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HIM FINAL EXAM (PART 2) LATEST QUESTIONS WITH ALL SOLVED 100% CORRECTLY ANSWERS!!
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HIM FINAL EXAM (PART 2) LATEST QUESTIONS WITH ALL SOLVED 100% CORRECTLY ANSWERS!!
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HIM FINAL EXAM (PART 2) LATESTQUESTIONS WITH ALL SOLVED 100%
CORRECTLY ANSWERS!!
The overall goal of documentation standards is: Answer - To ensure what is
documented in the health record is complete and accurately reflects the
treatment provided to the patient
A hospital that participates in the Medicare and Medicaid programs must
follow: Answer - The Conditions of Participation
When defining its legal health record, a healthcare provider organization must
do which of the following? Answer - Assess the legal environment
Which of the following is the health record component that addresses the
patient's current complaints and symptoms and lists the patient's past medical,
personal, and family history? Answer - Medical history
General documentation guidelines apply to: Answer - All categories of
healthcare records
True or false: Health record entries should be documented at the time the
services they describe are rendered. Answer - True
True or false: Only individuals authorized by the organization's policies should
be allowed to enter documentation in the health record. Answer - True
, True or false: Auto-authentication is the preferred method of authentication.
Answer - False
True or false: When an error is made, the erroneous information can be
obliterated. Answer - False
A patient's gender, phone number, address, next of kin, and insurance policy
holder information would be considered what kind of data? Answer -
Administrative data
Patient history questionnaires, problem lists, diagnostic tests results, and
immunization records are commonly found in which type of record Answer -
Ambulatory record
What type of health records may contain family and caregiver input? Answer -
Behavioral health records
The ambulatory surgery record contains information most similar to which of
the following? Answer - Hospital operative records
Which group focuses solely on accreditation of rehabilitation programs and
services? Answer - CARF
Which type of health record contains information about the means by which
the patient arrived at the healthcare setting and documentation of care
provided to stabilize the patient? Answer - Emergency care
A patient's registration forms, personal property list, RAI, care plan, and
discharge or transfer documentation would be found most frequently in which
type of health record? Answer - Long-term care
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