It is a payment method used by medicare to reimburse inpatient hospital service Ms-Drg codes.
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15
The systematic method of documentation that consists of four components (database, problem list, initial plan, and progress notes) is called the
problem-oriented record
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15
Quality standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the tests are performed were established specifically by___legislation.
(CLIA) Clinical Laboratory Improvement Act
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15
Which organization is responsible for administering the Certified Coding Specialist certification exam?
(AHIMA) American Health Information Management Association
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15
Current Procedural Terminology (CPT) was developed by which organization in 1966?
American Medical Association
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15
Which legislation provides civilian employees of the federal government with medical care, survivors' benefits, and compensation for lost wages?
Federal Employees Compensation Act
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15
The terms electronic health record (ehr) and electronic medical record (emr) are often used interchangeably, but the ____is a more global concept that includes the collection of patient information documented by a number of providers at
electronic health record
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In a teaching hospital, general documentation guidelines allow______ to document physician services in the patient's medical record.
both residents and teaching physicians
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15
Employers are generally considered liable for the actions and omissions of employees as performed and committed within the scope of their employment. This is known as
respondeat superior
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15
Patients with health insurance may require_______for treatment by specialists and documentation of post treatment reports
prior approval
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Third party administrators (TPAs) administer health care plans and process claims, serving as a
system of checks and balances for labor and management