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72 Cards in this Set

  • Front
  • Back
CPT
Code Set Standard Selected by HIPPA for electronic Transactions. (Used for Health Care Services)

Coding Medical , Surgical and Diagnostic Services.
Health Care Common Procedures Coding Systems
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
HIPAA
Health Insurance Portability and Accountability Act (HIPPA) 1996
Data Exchange of sematic Content means the meaning of the message is sent and received
TRUE
Healthcare Common Procedure Coding System is a system for coding diseases and operations
FALSE
Classifications are intended to aggregate and group information
TRUE
Systematized Nomenclature of Medicine (SNOMED) stores terms with the same meaning as synonyms.
TRUE
Medical Subject Headings (MeSH) is used to query the National Library of Medicine's Database
TRUE
Clinical terminologies use the concept of recognized redundancies to store homonyms
FALSE
There are variations in the coding rules for inpatient and outpatient coding of International classification of Diseases, 9th edition, Clinical Modification (ICD-9CM)
TRUE
Which organization is responsible for revising the Healthcare Common Procedure Coding System National Codes?
Centers for Medicare and Medicaid
Precursor to Systematized Nomenclature of Medicine
(SNOP)
Used to Report Drugs in Retail Pharmacy Applications
NDC
Systematizes Psychiatric Disorders
(DSM)
Group Services and Resource Use
DRG
Designed to facilitate exchange of lab results
LOINC
Clinical Reference Terminology
SNOMED CT
Published by World Health Organization in 1992
ICD 9 CM
Provides Standard Descriptors for Procedures
(CPT)
Classifies Clinical Nursing Interventions
NOC
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
FALSE
Variations in inpatient and outpatient coding rules do not affect the clinical usefulness of the data.
FALSE
The Healthcare Common Procedure Coding System Common Procedural Coding System Contains levels of Codes
TRUE
Logical Observation Identifiers Names and Codes (LOINC) Uses Naming Standards to organize and Retrieve data.
TRUE
A patient is assigned a DX-Related Group before admission for Medicare Reimbursement.
FALSE
DSM 4th edition (DSM-IV) is a psychiatric care classification system.
TRUE
Administrative Terminologies do not capture the complexity required for advanced clinical decision support.
TRUE
Which of the following coding systems is a nomenclature?
SNOMED
Coordinates International Standards
ISO
GEMS is a translation dictionary to convert International Classification of Diseases, 9th edition, Clinical Modification/Procedure Coding System (ICD-9-CM/PCS) data.
TRUE
One of the uses of coded data (ICD, CPT), is reimbursement for health care services rendered by health care providers.
TRUE
The International Classification of Diseases and Current Procedural Terminology are used for Clinical Purposes.
TRUE
Developed by the Food and Drug Administration to level drug packages
NDC
Published the international classification of diseases.
WHO
Relational database that connects vocabularies and classifications.
UMLS
Develops Standards for Medical Devices
IEEE
Represents Clinical Observations and lab results
LOINC
Maintains Systematized Nomenclature of Medical (SNOMED)
CAP
Develops Standards for Medical Imaging (Radiology)
DICOM
Organized Medical Subject Headings
MeSH
Assessed existing terminologies related to the electronic health record.
(NCVHS)
Develops standards for electronic health record (EHR) content and information privacy and security.
ASTM
Government initiative involving federal agencies related to health care and use of electronic information.
CHI
Develops Standards for Pharmacy information
NCPDP
Mapping assistant for LOINC
RELMA
Coordinates National Standards related to Health Information Technoogy
HITSP
Sematic content refers to the degree of specificity and refinement of a clinical terminology.
FALSE
Systematized Nomenclature of Medicine (SNOMED) provides complete, readable definitions of medical concepts.
TRUE
Health Common PRocedure Coding System and Current Procedural Terminolgy Coding Systems were based on the International Classificaitons of Diseases.
FALSE
Systematized Nomenclature of Medicine (SNOMED) disease concepts include topography and etiology.
FALSE
Clinical terminology
Used to Represent the information in a Health Record, whether it is in paper or electronic form. Standardized terms, concepts and synonyms.
Patient Medical Record Initiative
NCVHS subcommittee on Standards ans Security Completed a detailed evaluation f 38 care terminologies and classification systems to support the electronic medical record.
Test statistic
Measures the size of the difference or relationship observed in the sample.
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
TRUE
The Procedural coding system that replaces the procedures codes in International Classification of Diseases, 9th edition, Clinical Modification (ICD -9CM) is
International Classification of Diseases 10th Edition, Procedure Coding System (ICD-10-PCS)
Which is descriptive of the International Classification of Diseases (ICD) coding system
Statistical Classification
Metathesaurus
Core Database of UMLS collection of concepts and Terms from various controlled vocabularies and Relationships.
Sematic Network
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.
Standard Mortality Ratio (SMR)
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.
Specialist Lexicon
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.
Ordinal Data
Data expressing rankings from the lowest to highest according to some criterion.
Nominal Data
Describes data collected on variables for which qualitative (what kind).

Categorical, qualitative or named data.
Continuous data
data on Quantitative variables that can assume an infinite number of possible values.
Discrete data
Data on Quantitative variables that can only take on a limited number of values, typically whole numbers. # records, # people, # meds.
Community Acquired Infections
typically present less than 72 hours before admission to the health care facility
Nosocomial
Facility acquired infection rate that occur more than 72 hours after admission.
Morbidity Rates
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.
Maternal Death Rate
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.
Mean
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. *
Median
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.
Mode
Value that occurs most frequently in a given set of values.
STandard Deviation
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.