In-service NIS Flashcards
What does “validity” mean according to the ACGME’s assessment toolbox
“how well assessment measures represent or predict a resident’s ability”
Regarding an institution’s pharmaceutical charge generated from intravenous contrast material used from a single use vial, what is the MOST appropriate billing practice?
Bill for the entire amount WITHIN the pharmaceutical container.
Can a service or procedure which changes the definition of the code being modified use a billing modifier with the appropriate written documentation?
No. Modifiers, by definition, cannot alter the definition of the code to which it applies.
What is the False Claims Act?
The false claims act addresses the filing of false claims.
Recent diagnoses occupy more prominence in a radiologist’s memory and thus tend to exert greater influence on diagnostic reasoning. What type of bias does this represent?
Availability
What is a CPT code?
Current Procedural Terminology (CPT): Uniform language for coding and billing. A CPT code is a five-digit numeric code with no decimal marks, although some have four numbers and one letter. Codes are uniquely assigned to different actions.
for certain marketing or fund- raising activities, what is required according to HIPAA?
written authorization
When is a provider permitted to access the electronic medical record of a patient who was seen by another provider in the organization?
When the provider is treating that patient or assisting another provider
In a young or middle-aged patient (< 65 years of age) with a suspected rib fracture, the MOST
appropriate initial imaging test is:
CXR, rib series
The ACGME Diagnostic Residency Review Committee for Radiology requires a MINIMUM of how many hours of conferences and lectures for residents?
5/week
What is the significance of CPT test codes?
Track use and acceptance of newer procedures and diagnoses
ACGME requires that the maximum number of consecutive nights of in-house night float be:
7 ACGME Common Program Requirements states that residents must not be scheduled for more than six consecutive nights of night float.
According to the Accreditation Council for Graduate Medical Education (ACGME), incorporating considerations of cost awareness in patient care is part of which competency?
Systems-based practice According to the Accreditation Council for Graduate Medical Education (ACGME), incorporating considerations of cost awareness in patient care is part of systems-based practice
A waiver of the requirement for documentation of informed consent may be granted under what circumstances?
If the study poses no more than minimal risk to subjects and involves no procedures for which written consent is normally required outside of the research context. The requirement to document informed consent can be waived if the study poses no more than minimal risk to subjects and involves no procedures for which written consent is normally required outside of the research context. The requirement may also be waived if the only record linking the subject and the research is the consent document and the principal risk is a breach of confidentiality. Identifying secure storage space for consent forms is an investigator’s responsibility. If a researcher anticipates that subjects might be embarrassed by questions, this concern should be addressed in the consent process. With regard to non-English speakers, if documentation is required, investigators must provide informed consent materials in the subjects’ language.
What is confirmation bias?
This is when physicians collect or present conclusions in ways to confirm rather than refute their hypothesis.
What is a receiver operator characteristic curve?
The receiver operating characteristic (ROC) curve is a statistical relationship used frequently in radiology, particularly with regards to limits of detection and screening. The curves on the graph demonstrate the inherent trade-off between sensitivity and specificity: y-axis: sensitivity x-axis: 1-specificity (false positive rate)
What is hindsight bias?
This represents overestimation or confidence in an answer or diagnosis, which can occur when the answer is already known.
Concerning the Accreditation Council of Graduate Medical Education (ACGME) toolbox for assessment of the General Competencies, which of the following terms describes how well assessment measures represent or predict a resident’s ability?
Validity According to the ACGME’s assessment toolbox, validity describes “how well assessment measures represent or predict a resident’s ability.”
In a postmenopausal patient with vaginal bleeding, the MOST appropriate initial imaging test is:
ultrasound pelvis transabdominal and/or pelvis transvaginal.
Concerning ethics, the American College of Radiology Code of Ethics states that:
members should at all times be aware of their limitations and be willing to seek
consultations in clinical situations where appropriate.
Concerning the Accreditation Council of Graduate Medical Education (ACGME) toolbox for
assessment of the General Competencies, simulations for the assessment of clinical performance
should:
permit examinees to make life-threatening errors without harming a real patient.
a diagnostic mammogram should be performed under the direct supervision of a
physician qualified in mammography under _____.
MQSA
The American College of Radiology practice guideline for performance of screening and diagnostic
mammography states: “Diagnostic mammography is a radiographic examination performed to evaluate patients who have signs and/or symptoms of breast disease, imaging findings of concern or prior imaging findings requiring specific follow-up. Diagnostic mammography requires direct
supervision…A diagnostic mammogram should be performed under the direct supervision of a
physician qualified in mammography under MQSA.”
According to the Accreditation Council for Graduate Medical Education (ACGME), use of
information technology to improve learning is part of which competency?
Practice based learning and improvement.
The development CPT codes (Current Procedural Terminology) is the responsibility of what organization?
AMA Having a basic understanding of the submission and billing process is the responsibility of the physician of record. Knowing how and where the basic codes and process is key to minimize fraud. Understanding the parties responsible for the codes affecting reimbursement is key to empower radiologist to play an active and supportive role in this critical issue. These codes are generated by the American Medical Association (AMA) and if there are new desired codes these requests are submitted to the AMA and a specialize dedicated panel. The codes are adopted by the government.
