HCM 435 MIDTERM QUESTIONS AND VERIFIED SOLUTIONS
GRADED A++ LATEST UPDATE
What is the definition of health information according to HIPAA?
Any information, whether oral or recorded in any form or medium that is created or
received by a health care provider. Relates to the past, present, or future physical or
mental health condition of an individual
According to HIPAA, what determines if it is protected health information?
Information first must be identifiable, it must have an individual patient perspective and
the patient's identity must be known
What is the definition of EMR?
health information on an individual that can be created, gathered, managed, and
consulted by authorized clinicians and staff within one healthcare organization
What is the definition of EHR?
health information on an individual that conforms to nationally recognized
interoperability standards and that can be created, managed, and consulted by
authorized clinicians and staff across more than one healthcare organization
What is the definition of personal health record?
an electronic record of health information on an individual that conforms to nationally
recognized interoperability standards and that can be drawn from multiple sources while
being managed, shared, and controlled by the individual
Name the various purposes of patient records
, Patient care, communication, legal documentation, billing and reimbursement, research
and quality management, and population health
Differentiate between the two types of organizing the health record
source-oriented- diary-like, chronological format
and patient-oriented medical records (POMR)- created and organized around the
patient's problems, not the source of information
CMS 1500
is for submitting claims for health service providers
UB-04
is submitting claims for institutional providers such as hospitals
what are the major purposes of having uniform data sets?
it means that data can be compared not only within organizations but also within states
and across the country.
What are the different uniform data sets and what type of health care organization
will be using that particular data set?
UHDDS (Uniform Hospital Discharge Data Set)- Medicare and Medicaid programs
ACDS (Uniform Ambulatory Care Data Set)- ambulatory and outpatient settings
MDS (Minimum Data Set)- Long term care
What are the different types of comparative health care data sets and how might
they be utilized?
Patient satisfaction- This is good for benchmarking and can help improve methods so
they can grow their business and keep consumers happy.
Practice Patterns- This can help improve practice patterns.
GRADED A++ LATEST UPDATE
What is the definition of health information according to HIPAA?
Any information, whether oral or recorded in any form or medium that is created or
received by a health care provider. Relates to the past, present, or future physical or
mental health condition of an individual
According to HIPAA, what determines if it is protected health information?
Information first must be identifiable, it must have an individual patient perspective and
the patient's identity must be known
What is the definition of EMR?
health information on an individual that can be created, gathered, managed, and
consulted by authorized clinicians and staff within one healthcare organization
What is the definition of EHR?
health information on an individual that conforms to nationally recognized
interoperability standards and that can be created, managed, and consulted by
authorized clinicians and staff across more than one healthcare organization
What is the definition of personal health record?
an electronic record of health information on an individual that conforms to nationally
recognized interoperability standards and that can be drawn from multiple sources while
being managed, shared, and controlled by the individual
Name the various purposes of patient records
, Patient care, communication, legal documentation, billing and reimbursement, research
and quality management, and population health
Differentiate between the two types of organizing the health record
source-oriented- diary-like, chronological format
and patient-oriented medical records (POMR)- created and organized around the
patient's problems, not the source of information
CMS 1500
is for submitting claims for health service providers
UB-04
is submitting claims for institutional providers such as hospitals
what are the major purposes of having uniform data sets?
it means that data can be compared not only within organizations but also within states
and across the country.
What are the different uniform data sets and what type of health care organization
will be using that particular data set?
UHDDS (Uniform Hospital Discharge Data Set)- Medicare and Medicaid programs
ACDS (Uniform Ambulatory Care Data Set)- ambulatory and outpatient settings
MDS (Minimum Data Set)- Long term care
What are the different types of comparative health care data sets and how might
they be utilized?
Patient satisfaction- This is good for benchmarking and can help improve methods so
they can grow their business and keep consumers happy.
Practice Patterns- This can help improve practice patterns.
