Lesson 14 Health Informatics

What is PHI?

• Private Histroy Information

• Personal Health Information

• Protected Health Information

• Patient Health Information

Which of the following are medical coding systems?

• ICD

• CPD

• CPT

• ATC

A disadvantage to electronic medical records (or electronic health records) is

• bad handwriting in medical record

• it can be hacked without security measures

• it takes up alot of physical space in medical office

• it must be placed in a secure file cabinet

What information must be included in a patient's medical chart?

• Personal Information

• Diagnostic Information

• Personal Social Media Information

• Procedural Information

______ is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.

• The Current Procedural Terminology (CPT) code

• The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

• The International Category of Diseases, Tenth Revision, CLinical Modification (ICD-10-CM)

The NP treated a patient for fever, cough, and general malaise. After reviewing a patient's record, the health insurance specialist assigns an ICD-10 code to the:

• charges

• diagnosis

• procedures

• supplies

The respiratory therapist performed chest physiotherapy on a patient one week after the patient's CABG. What type of CPT code would be assigned by the health insurance specialist?

• medical charges

• supplies used

• a diagnosis

• a procedure

____ is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

• Current Procedural Terminology (CPT)

• International Classification of Diseases (ICD)

• Current Pathology Terminology (CPT)

What is the purpose of medical records?

• To provide a written account of the health care for a patient

• To provide conformation of a patients appointments.

• To provide a documentation of medical services for insurance purposes.

• To obtain consent from a patient prior to surgery.

• To obtain consent from a patient prior to treatment.

What rights do patients have regarding their medical records?

• None

• To view and make copies

• Rights to have records destroyed

• Rights to view only