CHIMA NCE Data & EHR – Practice Questions with Answers

CHIMA NCE Data & EHR
Questions And Correct Answers


An organization's legal health record definition must identify the following regarding
individually identifiable data:

a. Sources

b. Medium

c. Location

d. All of the above

d




It is best practice to establish a ____ when defining the legal health record.

a. Policy

b. Master patient index

c. Health record matrix

d. Both a and c

d




The legal health record can only be comprised of documentation that physically exists in
an electronic system.

True/False

,False




Which function is the first step in the creation of a patient's medical record and initiates
the flow of patient information within the EHR?

a. Analysis

b. Patient registration

c. Scheduling

d. Coding

b




Which of the following processes includes deficiency analysis and chart completion?

a. Release of information

b. Incomplete record

c. Coding

d. Chart reviews

d




Malpractice cases generally fall into the category of _____.

a. Negligence torts

b. Intentional torts

c. Fraud cases

, d. Criminal cases

a




In a negligence case, a physician will be held to a standard of providing care that reflects
what is called _____ care.

a. Minimal

b. Optimal

c. Maximum

d. Reasonable

d




A physician who fails to treat a patient who is brought to him or her for care is guilty of
_____.

a. Malfeasance

b. Misfeasance

c. Nonfeasance

d. Malpractice

c




A physician who performs a surgical procedure without patient consent may be
prosecuted for _____.

a. Assault