Exam (elaborations)
AHM 185 Test 3 Questions And Answers Latest Update
- Course
- AHM-250
- Institution
- American Military University
AHM 185 Test 3 Questions And Answers Latest Update
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Q&AAHM 185 Test 3 Questions And
Answers Latest Update
one advantage of paper based medical record systems is - Answers
people feel secure with a piece of hard copy information in hand
a flow sheet - Answers can be used to help view continuous
problems and comparative values
SOR system - Answers documents are arranged according to
sections in the
In a patient medical record, data can be - Answers 1. hand entered
by the physician, 2. dictated by the physician, 3. keyed into the system by
the physician, 4. entered by the MA
documenters of the medical record are - Answers all individuals who
provide health services
the difference between an electronic signature and a digital signature is -
Answers the digital signature is a series of letters or numbers that
cannot be altered and an electronic signature is a facsimile of a person's
actual signature
, Q&A
SOAP stands for - Answers Subjective, Objective, Assessment, and
Plan
an example of subjective information would be - Answers pain
when an error in paper-based medical records are discovered, the first step
is - Answers to draw a single line through the incorrect entry
HPI is - Answers a chronological description of the development of
the patient's present illness
during a comprehensive PE, what order does the physician exam the body
- Answers starting at the end, working towards the feet
a type of internal review where staff look at medical records to verify that
good record keeping is in place and that documentation is valid before
billing is submitted is called a - Answers prospective review
five reasons for keeping medical records - Answers 1. aid in
diagnosis and treatment of patient, 2. to ensure continuity of care, 3. to
verify all services were medically necessary, 4. to substantiate procedure
and diagnostic codes 5. to comply with federal and state laws
what equipment is necessary to digitize medical records when converting
from a paper-based system to an electronic system? - Answers a
scanner
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