Job as cdi - Study guides, Class notes & Summaries

RHIA Exam 267 Questions with Verified Answers A method of documenting nurses' progress notes by recording only abnormal or unusual findings or deviations from the prescribed plan of care is called: - CORRECT ANSWER Charting by exception The discharge summary must be completed within _________ after discharge for most patients but within ________ for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for fewer than _____...

What is a reason a physician documentation can be difficult to review? Illegible handwriting The best scientific data available for clinical documentation is also known as Evidence-based medicine The two-part theory for high-quality clinical documentation is a cause-and-effect theory that is derived from which two sources? Legal/Regulatory Sources and Peer-Reviewed Research When discussing completeness in a health record, the physician has fully addressed all concerns, as well as what othe...

RHIA EXAM PREP 77 Questions with Verified Answers The director of the health information department wanted to determine the level of physicians' satisfaction with the department's services. The director surveyed the physicians who came to the department. What type of sample is this? Non-probability or opportunity sample, sample drawn without any underlying probability-based selection method. - CORRECT ANSWER Convenience As part of the initiative to improve data integrity, the Data Qua...

RHIA Exam 292 Questions with Verified Answers An audit trail is a good tool for which of the following? - CORRECT ANSWER Reconstructing electronic events The kids foundation related to children's hospital is mailing fundraising information to the families of all patients who have been treated at children's in the past three years. based on the facts given: - CORRECT ANSWER children's hospital must have notified the patients or patients guardians of this disclosure in the notice of priva...

Final Exam - California Life Only Questions and Answers Already Passed According to the California Insurance Code, what is "insurance"? A contract Which of these statements correctly describes risk? Pure risk is the only insurable risk Only pure risks are insurable Which of the following does NOT have to be included on life insurance policy illustrations? Statement that all values and benefits are guaranteed An agent's attempt to stop the replacement of an existing life insurance policy i...

CCS EXAM Questions with preceding Answers, Questions Bank. 100% Accurate aplastic anemia - -The type of anemia caused by a failure of the bone marrow to produce red blood cells is CPT/HCPCS codes - -The APC payment system is based on what coding system(s)? the third-degree burn only - -In the diagnosis "first-, second-, and third-degree burns of the chest wall," a code is required for K80.10, I66.9, Z53.09 - -6) Patient is admitted for elective cholecystectomy for treatment of ch...

RHIT EXAM Health Data Content and Standards Final Quiz 1.1 Discharge summary documentation must include In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to give to this form is In determining your acute care...

(Solved) RHIT EXAM Health Data Content and Standards Final Quiz 1.1 Discharge summary documentation must include Significant findings during hospitalization In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to ...

NSG100 Final Exam NURSING CONCEPTS Clinical Judgement (Nursing Process) ▪ Differentiate the terms clinical judgment, critical thinking, and clinical reasoning o Clinical judgement: ▪ Refers to the result (outcome) of critical thinking or clinical reasoning-the conclusion, decision, or opinion made. End product of the complex process of clinical decision making ▪ Combines critical thinking abilities, evaluative decision making, nursing experience to determine appropriate responses...

EFMB Official Study Guide 2022 100% approved grade boosting solution The initial radiographic evaluation of a trauma patient begins with supine Anterior- Posterior (AP) chest and pelvis radiographs taken in the trauma bay usually with a(n) - portable x-ray machine T/F: Computed Tomography scanning has been largely replaced by cervical spine radiographic evaluation (CSRE) and should only be performed when CSRE is unavailable. - F What is the lowest level of care equipped with a Computed T...