Essentials Of Health Information Management Lab Assignment 9-2

Mary Jo Bowie, Mount Wachusett Community College, Gardner, MA

Mary Jo Bowie is the owner of Health Information Professional Services in Binghamton, New York, which has provided medical record consultative services for various health facilities for more than 25 years. She served as an instructor in Health Information Technology Programs for more than 20 years, teaching such courses as Inpatient Coding, Ambulatory Care Coding, Quality Assurance, Survey of Healthcare and Computers in Healthcare. Ms. Bowie is now the Health Information Management and Medical Coding program director at Mount Wachusett Community College and an associate professor. She develops all course content within the curriculum, including ICD-9-CM and ICD-10-CM/PCS courses, CPT/HCPCS courses, Introduction and Advanced Health Data courses. Ms. Bowie is a registered Health Information Administrator and an accredited Health Information Technician. She is an active member of the American Health Information Management Association (AHIMA) and is also an AHIMA ICD-10-CM/PCS-approved Train the Trainer. She served on the New York State Health Information Association Board of Directors from 1989 to 1991 and was education director and on the Ambulatory Coding Guideline Committee. Ms. Bowie was the New York State nominee for the National Award for Literacy Contribution to Profession, 1993 and 1994. She is a National and Regional speaker on ICD-9-CM, CPT and ICD-10-CM and ICD-10-PCS, as well as a trusted course writer for Cengage Learning. Ms. Bowie holds an Associate of Arts Degree, a Bachelor of Science Degree and a Master of Science Degree. She has conducted more than 50 national training seminars on ICD-10-CM/PCS coding.

Michelle A. Green, Mount Wachusett Community College, Gardner, Massachusetts

Michelle A. Green, MPS, RHIA, FAHIMA, CPC, is an Adjunct Professor in the Health Information Technology Department at Mohawk Valley Community College, Utica, New York. She also teaches in the Health Information Management Department at Mount Wachusett Community College, Gardner, Massachusetts. Ms. Green held the position of SUNY Distinguished Teaching Professor in the Physical and Life Sciences Department at the State University of New York, College of Technology, Alfred, from 1984 through 2016. An active member of the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA), Ms. Green has been recognized both for her excellence in teaching and for her significant contributions to the Health Information Management profession. She has earned numerous awards, including the State University of New York Chancellor’s Award for Excellence in Teaching, Alfred State College’s Alumni Association Teacher of the Year, Who’s Who Among America’s Teachers, and the FORE Triumph Educator Award from the AHIMA. Ms. Green is a Registered Health Information Administrator (RHIA), a Fellow of the American Health Information Management Association (FAHIMA), and a Certified Procedural Coder (CPC). She earned a BS from Daemen College and an MPS degree from Alfred University. Ms. Green has authored three successful books related to coding and health information management.

