Health Information: Test 3

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CLASSIFICATION SYSTEM

A SYSTEM FOR GROUPING SIMILAR DISEASES AND PROCEDURES AND ORGANIZING RELATED INFORMATION FOR EASY RETRIEVAL.

CLASSIFICATION SYSTEM (2)

A SYSTEM FOR ASSIGNING NUMERIC OR ALPHANUMERIC CODE NUMBERS TO REPRESENT SPECIFIC DISEASES AND/OR PROCEDURES.

CLINICAL VOCABULARY

A FORMALLY RECOGNIZED LIST OF PREFERRED MEDICAL TERMS.

COMPUTER ASSISTED CODING (CAC)

UTILIZED NATURAL LANGUAGE PROCESSING AND ALGORITHMIC SOFTWARE TO ELECTRONICALLY ANALYZE ENTIRE MEDICAL CHARTS TO PRE-CODE WITH BOTH CPT PROCEDURE AND ICD-9 DIAGNOSTIC NOMENCLATURES.

CPT

- CURRENT PROCEDURAL TERMINOLOGY
- A LIST USED FOR REPORTING DIAGNOSTIC AND THERAPEUTIC PROCEDURES AND OTHER SERVICES PERFORMED BY PHYSICIANS
- UPDATED ANNUALLY BY AMA.

DSM-IV-TR

DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, 4TH REVISION, TEXT REVISION

E-CODES

A SUPPLEMENTARY ICD-9-CM CLASSIFICATION USED TO IDENTIFY THE EXTERNAL CAUSES OF INJURIES, POISONINGS, AND ADVERSE DRUG EFFECTS.

ENCODER

SOFTWARE USED TO FACILITATE THE ASIGNMENT OF CODES ACCORDING TO CODING SYSTEM RULES.

HCPCS

- HEALTHCARE COMMON PROCEDURE CODING SYSTEM
- 3 PARTS; AMA, CMS, AND MEDICARE

INTERFACE

THE ZONE BETWEEN DIFFERENT COMPUTER SYSTEMS ACROSS WHICH USERS WANT TO PASS INFORMATION.

ICD-9-CM

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MODIFICATION

ICD-10-CM

INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MODIFICATION

ICD-10-PCS

INTERNATIONAL CLASSIFICATION OF DISEASES, 10TH REVISION, PROCEDURE CODING SYSTEM

ICD-O-3

INTERNATIONAL CLASSIFICATION OF DISEASES FOR ONCOLOGY, 3RD EDITION

MORBIDITY

THE STATE OF BEING DISEASED

MORTALITY

THE INCIDENCE OF DEATH

NLP

NATURAL LANGUAGE PROCESSING

NOMENCLATURE

A RECOGNIZED SYSTEM OF TERMS USED IN SCIENCE OR ART THAT FOLLOWS PRE-ESTABLISHED NAMING CONVENTIONS

NURSING VOCABULARIES

CLASSIFICATION SYSTEM USED TO CAPTURE DOCUMENTATION ON NURSING CARE

READ CODES

FORMER NAME OF THE UK'S CTV3 CODES; NAMED FOR JAMES READ

V CODES

SET OF ICD-9-CM CODES USED TO CLASSIFY WHEN REASONS OTHER THAN DISEASE OR INJURY ARE RECORDED AS THE REASON FOR THE PATIENT'S HEALTH CARE ENCOUNTER.

WHO

WORLD HEALTH ORGANIZATION

THE NATIONAL CENTERS FOR HEALTH STATISTICS IS RESPONSIBLE FOR UPDATING ICD-9-CM.

TRUE

VOLUME 3 OF ICD-9-CM IS NOT PART OF THE INTERNATIONAL VERSION OF ICD-9 AND IS USED ONLY IN THE US.

TRUE

V AND E CODES ARE REFERRED TO AS SUPPLEMENTARY CLASSIFICATIONS IN ICD-9-CM.

TRUE

THE 3RD VOLUME OF ICD-9-CM CONTAINS THE TABULAR AND ALPHABETIC LISTS OF DISEASES.

FALSE

ICD-10 IS USED IN THE US FOR MORBIDITY REPORTING.

