Questions and Answers of Essentials Health Information Management Principle

Define protected health information (PHI).
How do you ensure data quality?
State the purpose of a disease index.
Discuss the purposes of using outguides and performing periodic audits of the file area.
Assign phonetic codes to the following surnames.a. Sanderson ________b. Fulsom ________c. Kczowski ________d. Mulholland ________e. Dresser-Rey ________
Discuss the purpose of local coverage determinations.
List and discuss the national identifiers by HIPAA.
Discuss the purpose of a chargemaster.
Differentiate between prospective and retrospective payment systems.
List and discuss the health care plans that paid for services prior to implementation of major government health programs, such as Medicare, Medicaid, and so on.
Summarize the purpose of the Systematized Nomenclature of Medicine (SNOMED).
Describe the characteristics of the ICD-10 coding system.
Explain the term public domain.
Discuss the purpose of the standard coding guidelines.
Describe the differences between the terms medical nomenclature and coding system.
Pam Page, an office manager for Dr. Brown, receives an email from a patient requesting that she reply with his lab test results. Pam knows that the office’s email system does not encrypt messages.
Ms. Marie, a health information department staff member at New Directions Medical Center, received a call from the emergency room at St. John’s Hospital requesting that all previous records for a
Miss Molly, a release of information clerk at New Directions Medical Center, received a call from the Pathway Drug and Alcohol Rehabilitation Center. Pathway is assuming care for a patient who is
Policies and procedures should be established by covered entities to meet the HIPAA privacy rule standards. Outline what covered entities should do to meet this standard.
Federal legislation that mandated administrative simplification regulations to govern privacy, security, and electronic transaction standards for health care information.
Created a data bank to combat fraud and abuse in the health care industry, alerting users to conduct a comprehensive review of health care providers’ past actions.
For a medical record to be considered admissible as evidence, the records must be maintained according to four principles. Discuss the four principles.
Established the Nursing Home Reform Act to ensure that residents of nursing facilities receive quality care and established a Residents’ Bill of Rights.
Sources of law include administrative, case, and statutory law. Discuss each type of law.
Federal law that established the National Practitioners Data Base.
Civil monetary and federal criminal penalties apply when covered entities misuse protected health information. Discuss the penalties.
Requires that drug and alcohol abuse patient records be kept confidential and are not subject to disclosure except as provided by law.
What three areas are associated with hospital-based statistics? Give an example of each.
What role does CQI play in data quality?
What four areas of data quality management does AHIMA define? Explain each.
What are the three general data characteristics? Explain each.
What is the purpose of the Medical Information Bureau (MIB) and the National Practitioner Data Bank (NPDB)?
Define “data set,” and list and describe at least three data sets.
What is the significance of the term “batched” case abstracts?
List the advantages and disadvantages of automated and manual abstracting systems.
Discuss the importance of case abstracting as related to case mix analysis.
Define case abstracting.
Identify three registers/registries, and name the sponsor and a brief description of each.
Name the federal agency responsible for maintaining official vital statistics.
Provide two examples of vital statistics.
Do registers and registries represent a primary or secondary source of patient information? Explain.
What are the uses for information collected in registries?
What is the difference between a register and a registry?
What term describes a computer system used to input patient registration information?
State the advantages and disadvantages of an automated MPI and a manual MPI.
What is the name of the form used to submit reportable data to sponsoring agencies?
Identify a government agency that requires the reporting of information about diseases or events.
The director of medical education wants to determine the average length of time it takes a particular surgeon to perform surgery. Which index would best allow access to the surgeon’s cases for the
Identify the types of codes entered in a procedure index.
The master patient index is organized according to ________ so that patient records can be easily retrieved.
Sequence the numbers in middle-digit order. 39-83-01 90-17-54 10-40-99 14-83-06 11-40-98 39-84-01 56-83-06 11-39-98 23-01-54 15-84-06 12-40-98 24-01-54
Sequence the numbers in terminal-digit order. 10-40-99 39-83-01 14-83-06 11-40-98 90-17-54 39-84-01 56-83-06 15-84-06 11-39-98 23-01-54 12-40-98 24-01-54
Sequence the numbers in straight number order. 39-83-01 14-83-06 39-84-01 23-01-54 24-01-54 10-40-99 11-40-98 90-17-54 56-83-06 11-39-98 15-84-06 12-40-98
List and discuss three electronic clinical applications.
Summarize the impact of electronic health information exchange on the quality of patient care.
Discuss how health information professionals can contribute to the transition to electronic record systems.
Outline the steps that should be taken to prepare documents for scanning.
Compare and contrast the advantages and disadvantages of paper and automated records systems.
1. What disciplines should be represented on the planning team?2. Do you feel that you could act as the chairperson for the planning team? Explain your answer.3. What questions/issues need to be a
Discuss two secondary purposes of the patient record.
Describe the format of the source oriented record.
Briefly discuss the flow of inpatient records from admission to discharge.
Discuss when countersignatures are needed in a patient’s record.
Outline the procedure for correcting an error in a patient’s record.
Define ancillary services and give three examples of this type of service.
Sally Smith has an 80-year-old mother, Mary, who lives with her. Sally works full-time in the day and also attends to Mary’s needs. Sally still wants her mother to remain in her home with her;
List and discuss the four types of hospitals covered in your textbook.
The federal Bureau of Prisons (BOP) provides health care to inmates. Describe the two methods for evaluating the quality of health care provided to inmates.
Explain the goal of hospice care, and list the types of services provided in hospice programs.
Professional associations often allow students to join the association as student members. List the student benefits of joining a professional association.
Summarize the purposes of record circulation.
What is the purpose of a professional practice experience?
According to the American Health Information Management Association, health information managers have specific areas of expertise. State the areas of expertise of health information managers.
How has Internet-based technology allowed coding specialists to work at home?
Sally Smith is interested in pursuing a career as a physician office coder. What is the most appropriate coding certification for her to obtain?
Differentiate between a proprietary and a voluntary hospital.
Compare primary care, secondary care, and tertiary/ quaternary care services. Include an example of each service.
Explain the relationship between abstracting and the generation of diagnosis and procedure indexes.
List the types of organizations that The Joint Commission accredits.
Distinguish between the terms regulation and accreditation.
Describe three contract services that a health information department would use.
Compare the terms electronic signature and digital signature.
Describe the uses of diagnosis and procedure indexes.
Define the term multidisciplinary as it relates to hospital committees, and list at least three hospital committees.