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Which method of identification of authorship or authentication of entries would be inappropriate to use in a patient's health record? written signature of the provider of care identifiable initials of a nurse writing a nursing note a unique identification code entered by the person making the r...

Which of the following administrative safeguards includes policies and procedures for responding to emergencies or failures in systems that contain ePHI A contingency plan Which of the following statements is true in regard tot responding to requests from individuals for access to their protecte...

Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: Data sets Data elements Electronic data interchange Bills of mortality Data Set In long-term care, the resident's care plan is b...

The hospital standardization movement was inaugurated by the: - Answer-American College of Surgeons The HIM profession is changing due to: - Answer-Changes in technology The new model of HIM practice is: - Answer-Information focused The traditional model of HIM practice was: - Answer-Department ...

If a patient has an excision of a malignant lesion of the skin, the CPT code is determined by the body area from which the excision occurs and which of the following? A) Length of the lesion as described in the pathology report B) Dimension of the specimen submitted as described in the pathology ...

A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. A) Accreditation manual B) Core content C) Continuity of care record D) Data dictionary - ANSWER-D) Data dictionary (2) Once hospital discharge abstract systems w...