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?
- It is easier for patients to remember.
- It requires less administration and paperwork.
- It is simpler to manage than alphabetical systems.
- It better protects patient privacy. (correct)
Which of the following best describes unit numbering?
Which of the following best describes unit numbering?
- Creating identifiers based on patient birth dates.
- Using the same number for each visit during the patient's treatment. (correct)
- Utilizing a combination of letters and numbers only.
- Assigning a new number for every patient visit.
What characterizes sequential numbering of health record numbers?
What characterizes sequential numbering of health record numbers?
- Requires complex coding based on multiple factors.
- Follows a chronological sequence for assignments. (correct)
- Assigns numbers in a random pattern.
- Uses significant letters related to the patient.
What is a potential downside of using alphabetical health record identification systems?
What is a potential downside of using alphabetical health record identification systems?
Which numbering schema combines letters and numbers for health record identification?
Which numbering schema combines letters and numbers for health record identification?
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?
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?
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?
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?
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?
Flashcards
Health Record Number
Health Record Number
A unique identifier assigned to each patient record, used for organization and tracking.
Serial Numbering System
Serial Numbering System
Uses a new number for each patient visit. It's not commonly used.
Unit Numbering System
Unit Numbering System
Uses the same number for all visits. Prevents ambiguity and helps in tracking a patient's full health history.
Sequential Numbering
Sequential Numbering
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Alphanumeric Numbering
Alphanumeric Numbering
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Terminal Digit Filing
Terminal Digit Filing
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ICD-10-PCS List of Codes
ICD-10-PCS List of Codes
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ICD-10-PCS Index
ICD-10-PCS Index
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ICD-10-PCS Tables
ICD-10-PCS Tables
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Assigning ICD-10-PCS Codes
Assigning ICD-10-PCS Codes
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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.
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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.
