Chapter 5 Hospital Inpatient Coding Flashcards


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1

Acute Care Facility (ACF)

Hospital that provides health care services to patients who have serious, sudden, or acute illnesses or injuries and/or who need certain surgeries

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Acute Care Hospital

Short-term hospital

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Admitting Diagnosis

The provisional or tentative diagnosis upon which initial patient care is based

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Ancillary Service

Diagnostic and therapeutic services provided to inpatients and outpatients

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Axis of Classification

The sections, body parts, root operations, and so on that comprise the 7-character ICD-10-PCS code

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Bed Count/Bed Size

Total number of inpient beds for which the facility is licensed by the state

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Behavioral Health Care Hospital

Specialize in treating individuals with mental health diagnoses

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Comorbidity

Coexisting condition that is treated during the same encounter as or impacts the medical management of another condition

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Complication

Condition that occurs during the course of an inpatient hospital episode

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Critical Access Hospital (CAH)

Located more than 35 miles from any hospital or another CAH: they are state-certified as being a necessary provider of heath care to area residents

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General Hospital

Provide emergency care, perform general surgery, and admit patients for a range of problems from fractures to heart disease based on licensing by the state

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Index

Organizes ICD-10-PCS main terms in alphabetic order, providing the first 3-4 characters of a code as well as direction to a specific location in the Tables

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Inpatient

Stay overnight in the facility for 24 or more hours and are provided with room and board and nursing services

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List of Codes

Comprehensive listing of all valid ICD-10-PCS codes, with a complete text description accompanying each code

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Long-term Acute Care Hospital (LTACH)

Provide care designed specifically for patients who need functional resoration and/or rehabilitation and medical management for an average of 3 to 6 weeks

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Long-term Hospital

Long-term acute care hospital

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Maximizing Reimbursement

...

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Multiaxial Structure

...

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Multihospital System

Two or more hospitals are owned, managed, or leased by a single organization; may include acute, long-term, pediatric, rehabilitation, or psychiatric care facilities

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Newborn Patient

Receive infant care upon birth, and if necessary they receive neonatal intensive care

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Optimizing Reimbursement

Determing which of several diagnoses to report as teh principal diagnosis when multiple diagnoses equally meet the criteria for selection as the principal diagnosis

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Other Diagnosis

All conditions that coexist at the time of admission, that develop subsequently, or that affect the treatment received and/or the length of stay

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Other Significant Procedure

Carries an operative or anesthetic risk, requires highly trained personnel, or requires special facilities or equipment

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Principle Diagnosis

That condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care

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Principal Procedure

Performed for definitive treatment rather than for diagnostic or exploratory purposes: necessary to treat a complication, or is most closely related to the principal diagnosis

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Rehabilitation Hospital

Admit patients who are diagnosed with trauma or disease and need to learn how to function

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Secondary Procedure

Other significant procedure

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Short-term Hospital

Acute care hospital

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Single Hospital

Hospitals are self-contained and not part of larger organizations

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Specialty Hospital

Concentrate on a particular population of patients or diease

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Subacute Care Patient

Recieve specialized long-term acute care such as chemotherapy, injury rehabilitation, ventilator support, wound care, and other types of health care services provided to seriously ill patients

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Swing Bed

Allows a rural hospital to admit a nonacute care patient

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Tables

Used to contruct a complete and valid ICD-10-PCS code; contain terms and rows that contain values needed to contruct a valid code

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Uniform Hospital Discharge Data Set (UHDDS)

Established by the federal government to define data collected for inpatient hospitalizations

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Value

Characters assigned to each of seven unique hierarchies which construct a valid ICD-10-PCS code