Chapters 4-7 Flashcards
Identify the example of administrative information
Patient’s address
The Healthcare Facilities Accreditation Program (HFAP) accredits _________.
All healthcare facilities
Federal and state documentation initiatives as well as the subsequent reimbursement and payment models are now focusing on ____________.
The efficiency, quality, and value of healthcare services provided
What standard must a hospital that participates in the Medicare and Medicaid programs comply with that hospitals who do not accept Medicare and Medicaid patients do not?
Conditions of Participation
Home care records typically include _____.
An individualized treatment plan
Identify the part of a medical history that documents the nature and duration of the symptoms that caused a patient to seek medical attention as stated in that patient’s own words.
Chief complaint
A patient’s registration forms, personal property list, RAI/MDS and care plan and discharge or transfer documentation would be found most frequently in the ___________ health record.
Long-term care
The ___________ is a core component of SNOMED CT.
Concept
The SNOMED CT _________ includes the semantic tag.
Fully specified name
Why are the various types of organizations important to the development of clinical quality measures?
Various parts of the healthcare system have different needs. There is different documentation requirements necessary in different departments.
If data aggregation is the goal of collecting the data, ______ are the best choice.
Classifications
ICD-10-PCS is a classification of _________.
Inpatient procedures
The UHDDS’s core data elements were incorporated into the ___________ prospective payment system.
Acute inpatient
The ___________ is responsible for the publishing and maintaining HCPCS Level II.
CMS
Recommend a concept to create management and oversight of data assets to support the organization’s mission, vision, and values.
Information governance
