CCS Exam Prep. Questions section
coverage, Approved.
Subjective - ✔✔-Dependent on the mind or on an individual's perception for existence
Objective - ✔✔-Factual or not influenced by personal feelings or opinions
Unif
...
CCS Exam Prep. Questions section
coverage, Approved.
Subjective - ✔✔-Dependent on the mind or on an individual's perception for existence
Objective - ✔✔-Factual or not influenced by personal feelings or opinions
Uniform Hospital Discharge Data Set (UHDDS) - ✔✔-A series of definitions collected on all hospital
inpatients. Examples include the principle diagnosis, principal procedure, discharge data, etc.
Master Patient Index (MPI) - ✔✔-A list or database created and maintained by a healthcare facility to
record the name and identification number of every patient who has ever been admitted or treated in
the facility
Enterprise Wide Master Patient Index (EMPI) - ✔✔-An index that provides access to multiple
repositories of information from overlapping patient populations that are maintained in separate
systems and databases. References all patients in multiple facilities
Quantitative Analysis - ✔✔-Review of the medical record to determine its completeness and accuracy
Qualitative analysis - ✔✔-Review of the medical record to ensure that standards are met and to
determine the accuracy of record documentation
Abstracting - ✔✔-When someone reviews a patient's health record and enters the appropriate pieces
into the database
Integrated Delivery System (IDS) - ✔✔-A network of organizations that provides or arranges to provide a
coordinated continuum of services to a defined population and is willing to be held clinically and fiscally
accountable for the outcomes and health status of the population serviced.
Integrated network systems (IDN) - ✔✔-Systems comprised of providers, acute care hospitals, specialty
clinics, home health services, and an owner insurance plan. The goal is for the patient to be able to
move among the continuum of care without fragmentation.
Accountable Care Organization (ACO) - ✔✔-Defined by CMS as a group of doctors, hospitals, and other
healthcare providers who come together voluntarily to give coordinated high quality care to Medicare
patients.
Department of Health and Human Services (DHHS) - ✔✔-the federal agency tasked with governing and
regulating healthcare in the United States
Centers for Medicare and Medicaid Services (CMS) - ✔✔-a federal agency within the U.S. Department of
Health and Human Services that is responsible for Medicare and Medicaid, among many other
responsibilities.
Office of the Inspector General (OIG) - ✔✔-Monitors and tracks the use of taxpayer dollars through
audits, inspections, evaluations and investigations. They are under the US Department of Commerce.
They publish a yearly work plan that outlines the initiatives for the upcoming year.
Conditions of Participation - ✔✔-Standards developed by the Department of Health and Human Services
(DHHS) that a facility must comply with in order to participate in the Medicare and Medicaid programs.
Medical records must be retained for - ✔✔-5 years
Medical records must be completed by - ✔✔-No more than 7 days prior to admission or within 48 hours
after admission
The Joint Comission - ✔✔-A private, nonprofit organization that establishes guidelines and standards for
the operation and management of healthcare facilities.
American Osteopathic Association (AOA) - ✔✔-The professional association of osteopathic physicians,
surgeons, and graduates of approved colleges of osteopathic medicine that inspects and accredits
osteopathic colleges and hospitals
Accreditation Association for Ambulatory Health Care (AAAHC) - ✔✔-An organization committed to
developing Standards that advance and promote patient safety, quality healthcare, and value in
ambulatory healthcare settings.
Comission on Accreditation of Rehabilitation Facilities (CARF) - ✔✔-An accrediting organization for
rehabilitation facilities
National Committee for Quality Assurance (NCQA) - ✔✔-An organization that provides an assessment of
the quality of managed care plans. Developed the Health Plan Employer Data and Information Set
(HEDIS) that is a tool for measuring quality of care. Example of a HEDIS measure: cancer screening and
prenatal care.
Registries - ✔✔-An organized system for collection, storage, retrieval, analysis, and dissemination of
information on individual persons who have either a particular disease or condition.
NCHS (National Center for Health Statistics) - ✔✔-The federal agency responsible for collecting and
disseminating information on health services utilization and the health status of the population in the
U.S.
National Trauma Data Bank - ✔✔-Sponsored by the American College of Surgeons (ACS)
insulin dependent diabetes mellitus registries - ✔✔-Sponsored by the National Institutes of Health (NIH)
American Medical Association (AMA) - ✔✔-The national professional membership organization for
physicians that distributes scientific information to its members and the public, informs members of
legislation related to health and medicine, and represents the medical profession's interests in national
legislative matters; maintains and publishes the Current Procedural Terminology (CPT) coding system
American Hospital Association (AHA) - ✔✔-National organization that represents and serves all types of
hospitals, healthcare networks, and their patients and communities; the AHA began as the accreditation
agency for new prepaid hospitalization plans in 1939. They publish "Coding Clinic" and provide official
coding advice for ICD and HCPCS code sets.
American College of Healthcare Executives (ACHE) - ✔✔-An international professional society of
healthcare executives who lead hospitals, healthcare systems, and other healthcare organizations. They
publish books and textbooks on healthcare services manag
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