Homework Help for Business

To better evaluate the denials of Medicare claims at ABC Hospital, Shelly (the Coding Manager) and Diane (the Fiscal Claims Manager) must work together to review documentation, ICD-10-CM/PCS code and MS-DRG assignment, and CMS denial reasons. In order to ensure an effective working environment to efficiently manage and produce MS-DRGs and the reimbursement claims, the and the departments should have a strong relationship.

(A) Medical staff and billing

(B) Finance and billing

(C) Disclosure of health information staff and coders

(D) HIM and billing staff

Raul is also evaluating the computerization of the coding functions as a cost saving measure for the hospital. The software that improves the efficiency of the coding process by using the translated dictation reports and NLP to analyze clinical data is referred to as:

(A) CDI

(B) TNM

(C) MS-DRGS

(D) CAC

Jonathon is comparing three different EH systems. His hospital is looking to purchase a new system. He wants to make sure that each EHR system has the correct medical record content requirements before he makes a recommendation to Administration. All of the following organizations determine the requirements for the content of the hospital health record except:

(A) Joint Commission

(B) Medical staff rules and regulations

(C) State licensure and regulations

(D) AHIMA

Dr. Simmons is giving an educational presentation on common birth defects that may be present babies born at ABC Hospital. This information on congenital anomalies is important to note on th birth certificate. This presentation is given to the department since their staff typically completes the birth certificate when a baby is born in the hospital.

(A) local health department staff

(B) NCHS staff

(C) HIM staff

(D) Registration-admission, discharge, transfer staff

To better evaluate the denials of Medicare claims at ABC Hospital, Shelly (the Coding Manager) and Diane (the Fiscal Claims Manager) must work together to review documentation, ICD-10-CM/PCS code and MS-DRG assignment, and CMS denial reasons. In order to ensure an effective working environment to efficiently manage and produce MS-DRGs and the reimbursement claims, the and the departments should have a strong relationship.

(A) Medical staff and billing

(B) Finance and billing

(C) Disclosure of health information staff and coders

(D) HIM and billing staff

In order to meet the demands of the medical staff members to be notified when a malpractice request for medical records is processed, the HIM Assistant Director has developed a specialty report with the pertinent information being requested. This report is presented at the monthly Medical Staff Committee meeting. The appropriate term used to indicate that reports and letters can be tailored and changed to meet the requirements of the request or the needs of the recipient within a disclosure of health information system is:

(A) Manipulation

(B) Conversion

(C) Customization

(D) Renovation

The CIO and HIM Director are developing an updated privacy and security strategic plan for the HIM department. Cybersecurity is a major area of discussion. The legislation that regulates the tracking of requests for and disclosure of health information is:

(A) ARRA

(B) HIPAA

(C) HITECH

(D) TEFRA

Robert is a high school junior who likes studying diseases and medicine but doesn't want to have direct patient contact. He's also very good at computer science and programming and wants to find a college major that combines his two interests. The phrase that describes the scientific discipline that is concerned with the cognitive, information-processing, and communication tasks of the healthcare practice, education, and research, including the information science and technology to support these tasks is:

(A) Health Informatics

(B) HIM

(C) Data Analytics

(D) Epidemiology

Assign the correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for the following:

Anemia in end-stage renal disease (ESRD)

Note: review the Code first note for correct sequence

Assign the correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for the following: Anemia due to malignant neoplasm of the pylorus (Note: sequencing is important)

____ is usually the best channel to use when you need to communicate outside your organization, to keep a permanent record, and to maintain confidentiality.

Explain various types of life assurance policies one can have.