Diagnostic services (Radiology)
Therapeutic services (Radiology)
Includes name, address, telephone number, gender, date of birt…
Includes patient demographics, signed patient confidentiality…
Used to diagnose medical conditions, includes x-ray, radioacti…
Radiation and/or radioactive materials may be administered, in…
Includes name, address, telephone number, gender, date of birt…
Includes patient demographics, signed patient confidentiality…
CPHI: Health Information Management
American Medical Association
American Hospital Association
American Nurses Association
American Medical Association
American Hospital Association
acting according to certain accepted standards
document signed by the patient or legal guardian giving permis…
Term used when an individual receives medical service from the…
a person admitted to a medical facility for services that requ…
acting according to certain accepted standards
document signed by the patient or legal guardian giving permis…
HEALTH INFORMATION MANAGEMENT
The purpose of information systems is t…
computer-based information system (CBIS…
Transaction processing systems (TPS) co…
Management information systems (MIS) re…
The purpose of information systems is to get useful informatio…
computer-based information system (CBIS) are people, processes…
Common business transactions include employee payroll, custome…
MIS provide performance reports based on the results from tran…
The purpose of information systems is t…
The purpose of information systems is to get useful informatio…
computer-based information system (CBIS…
computer-based information system (CBIS) are people, processes…
Health Information Systems Management
The process by which a duly authorized body evaluates and reco…
A formal agreement granting an individual permission to practi…
The recording of pertinent healthcare as a business record and…
The process by which a duly authorized body evaluates and reco…
A formal agreement granting an individual permission to practi…
American Health Information Management Association
a paper or computer based tool for collecting and storing info…
includes facts about the patient, as well as personal and medi…
obtained by a healthcare worker (receptionist, medical secreta…
American Health Information Management Association
a paper or computer based tool for collecting and storing info…
patient information/demographic elements
the abbreviation RMT means
During the professional practice experience, students receive…
the collection of cancer data from a variety of sources and th…
a health insurance specialist reviews health-related claims to…
registered medical transcriptionist
the abbreviation RMT means
During the professional practice experience, students receive…
registered medical transcriptionist
Health Information Management - Statements
How she or he feels, what happened, where it hurts, or what's…
Data collected from observation and examination: measuring, lo…
When patient arrives for treatment (patient basic information)
A paper or computer-based tool for collecting and storing info…
How she or he feels, what happened, where it hurts, or what's…
Data collected from observation and examination: measuring, lo…
health record (patient, medical, client…
How many are on the CBCS Exam
When was the NHA Developed
National Healthcareer Association
Certified Billing & Coding Specialist
National Healthcareer Association
How many are on the CBCS Exam
Health information management professionals
Standard content being represented and mapped into the HL7's c…
A central database that focuses on clinical information
The zone between different computer systems across which users…
Refers to Amendment to Federal Rules of Civil Procedure relati…
Continuity of Care Document
Standard content being represented and mapped into the HL7's c…
A central database that focuses on clinical information
Continuity of Care Document
To oversee the completeness and accuracy of the data abstracte…
Contains information about a patient that has been documented…
Data contained in registries and similar data bases
Enable health records to be located by diagnosis, procedure, o…
To oversee the completeness and accuracy of the data abstracte…
Contains information about a patient that has been documented…
Health information management technology
1928... American Health Information Manage…
to ensure the quality, confidentiality,…
Health information management (HIM) has been recognized as an…
The Association of Record Librarians of North American (ARLNA)…
The underlying purpose of AHIMA is ____________.
Before 1918, the creation and management of hospital medical r…
Health information management (HIM) has been recognized as an…
1928... American Health Information Manage…
The Association of Record Librarians of North American (ARLNA)…
Health care providers and third-party p…
The Centers for Medicare & Medicaid Ser…
Third-party payers adopt________
nomenclatures and classifications
It manages implementation of Medicare prospective payment syst…
...payment systems, fee schedules, and exclusions after Medica…
Vocabulary of clinical and medical terms.
Health care providers and third-party p…
nomenclatures and classifications
The Centers for Medicare & Medicaid Ser…
It manages implementation of Medicare prospective payment syst…
Essentials of Health Information Management Chapter 10
Health Information Custodian
What is a health record used for?
info pertaining to mental health, physical health, condition o…
person or organization responsible for managing health informa…
Documentation related to or a collection of documents related…
To maintain and manage health information
info pertaining to mental health, physical health, condition o…
Health Information Custodian
person or organization responsible for managing health informa…
Health Information Management Exam Review
.....................................
Of, relating to, or designating a symptom or condition perceiv…
Not influenced by personal feelings, interpretations, or preju…
Story or account of events, experiences, or the like.
.....................................
Of, relating to, or designating a symptom or condition perceiv…
HEALTH INFORMATION MANAGEMENT
administrative simplification
American College of Surgeons (ACS)
American Recovery and Reinvestment Act…
a voluntary process in which facilities agree to follow a set…
provisions of Health Insurance Portability and Accountability…
a professional organization founded in 1913 to "improve the qu…
Also known as the "Stimulus Act" or the "Recovery Act", ARRA w…
a voluntary process in which facilities agree to follow a set…
administrative simplification
provisions of Health Insurance Portability and Accountability…
Chapter 1 - Comparative Health Information Management
organization of healthcare providers accountable for quality c…
voluntary process by which a healthcare facility demonstrates…
inpatient medical care of limited duration to diagnose treat s…
patient is formally accepted into a hospital or inpatient heal…
accountable care organization
organization of healthcare providers accountable for quality c…
voluntary process by which a healthcare facility demonstrates…
accountable care organization
health information management techology
The process by which a duly authorized body evaluates and reco…
A formal agreement granting an individual permission to practi…
The recording of pertinent healthcare as a business record and…
The process by which a duly authorized body evaluates and reco…
A formal agreement granting an individual permission to practi…
Which of the following carries out the…
Our transcription is performed by a com…
The services provided by HIM department…
The patient registration department ass…
Which of the following carries out the…
Our transcription is performed by a com…
Assigning the health record number
completes a destruction log of charts
ensuring inpatient information is complete
completes a destruction log of charts
A rule of conduct passed by a legislative body that is enforce…
Deals with legal rights and relationships of private individua…
Torts, Contracts, Public law, and criminal law
Wrongful acts for which a civil suit can be brought.
A rule of conduct passed by a legislative body that is enforce…
Deals with legal rights and relationships of private individua…
Civil law deals with the legal rights a…
Essentials of Health Information Management Chapter 9
How many questions are on the CBCS exam
When was the NHA developed
National Healthcareer Association
Certified Billing & Coding Specialist
National Healthcareer Association
How many questions are on the CBCS exam
Health Information Management
Registered Health Information Administr…
Registered health information
certified coding associate
workers assemble and organize a patient's health information t…
manages patient's health information and medical records
ensures that medical records are complete, accurate, and in th…
qualified to code in both hospitals and physicians practices
Health Information Management
workers assemble and organize a patient's health information t…
Registered Health Information Administr…
manages patient's health information and medical records
Health Information Management Def.
Electronic Medical Records
Computer based patient records
A computer-based system for recording, delivering, and managin…
A ___________ version of a paper chart with additional capabil…
Electronic Medical Records
A computer-based system for recording, delivering, and managin…
The hospital standardization movement w…
HIM has been recognized as a profession…
The HIM profession is changing due to...
The new model of HIM practice is:
The hospital standardization movement w…
American College of Surgeons.
HIM has been recognized as a profession…
American College of Surgeons.

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