TRUE

THE ICD-O-3 IS A SYSTEM USED FOR CLASSIFYING INCIDENCES OF BENIGN DISEASE.

FALSE

CPT IS A COMPREHENSIVE DESCRIPTIVE LISTING OF TERMS AND CODES FOR REPORTING DIAGNOSTIC AND THERAPEUTIC PROCEDURES AND MEDICAL SERVICES.

TRUE

HCPCS CODES ARE MADE UP OF CPT AND LEVEL II (NATIONAL) CODES

TRUE

THE APA DEVELOPED THE DSM-IV-TR AS A TOOL FOR STANDARDIZING THE DIAGNOSTIC PROCESS FOR PATIENTS WITH PSYCHIATRIC DISORDERS.

TRUE

AHIMA HAS DEVELOPED STANDARDS OF ETHICAL CODING.

TRUE

AN ENCODER IS A TOOL THAT AIDS CODERS IN ASSIGNING DIAGNOSTIC AND PROCEDURE CODES.

TRUE

TO AVOID FRAUDULENT BEHAVOIRS, HEALTHCARE PROVIDERS MUST DEVELOP COMPLIANCE PLANS AND ESTABLISH INTERNAL CONTROLS.

TRUE

THE DEGREE TO WHICH CODES ACCURATELY REFLECT THE PATIENT'S DIAGNOSIS AND PROCEDURES IS CALLED:

VALIDITY

STANDARDIZED VOCABULARY IS NEEDED TO:

FACILITATE THE INDEXING, STORAGE, AND RETRIEVAL OF PATIENT INFORMATION.

I NEED TO CODE AN AMBULATORY RECORD BUT THE PROCEDURE CODE I NEED ISN'T IN THE CPT MANUAL. HOW DO I CODE IT?

HCPCS LEVEL II CODES.

WHICH OF THE FOLLOWING WOLD BE AN ARGUMENT FOR THE TRANSITION TO ICD-10-CM/PCS?

MORE DETAIL IN THE CODE.

WHICH OF THE FOLLOWING WOULD BE CLASSIFIED IN ICD-9-CM WITH AN E-CODE?

FALL FROM CURB.

WHICH OF THE FOLLOWING IS A GOAL OF ICD-10-PCS

TO REDUCE TRAINING.

NOMENCLATURE

A RECOGNIZED SYSTEM THAT LISTS PREFERRED MEDICAL TERMINOLOGY.

CLASSIFICATION SYSTEMS

GROUP TOGETHER SIMILAR DISEASES AND PROCEDURES AND ORGANIZE RELATED ENTITIES FOR EASY RETRIEVAL

CLINICAL VOCABULARIES

DEVELOPED TO CREATE A LIST OF CLINICAL WORDS OR PHRASES W/ THEIR MEANINGS

CLINICAL USER

COLLECT, PROCESS, AND RETRIEVE DATA FOR CLINICAL PURPOSES

ADMINISTRATIVE USER

HEALTHCARE FACILITIES, GOV'T, PROFESSIONAL ORGANIZATIONS, USE CLINICAL VOCAB. TO SUPPORT, ADMIN., STATISTICAL, AND REIMBURSEMENTS.

CDT

CURRENT DENTAL TERMINOLOGY

NDC

NATIONAL DRUG CODES

ICD-9-CM MAINTAIN

NCHS, AHA, AHIMA, CMS

VOLUME 3 UPDATE

CMS

MAINTAIN ICD-9 OFFICE AND NEWSLETTER

AHA

VOLUMES 1/2 UPDATE

NCHS

NCHS

NATIONAL CENTER FOR HEALTH STATISTICS

VOLUME 1

TABULAR LIST - NUMERICAL LISTING OF CODES

VOLUME 2

ALPHABETICAL INDEX - ALPHA. LISTING OF VOL. 1

VOLUME 3

TABULAR/ALPHABETIC LISTING OF PROCEDURES - US ONLY

ICD-9-CM PARTS

CLASSIFICATIONS OF DISEASE AND INJURY, SUPPLEMENTARY CLASSIFICATION, AND APPENDICES

ICD-10-PCS CODES:

7 CHARACTERS: SECTION, BODY, ROOT, SPECIFIC, APPROACH, DEVICE, QUALIFIER.

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