8, 9, 10

Question 1

If data conforms to an expected range of values is has…

Answer 1

Data Integrity

Question 2

What is the vocabulary of clinical and medical terms?

Answer 2

Medical Nomenclature

Question 3

What is an automated of manual process performed by health information department staff to collect patient information to determine prospective payment system status, generate indexes, and report data to quality improvement organizations and federal and state agencies?

Answer 3

Case Abstracting

Question 4

What is is called when a doctor fails to exercise the degree of care considered reasonable under the circumstances, resulting in an unintended injury to another party?

Answer 4

Negligence

Question 5

What is is called if data is accurate, complete, consistent, up to date, and the same no matter where it is recorded?

Answer 5

Data Integrity

Question 6

Telephone Order

Answer 6

TO

Question 7

What is information that is identifiable to an individual such as name, address, telephone numbers, DOB, Medical ID#, MR#, SS#, or name of employer?

Answer 7

Protected Health Information (PHI)

Question 8

Hx

Answer 8

History

Question 9

What is an organized system for the collection, storage, retrieval, analysis, and dissemination of individuals who have either a particular disease, or a condition that predisposes them to the occurrence of a health related event, or have prior exposure to substances or circumstances known to cause adverse side effects?

Answer 9

Registry

Question 10

Dx

Answer 10

Diagnosis

Question 11

WNL

Answer 11

Within Normal Limits

Question 12

DC IV

Answer 12

Discontinue Intravenous

Question 13

TKA

Answer 13

Total Knee Arthroplasty

Question 14

COPD

Answer 14

Chronic Obstructive Pulmonary Disorder

Question 15

LAP CHOLE

Answer 15

Laparoscopic Cholecystectomy

Question 16

ROS

Answer 16

Review of Systems

Question 17

DAT

Answer 17

Diet as Tolerated

Question 18

What is it called when software is used to search for patients and trends and to produce data content relationships?

Answer 18

Data Mining

Question 19

What is a public or private entity that processes or facilitates the processing of health information received from another entity from a non standard to a standard format?

Answer 19

A Clearinghouse

Question 20

What is any information communicated by a patient to a health care professional?

Answer 20

Privileged Communication

Question 21

What is a written command signed by the clerk of court, ordering an individual to appear in court with documents?

Answer 21

Subpoena Duces Tecum

Question 22

What is the federal agency responsible for maintaining vital statistics?

Answer 22

The National Center For Health Statistics (NCHS)

Question 23

What is the study of types of patients treated by a facility called?

Answer 23

Case Mix Ananlysis

Question 24

What is if called when a set of data is summarized using charts, graphs, and tables?

Answer 24

Descriptive Statistics

Question 25

What is the number of inpatients present at census taking time called? (usually midnight)

Answer 25

Daily Census Count

Question 26

What is a document that lists all the procedures, services, and supplies provided to patients by a hospital and also from patients to a hospital?

Answer 26

Chargemaster

Question 27

What is the legal process that lawyers use to obtain information about all aspects of a case?

Answer 27

Discovery

Question 28

What is it called when you divide the total length of stay by the number of patients discharged?

Answer 28

The Average Length of Stay

Question 29

What is a guide to point out or otherwise facilitate reference of names, places, and subjects, by giving the page or page numbers on which each item is listed?

Answer 29

Index

Question 30

What is the physiologic complexity that compromises the extent and interactions of a patient's disease as presented to medical professionals?

Answer 30

Severity of Illness

Question 31

What is a formal or official recording of names, actions, or items?

Answer 31

Register

Question 32

What is a form of discussion that includes a list of written question that must be answered by the party served?

Answer 32

Interrogatory

Question 33

What is failure to obey a subpoena, which is punishable by fine or imprisonment called?

Answer 33

Contempt of Court

Question 34

When a healthcare provider acts in an improper or negligent manner and the result is injury, damage, or loss to the patient it is called...

Answer 34

Malpractice

Question 35

What are federal regulations that healthcare organizations must meet to participate in the Medicare and Medicaid programs?

Answer 35

Conditions of Participation