The physician performs a lateral capsular release of the left knee. The procedure is coded as an open procedure. Choose the documentation that indicates an approach other than open.
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A hospital is adopting an information governance (IG) framew…
A hospital is adopting an information governance (IG) framework to manage patient data more effectively. Which of the following practices best aligns with the principles of IG?
Which of the following is a standards development organizati…
Which of the following is a standards development organization accredited by the American National Standards Institute (ANSI) that addresses issues of healthcare systems interconnections?
Use of the patient record for the purposes of education, res…
Use of the patient record for the purposes of education, research and development, regulation, and policy making are all examples of:
An HIM director wants to improve departmental productivity….
An HIM director wants to improve departmental productivity. Which strategy would likely have the greatest impact?
A hospital administrator requests a report on the hospital’s…
A hospital administrator requests a report on the hospital’s readmission rates segmented by demographic factors such as age and socioeconomic status. Which data visualization technique would most effectively communicate these insights?
Quantitative analysis involves reviewing the health record f…
Quantitative analysis involves reviewing the health record for completeness and identifying deficiencies in the record. Qualitative analysis :
In ICD-10-PCS, to code ‘removal of a toe nail’ the root oper…
In ICD-10-PCS, to code ‘removal of a toe nail’ the root operation is ________________ and the approach is ____________.
Physician documentation in an inpatient operative report ind…
Physician documentation in an inpatient operative report indicates ‘removal of the gallbladder’. The ICD-10-PCS root operation is:
A clinic has implemented a new EHR system, but patient intak…
A clinic has implemented a new EHR system, but patient intake times have increased, leading to longer wait times. Which of the following strategies would best identify the specific aspects of the EHR system contributing to the delays?