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An entity that processes nonstandard health information they receive from another entity into a standard is considered what?
What OIG document should a provider reveiw for potential problem areas that will receive special scrutiny in the upcoming year?
OIG Work Plan. Each year in October.
What is ICD-9-CM?
International Classification of Disease, 9th Clinical Modification. Why was done in codes.
What is HIPAA?
Health Insurance Portability and Accountability Act of 1996. Law passed by Congress to improve the portability and continuity of healthcare coverage.
What is CMS?
Centers for Medicare & Medicaid Services. Basic guidelines for private prctice and rules.
What is the result of a ureteral blockage?
Urine will not be able to flow from the kidney to the bladder.
What is Part B?
Medicare's Supplemental Medical Insurance; covers physician services and durable medical equipment that are not paid for under Part A.
What is Part C?
Medicare's Advantage is a set of health care options from which beneficiaries choose health care providers.
What is WHO?
World Health Organization. A group that deals with health care issues on a global basis.
Volume 2 of ICD-9-CM contains what?
Index to Diseases: Diagnosis codes organized in an alphabetic index.
Volume 3 of ICD-9-VM contains what?
Alphabetic Index and Tabular Index of Procedures: Procedures performed in the inpatient setting.
Codes reported to indentify how an injury occurred and the location when it occurred. Never sequenced first.
An inactive, residual effect or condition produced after the acute portion of an injury or illness has passed.
A systemic disease that is associated with microorganisms or toxins in the blood. These toxins are caused by bacteria, viruses, fungi, or other organisms.
Systemic Inflammatory Response Syndrome (SIRS)
Sytemic response to infection, burns, trauma, or cancer.
Third Degree Burn
A full-thickness burns that involve the epidermis, dermis, and varying levels of the subcutaneous and underlying structures.
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