Across
- 2. Communication tool for CDI staff to communicate with providers to obtain clinical clarification, provide a documentation alert, get documentation clarification or ask questions regarding documentation.
- 5. Provides information on new and ongoing reviews or audits each year
- 7. HIPAA governs the use & disclosure of protected health information. A signed Release of Information is part of the process to protect patient privacy.
- 9. Type of notes often contain terms that have more than one meaning. Example: Cold- a disease or body temperature/ Discharge- body fluid or leaving the hospital
- 10. Process of collecting data from sources within an organization for decision-making purposes. A single database that helps locate data that exists in multiple databases.
- 11. Diagnosis was present at the time of inpatient admission.
- 12. The process an organization undertakes that will improve clinical specificity and documentation that will allow coders to assign more concise disease classification codes.
Down
- 1. Data derived from the primary patient record such as an index, registry or database for things such as research and quality patient safety
- 3. Intentionally executes or attempts to execute a scheme to obtain money or any healthcare benefit program.
- 4. Compares organization standards against external organizations
- 6. The right of patients to control the disclosure of PHI
- 7. Return on Investment is calculated by subtracting the initial value from the final value of the investment (which equals the net return), then dividing this new number (the net return) by the cost of the investment, and, finally, multiplying it by 100.
- 8. Most common patient- identifying directory.