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72 Cards in this Set
- Front
- Back
CPT
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Code Set Standard Selected by HIPPA for electronic Transactions. (Used for Health Care Services)
Coding Medical , Surgical and Diagnostic Services. |
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Health Care Common Procedures Coding Systems
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CPT (Level 1) of the HCPCS which is used to report physician services and other health care services and medical supplies orthotic and prosthetic devices
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HIPAA
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Health Insurance Portability and Accountability Act (HIPPA) 1996
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Data Exchange of sematic Content means the meaning of the message is sent and received
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TRUE
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Healthcare Common Procedure Coding System is a system for coding diseases and operations
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FALSE
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Classifications are intended to aggregate and group information
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TRUE
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Systematized Nomenclature of Medicine (SNOMED) stores terms with the same meaning as synonyms.
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TRUE
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Medical Subject Headings (MeSH) is used to query the National Library of Medicine's Database
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TRUE
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Clinical terminologies use the concept of recognized redundancies to store homonyms
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FALSE
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There are variations in the coding rules for inpatient and outpatient coding of International classification of Diseases, 9th edition, Clinical Modification (ICD-9CM)
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TRUE
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Which organization is responsible for revising the Healthcare Common Procedure Coding System National Codes?
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Centers for Medicare and Medicaid
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Precursor to Systematized Nomenclature of Medicine
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(SNOP)
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Used to Report Drugs in Retail Pharmacy Applications
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NDC
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Systematizes Psychiatric Disorders
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(DSM)
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Group Services and Resource Use
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DRG
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Designed to facilitate exchange of lab results
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LOINC
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Clinical Reference Terminology
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SNOMED CT
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Published by World Health Organization in 1992
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ICD 9 CM
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Provides Standard Descriptors for Procedures
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(CPT)
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Classifies Clinical Nursing Interventions
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NOC
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Free Text is preferable in describing health care because it is a more concise and efficient way of storing detailed information and transmitting the information to others
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FALSE
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Variations in inpatient and outpatient coding rules do not affect the clinical usefulness of the data.
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FALSE
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The Healthcare Common Procedure Coding System Common Procedural Coding System Contains levels of Codes
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TRUE
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Logical Observation Identifiers Names and Codes (LOINC) Uses Naming Standards to organize and Retrieve data.
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TRUE
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A patient is assigned a DX-Related Group before admission for Medicare Reimbursement.
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FALSE
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DSM 4th edition (DSM-IV) is a psychiatric care classification system.
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TRUE
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Administrative Terminologies do not capture the complexity required for advanced clinical decision support.
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TRUE
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Which of the following coding systems is a nomenclature?
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SNOMED
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Coordinates International Standards
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ISO
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GEMS is a translation dictionary to convert International Classification of Diseases, 9th edition, Clinical Modification/Procedure Coding System (ICD-9-CM/PCS) data.
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TRUE
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One of the uses of coded data (ICD, CPT), is reimbursement for health care services rendered by health care providers.
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TRUE
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The International Classification of Diseases and Current Procedural Terminology are used for Clinical Purposes.
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TRUE
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Developed by the Food and Drug Administration to level drug packages
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NDC
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Published the international classification of diseases.
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WHO
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Relational database that connects vocabularies and classifications.
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UMLS
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Develops Standards for Medical Devices
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IEEE
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Represents Clinical Observations and lab results
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LOINC
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Maintains Systematized Nomenclature of Medical (SNOMED)
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CAP
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Develops Standards for Medical Imaging (Radiology)
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DICOM
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Organized Medical Subject Headings
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MeSH
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Assessed existing terminologies related to the electronic health record.
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(NCVHS)
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Develops standards for electronic health record (EHR) content and information privacy and security.
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ASTM
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Government initiative involving federal agencies related to health care and use of electronic information.
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CHI
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Develops Standards for Pharmacy information
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NCPDP
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Mapping assistant for LOINC
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RELMA
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Coordinates National Standards related to Health Information Technoogy
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HITSP
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Sematic content refers to the degree of specificity and refinement of a clinical terminology.
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FALSE
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Systematized Nomenclature of Medicine (SNOMED) provides complete, readable definitions of medical concepts.
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TRUE
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Health Common PRocedure Coding System and Current Procedural Terminolgy Coding Systems were based on the International Classificaitons of Diseases.
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FALSE
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Systematized Nomenclature of Medicine (SNOMED) disease concepts include topography and etiology.
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FALSE
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Clinical terminology
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Used to Represent the information in a Health Record, whether it is in paper or electronic form. Standardized terms, concepts and synonyms.
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Patient Medical Record Initiative
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NCVHS subcommittee on Standards ans Security Completed a detailed evaluation f 38 care terminologies and classification systems to support the electronic medical record.
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Test statistic
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Measures the size of the difference or relationship observed in the sample.
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The International Classification of Diseases 9th ed. Clinical Modification (ICD-9CM) is used with Health Care Common Procedure Coding System for coding in physician offices
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TRUE
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The Procedural coding system that replaces the procedures codes in International Classification of Diseases, 9th edition, Clinical Modification (ICD -9CM) is
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International Classification of Diseases 10th Edition, Procedure Coding System (ICD-10-PCS)
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Which is descriptive of the International Classification of Diseases (ICD) coding system
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Statistical Classification
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Metathesaurus
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Core Database of UMLS collection of concepts and Terms from various controlled vocabularies and Relationships.
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Sematic Network
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A set of categories and relationships that are being used to classify and related the entries i n the Metathesaurus. Each concept in Metathesaurus is assigned to sematic types and relationships are determined.
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Standard Mortality Ratio (SMR)
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Used in most national and statewide mortality reports Hospitals across a state are examined for death rates associated with the DRG The actual or observed number of deaths in the hospital is compared with the expected number of deaths.
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Specialist Lexicon
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Database of Lexicographic information for use in Natural language processing. 200,000 items and identifies their spelling, form and structure, Lexicon is used in natural language processing applications.
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Ordinal Data
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Data expressing rankings from the lowest to highest according to some criterion.
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Nominal Data
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Describes data collected on variables for which qualitative (what kind).
Categorical, qualitative or named data. |
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Continuous data
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data on Quantitative variables that can assume an infinite number of possible values.
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Discrete data
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Data on Quantitative variables that can only take on a limited number of values, typically whole numbers. # records, # people, # meds.
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Community Acquired Infections
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typically present less than 72 hours before admission to the health care facility
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Nosocomial
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Facility acquired infection rate that occur more than 72 hours after admission.
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Morbidity Rates
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Can include complication rates, such as community-acquired hospital -acquired or nosocomial and postoperative infection rates. They can also include co morbidity rates and the prevalence and incident rates of disease.
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Maternal Death Rate
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Number of maternal deaths divided by the number of obstetric discharges. Maternal death rates are rare and does not take into account any other risk factors.
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Mean
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Most common measure of central tendency because it is easily understood by audiences.
*Calculated by adding up the values of all the observations and diving the total by the number of observations. * |
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Median
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Represents the middle value within a data set.
*Values are arranged from lowest to highest ODD # Median is in the middle Even # of observations- the mean of the middle two numbers. |
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Mode
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Value that occurs most frequently in a given set of values.
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STandard Deviation
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Represented by the symbol s is the square root of the variance. To express dispersion in terms of the same units as values of the variable.
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