Health Data Content Standards Exam Questions and Answers 100% Solved
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Course
Health Data Content
Institution
Health Data Content
Health Data Content Standards Exam
Questions and Answers 100% Solved
In preparation for an EHR, you are conducting a total facility inventory of all
forms currently used. You must name each form for bar coding and
indexing into a document management system. The unnamed document in
front of you...
copy of an H&P performed in her office a week before admission. You tell
Dr. Crossman: - ✔✔C. the H&P copy is acceptable as long as she
documents any interval changes
You have been asked to identify every reportable case of cancer from the
previous year. A key resource will be the facility's: - ✔✔A. disease index
Joint Commission requires the attending physician to countersign health
record documentation that is entered by: - ✔✔A. interns or medical
students
The minimum length of time for retaining original medical records is
primarily governed by: - ✔✔C. state law
The use of personal signature stamps for authentication of entries in a
paper-based record requires special measures to guard against delegated
use of the stamp. In a completely computerized patient record system,
similar measures might be utilized to govern the use of: - ✔✔D.
electronic signatures
Discharge summary documentation must include: - ✔✔C. significant
findings during hospitalization
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