UHDDS and the EHR

Learning objectives

1. Identify a complete health record according to organizational policies, external regulations, and standards (3)
2. Collect and maintain health data (2)
3. Identify discrepancies between supporting documentation and coded data (3)
4. Evaluate processes, policies, and procedures to ensure the accuracy of coded data based on established guidelines (5)
5. Implement provider querying techniques to resolve coding discrepancies (3)

CAHIIM Competencies

Domain V. Compliance

Subdomain V.B. Coding

1. Evaluate processes, policies, and procedures to ensure the accuracy of coded data based on established guidelines

Subdomain V.C. Fraud Surveillance

1. Determine policies and procedures to monitor abuse or fraudulent trends.