GG MOA 110 Chap 9; Questions & Answers
medical record Correct Answer-is a hand written or type-written recording of information
that documents facts and events during the administration of patient care
the principle reasons for maintaining medical records are.. Correct Answer-1. to aid in the
...
GG MOA 110 Chap 9; Questions & Answers
medical record Correct Answer-is a hand written or type-written recording of information
that documents facts and events during the administration of patient care
the principle reasons for maintaining medical records are.. Correct Answer-1. to aid in the
diagnosis and treatment of a patient
2. to provide written documentation of directed patient care
3. to endure continuity od care
4. to verify that services were medically necessary
5. to assist in the research of disease and injuries so other patients may benefit from previous
care
6. to substantiate procedure and diagnostic code selections for appropriate reimbursement
7. to comply with federal and state laws
8. to defend the physician in the event of a lawsuit
to digitize medical records is to... Correct Answer-convert paper documents into electronic
images using a scanner
, GG MOA 110 Chap 9; Questions & Answers
three basic types of medical record organization systems used by most physicians offices are...
Correct Answer-problem oriented medical record
source oriented record
integrated record
problem oriented medical record Correct Answer-contains data of the patients permanent
and temporary problems. other lists can include medication, blood pressure, lab results, and
surgeries
source oriented record Correct Answer-common paper based medical record management
system that arranges documents according to sections
integrated record Correct Answer-files all documents in chronological order with out
regard to source
four basic ways information can be entered into the medical record Correct Answer-1.
physician hand-enters data (hand written)
2. physician dictates
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