Podcast
Questions and Answers
What is the primary benefit of using a numerical health record identification system?
What is the primary benefit of using a numerical health record identification system?
Which of the following best describes unit numbering?
Which of the following best describes unit numbering?
What characterizes sequential numbering of health record numbers?
What characterizes sequential numbering of health record numbers?
What is a potential downside of using alphabetical health record identification systems?
What is a potential downside of using alphabetical health record identification systems?
Signup and view all the answers
Which numbering schema combines letters and numbers for health record identification?
Which numbering schema combines letters and numbers for health record identification?
Signup and view all the answers
What is the primary concern regarding the use of Social Security numbers for identification?
What is the primary concern regarding the use of Social Security numbers for identification?
Signup and view all the answers
In terminal digit filing, which section is searched first when locating a record number like 24-28-50?
In terminal digit filing, which section is searched first when locating a record number like 24-28-50?
Signup and view all the answers
Which of the following is NOT an area that HIM workflow processes should assess for efficiency?
Which of the following is NOT an area that HIM workflow processes should assess for efficiency?
Signup and view all the answers
What does the ICD-10-PCS index provide when locating a procedural code?
What does the ICD-10-PCS index provide when locating a procedural code?
Signup and view all the answers
What is the function of the tables in the ICD-10-PCS format?
What is the function of the tables in the ICD-10-PCS format?
Signup and view all the answers
Study Notes
Health Record Identification Systems
- Health records require unique identifiers (numerical or alphabetical).
- Unique numbers are assigned at admission or encounter.
- Alphabetical systems (primarily using patient name) are less common due to privacy concerns.
- A numerical system (serial or unit) is preferred for improved privacy. Unit numbering offers better record centralization and patient identification throughout their entire visit.
Creation of Health Record Numbers
- Health record numbers can be assigned using different schemas:
- Sequential numbers: Assigned in a chronological order (e.g., Patient A = 56892, Patient B = 56893).
- Alphanumeric numbering: Combining letters and numbers (e.g., randomized letters/numbers or letters significant to the patient).
- Relational numbering: Using patient-specific data like birth date, gender, or geographic location.
- Social Security numbers are not recommended due to privacy and identity theft concerns.
Terminal Digit Filing (Paper Records)
- Terminal digit filing is a popular paper record system.
- Six to seven digits are divided into sections (primary, secondary, tertiary).
- Digits are read backward (right to left).
- Filing begins by locating the primary section (based on the rightmost two digits).
- Then, the next two digits (secondary section) are used to further refine the location.
- Finally, records are filed in numerical order based on the tertiary section (leftmost two digits).
HIM Workflow and Revenue Cycle
- HIM workflow processes can negatively impact the revenue cycle.
- Key areas needing management include:
- Timeliness of record receipt
- Monitoring unbilled records
- Identifying duplicate records
- Efficient communication with patient financial services
- Coding productivity standards and accuracy
- Missing documentation for complete coding
ICD-10-PCS Format
- ICD-10-PCS format includes tables, index, and list of codes.
- The index is an alphabetical listing of procedures/operations.
- The index only provides the first 3-4 characters of a procedural code.
- The remaining characters are found by consulting the tables.
- Tables list codes for characters 4-7 to create valid 7-digit codes.
- The list of codes contains all procedural codes and their descriptions.
- Accessing the index to find the correct table is the starting point for ICD-10-PCS code assignment.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers the essential aspects of health record identification systems, including the use of unique identifiers for patients. It discusses various numbering schemes and highlights the privacy concerns associated with different methods of recordkeeping. Test your knowledge on effective systems for managing health records.
