Hca 115 exam questions - Study guides, Class notes & Summaries

Provider Notes is a clinical component of EHR/EMR? true or false - True Proofreading includes annotating true or false - False Being clear and concise is important in professional medical correspondence true or false - True HIPAA on steroid is also known as - HITECH Appearance of professional documents forms a quick impression of the clinic true or false - True Many EHR programs use this term to describe when a correction has been made to an electronic health record: - Addendum

professional documents and electronic health serve as a legal record and must be prepared with - care and attention to detail true or false: An EMR is an electronic health record for an individual patient that is located within a single healthcare organization: - true Many EHR programs use this term to describe when a correction has been made to an electronic health record: - addendum Editing and proofreading are completed: - after you complete your first draft

define EMR - electronic medical record, used for an individual patient within a single healthcare organization define EHR - Electronic Health Records, accessible by many organizations regardless of originating facility having professional documents & letters is important because - it reflects on our employer and ourselves to patients & colleagues

HCA 115 Final Test Questions with Correct Answers Which form of written communication is NOT considered secure? - Answer-Email When writing a business letter, it is important to remember to write in: - Answer-Concise language Patient records are considered: - Answer-Legal documents HIPAA requires all patient information on the computer system to be held in strict confidentiality. Which of the following is an appropriate way to keep patient information secure? - Answer-Program compu...

HCA 115 CH 10 Exam Questions with Correct Answers Abbreviation and Symbols - Answer-abbreviations used in a medical record, must be accepted by the facility A add an E - Answer-bulla becomes bullae UM changes to A - Answer-ovum becomes ova US changes to I - Answer-bronchus becomes bronchi AX/IX changes the C to C and add ES - Answer-thorax becomes thoraces most common envelope - Answer-no. 10 full block style - Answer-typed with all line flushed left modified block style ...

HCA 115 Final Test Questions with Correct Answers Which form of written communication is NOT considered secure? - Answer-Email When writing a business letter, it is important to remember to write in: - Answer-Concise language Patient records are considered: - Answer-Legal documents HIPAA requires all patient information on the computer system to be held in strict confidentiality. Which of the following is an appropriate way to keep patient information secure? - Answer-Program computer ...