When a claim is denied by the third-party payer, the cause for the denial is

In preparation for an upcoming site visit by The Joint Commission, the Director of Health Information Management Services discovered that the number of delinquent records for the preceding month exceeded 50% of discharged patients. Even more alarming, was the pattern she noticed in the type of delinquencies. Which of the following represents the most serious pattern of delinquencies? Fifteen percent of delinquent records show:

This minimum core data set is collected on all Medicare and Medicaid inpatients discharged from the hospital.

A new physician has applied for medical staff privileges at your hospital. What database would you research to determine if he has been denied medical staff privileges at another hospital?

The process of meeting a prescribed set of standards or regulations to maintain active accreditation, licensure, or certification status.

To determine the reimbursement for a specific patient’s hospital stay, the fiscal intermediary multiplies the hospital’s established payment rate by

An unexpected occurrence involving death or serious physical or psychological injury, or risk thereof

You have been asked to provide a patient’s respiratory rates for his 1st, 2nd and 5th days in the hospital. The fastest way to locate this information in the health record would be to review the:

When designing a clinical study, which sampling method is most appropriate for ensuring each participant has an equal chance of selection?

What is the difference between an Institutional Review Board (IRB) and a hospital’s Ethics Committee?