HIM Practice and Project Management Review

Comprehensive vocabulary flashcards covering project management, data visualization, outpatient billing status indicators, and HIM performance metrics based on the lecture transcript.

Gantt Chart

A visual timeline of tasks against a calendar where bars show start and end dates, but task dependencies are not mapped as a network.

Flowchart

A tool used to map the steps and decision points of a repeatable process from start to finish.

Pie Chart

A graphic used to show how parts make up a whole, such as the percentage of denials by reason.

PERT Chart

A planning technique and network diagram used to identify the order of activities, projected durations, and the critical path for a project.

Benchmark

A single reference point or target used to compare performance against a peer hospital or industry standard.

Dashboards

A display of several key metrics pulled onto one screen that can be monitored at a glance and updated in real time.

Pareto Chart

A tool used to rank problems by frequency to identify which few causes account for most of the trouble, following the 80/20 rule.

Histogram

A graphic used to see how values are distributed across ranges, such as the number of patients in specific age groups.

Line Graph

The best technique for tracking one continuous measure across consecutive time periods to make trend directions obvious.

Bar Chart

A tool for comparing separate categories side by side rather than emphasizing a continuous trend.

Scatter Diagram

A tool used to test the correlation between two variables to see if they are related.

Force-Field Analysis

A technique used to weigh the factors pushing a change forward against those resisting it.

Status Indicator

A single-letter tag on an outpatient hospital bill that tells Medicare's payment system the specific rule for how to pay a line item.

Status Indicator V

Indicates a clinic or ER visit; always paid at $100\%$.

Status Indicator S

Indicates a significant procedure that stands on its own; always paid at $100\%$.

Status Indicator X

Indicates an ancillary service, such as a lab test or X-ray; always paid at $100\%$.

Status Indicator T

Indicates a significant procedure subject to discounting; the highest-paid one is reimbursed at $100\%$, and additional T-status codes on the same claim are usually discounted to $50\%$.

Fishbone Diagram

Also known as an Ishikawa or cause-and-effect diagram; a brainstorming tool that organizes contributing causes into major branches to identify root causes.

Average Daily Census

The total inpatient service days divided by the number of days in the period; for example, $3,000$ days in September results in $100$ patients per day.

Case-Mix Index (CMI)

The average relative weight per discharge, calculated as the sum of relative DRG weights divided by the total number of discharges.

APC (Ambulatory Payment Classification)

A grouping system for outpatient codes that are clinically and resource-similar; multiple CPT/HCPCS codes can be assigned to the same APC.

CPT Code 49656

The code for a laparoscopic surgical repair of a recurrent, reducible incisional hernia, which includes mesh insertion.

FTE (Full-Time Equivalent)

A unit of measurement representing the workload of one full-time employee, often based on $2,080$ hours of work per year.

Timeliness Rate

The percentage of records completed within standards, calculated as (Total Sampled - Non-compliant) / Total Sampled.