RHIT Chpt 3 Exam With Complete Solutions
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integrated progress notes. - ANSWER The health care providers from every discipline in
your facility document progress notes sequentially on the same form. Your facility is
using
discrepancy between post-op diagnosis by the surgeon and pathology diagnosis by the
pathologist - ANSWER Which of the following is least likely to be identified by a
deficiency analysis technician?
60 days. - ANSWER Your committee is charged with developing procedures for the
Health Information Services staff of a new home health agency. You recommend that the
staff routinely check to verify that a summary on each patient is provided to the
attending physician so that he or she can review, update, and recertify the patient as
appropriate. The time frame for requiring this summary is at least every
physician index - ANSWER Which of the following indices may be able to be protected
from unauthorized access by utilizing unique identifier codes assigned to members of
the medical staff?
operative record - ANSWER Based on the following documentation in an acute care
record, in which section would you expect this excerpt to appear?
"The right side of the neck was appropriately prepared with a betadine solution and
draped in the supine position. Central line passed, which was taped onto the skin, and
through which the drugs were administered during the resuscitation process.
medical staff rules and regulations. ANSWER You want to review one document in your
facility that will spell out the documentation requirements for patient records, designate
the time frame for completion by the active medical staff, and indicate the penalties for
failure to comply with these record standards. Your best resource will be
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