Health Information Management

Health Information Management Virtual Tour
Student Work Sheet
Work sheet- Health Information Management
Name of the student
Name of the University
Authors Note

Health Information Management Virtual Tour
Student Work Sheet
QUESTION ANSWER
1. Define ambulatory visits. Ambulatory appointment or visit is a medical
care provided on an outpatient basis. The
process includes diagnosis, observation, and
treatment. Some outpatient surgeries are
appendectomy, laparoscopic, where the patient
recovers within a short time period and returns
back home (AHIMAonDEMAND, 2020).
2. Describe outpatient diagnostic
encounters.
Outpatient diagnostic are tests that are
completed in the hospital. These are x-rays and
laboratory reports. This includes observation,
treatment plan and services along with
diagnosis.
3. Identify the difference between
a medical Record number and
an account number.
The medical record number is a constant
number that is provided to patient during
hospital visit every time they receive care. The
account number is different for every patient
during hospital visit.
4. List at least two types of
documents that might require
scanning.
The two kinds of documents that need scanning
are- radiology reports and laboratory reports.
5. Describe the 3 steps required to
scan a document into the EHR.
The steps for scanning the documents in the
hospital are- prepping, patient information

Health Information Management Virtual Tour
Student Work Sheet
regarding name, date of birth and the final step
is of the scanning is indexing and quality
assurance.
6. Identify the two acceptable
ways of paper record
destruction discussed in the
video.
The two ways of paper record destruction are
giant shredders and incineration.
7. Describe the three mandatory
Conditions of Participation
components for physician order
completion. (HIM analysis
technicians must ensure these
three components are present
on every physician order).
The three mandatory steps-
The entities must include time, date and
signature for order completion.
8. During record analysis, an HIM
professional must check for
these three common (generally
physician-created) medical
record reports. Name these
three common reports.
The three reports that the analytics check are-
1. History
2. Discharge summary
3. Operative report
9. Describe what an electronic flag
is used for during medical
record analysis.
The electronic flag is used for detecting any
deficiency in a medical record by a specific
electronic code. The deficiency record is then
send back to the assigned physician for
completing the deficiency.
10. Identify why most new
coders start their coding career
coding outpatient records and
then move to ambulatory or
inpatient records.
The reason for choosing the outpatient coding in
a hospital by new coders because it is very
easier process and also very less complicated.
11. Describe how electronic
charts are routed to a coder.
The computer that is assigned to the coders has
its own log on and clock in system. The accounts
for that they are responsible are provided by