in the United States A. 2013 B. 2014 C. 2015 D. 2016 - Correct Answer ️️C. 2015 Which of the following is an inpatient classification scheme that categorizes patients who share similar clinical characteristics?A. DRG B. SOI C. ROM D. FAQ - Correct Answer ️️A. DRG

Which of the following is a purpose of healthcare data sets? a. Identify data elements that should be collected for each patient b. Provide uniform definitions for common terms c. Control the number of elements collected in any given database d. Both A and B - Correct Answer ️️D. Both A and B What is the most important factor in determining the best storage method for health records? a. Ensuring that the records are readily accessible and secure b. Ensuring that the records are factu...

If a provider documents only COPD (chronic obstructive pulmonary disease), but there is clinical evidence to support an exacerbation of COPD, what impact might this have on clinical validation? a. The case may be vulnerable to denial. b. The medication administration records will be used to define the diagnosis. c. The CDI specialist will require a concurrent review. d. The working DRG will have to be updated. - Correct Answer ️️a. The case may be vulnerable to denial What is the rel...

A 3M study suggested that the reimbursement impact on the implementation of ICD-10-CM/PCS would be what? - Correct Answer ️️Minimal What is the estimated negative impact of the top 25 MS-DRGs mentioned in the text? - Correct Answer ️️1.4 percent What is the first step required to determine the facility specific impact of ICD-10 implementation? - Correct Answer ️️Begin dual coding What is the principal tool used by CDI programs to enhance efficiency? - Correct Answer ️️Anal...

MMP - Correct Answer ️️What is the QA Matrix? Where can i find it? MRC- - Correct Answer ️️What is the MRC QAR Matrix? QA Matrix School Tracker Hi Times Item's in cal PC's (CDI's, CDQ's, QAR's)Program Managers - Correct Answer ️️Name some things you can find in the MMP Establishing requirements for reporting material deficiencies, poor workmanship, and improper procedures in the technical pubs - Correct Answer ️ ️What is NAMDRP for? 7 Beginning of shif...

CAT I PQDR - Correct Answer ️️May cause death injury, or severe illness. Submitted via JDRS/Priority message within 24 hours or discovery CAT II PQDR - Correct Answer ️️Used for quality deficiencies assessed to have significant and widespread material or human resource impact but do not affect safety of personnel or impair combat efficiency. Submitted via JDRS within 5 calendar days from discovery. What are Y-code's for? - Correct Answer ️️Product deficiencies of material ...

transaction code 11 - Correct Answer ️️on equipment work NOT involving removal of defective components trans code 11/c - Correct Answer ️️reseat trans code 11/s - Correct Answer ️️removed and reinstalled for troubleshooting trans code 12 - Correct Answer ️️on equipment work with failed parts (CONSUMABLE) trans code 12/b - Correct Answer ️️removed and replaced consumable trans code 16 - Correct Answer ️️removal of non-defective components trans 16/p - Correct Answ...

What is NAMDRP? - Correct Answer ️️Naval Aviation Discrepancy Reporting Program What is the purpose of NAMDRP? - Correct Answer ️️To establish policy, responsibilities, and requirements for reporting substandard workmanship, improper QA procedures, and deficiencies in material and publications. What is a HMR? - Correct Answer ️️Hazardous Material Reports - Provide a standard method for reporting material deficiencies which if not corrected could result in death or injury to p...