QUESTIONS AND CORRECT ANSWERS
Patients in hospice care are expected to live a maximum of ____ days. - CORRECT
ANSWER 180
Which of the following is a secondary purpose of the health record? - CORRECT
ANSWER Support for research
The data characteristic that refers to promptly entering up-to-date information into the
patient's medical record is _____. - CORRECT ANSWER Timeliness
Home care records typically include a(n) _____. - CORRECT
ANSWER Individualized treatment plan
Which of the following is an organization's planned response to protect its information in the
case of a natural disaster? - CORRECT ANSWER Business continuity plan
Which of the following is a request from a clinical area to charge out a health record? -
CORRECT ANSWER Requisition
When correcting erroneous information in a paper health record, which of the following is
appropriate? - CORRECT ANSWER Add the reason for the change
Category II CPT is used for _______________ . - CORRECT ANSWER Performance
measurement
True or false? The Joint Commission surveys healthcare provider organizations for clinical
and operational practice compliance. - CORRECT ANSWER True
, In which of the following systems does an individual receive a unique numerical identifier at
the time of first encounter with a healthcare facility and maintain that identifier for all
subsequent encounters? - CORRECT ANSWER Unit numbering system
Which of the following carries out the operational tasks necessary to support the
organization's mission and goals? - CORRECT ANSWER Staff
The physician can type anything in the comments field. This type of data is known as _____.
- CORRECT ANSWER Free-text
A physician has a patient with a cancer that is not responding to treatment so he looks for
research being conducted on the cancer. Who developed a database that he can use to locate
any existing clinical trial? - CORRECT ANSWER National Library of Medicine
Which of the following is a software program that tracks every access to data in the computer
system? - CORRECT ANSWER Audit trail
___________________ define the process for documentation within a health record for all
members of the workforce - CORRECT ANSWER Hospital bylaws
Current medical practice emphasizes performing healthcare services in the least costly setting
possible. Based on this statement, which of the following is correct? - CORRECT
ANSWER Increased utilization of nonemergency ambulatory facilities
The overall goal of documentation standards is to _____. - CORRECT
ANSWER Ensure what is documented in the health record is complete and accurately
reflects the treatment provided to the patient
Rules developed by administrative bodies empowered by law to regulate specific activities -
CORRECT ANSWER administrative law
Where should new graduates begin their volunteer experience? - CORRECT
ANSWER CSA