OST 248 Test 1 Practice Questions and Answers (100% Pass)
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Course
OST 248
Institution
OST 248
OST 248 Test 1 Practice Questions and
Answers (100% Pass)
Which of the following does not impact the content or format of
health record documentation?
-Paper records
-Electronic health records
-Type of healthcare setting
-Demographic information - Answer️️ -Demographic information
What ...
Which of the following non-physician healthcare professionals may
document information in the record that can
be used for coding body mass index or stage of a pressure ulcer?
-RN
-surgical technician
-social worker
-CNA - Answer✔️✔️-RN
A(n) ______ provides information about pre-operative diagnosis,
post-operative diagnosis, of the surgeon(s) who performed the
procedure, type of anesthesia, name of the procedure, specimens
sent to pathology, and detailed narrative description of the
procedure. - Answer✔️✔️-operative report
A(n) ______ will be on the record if the attending physician requests
a specialist to see the patient. - Answer✔️✔️-consultation report
____ provide a list of medications that have been ordered for the
patient. - Answer✔️✔️-Medication administration records
The abbreviation CM in the ICD-9-CM refers to:
-Clinical merit
-Clinical modification
3
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