1|Page
CHAM ARRIVAL REVENUE CYCLE LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Tampering with or falsification of medical documentation is a -
ANSWER-crime. Tampering with, erasing or changing
documentation after the fact undermines your credibility in the
event of litigation. It is important to not jeopardize the record by
using questionable or improper correction methods.
Non clinical Patient Access staff should not make any non-policy
approved changes to a - ANSWER-patient medical record.
The following will guide you in making proper documentation and
corrections: - ANSWER-*NEVER document in pencil or erasable
ink *Never attempt a correction by erasing *Never obliterate an
entry or use correction methods such as 'white out' or correction
tape *Never add to or clarify an entry after receiving a subpoena
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If it is necessary to correct an entry; simply draw a single line
through the entry so that the original entry is still readable. Make a
notation explaining why the correction was necessary (wrong
patient, etc.). If necessary, make a note/addendum with the
correct information. Last step is? - ANSWER-Date and sign the
notation and corrected entry.
If information is left out or omitted from the record; it is acceptable
to go back and amend the record, this amended documentation is
often referred to as a - ANSWER-'late entry'.
Health Information Management (Medical Record Department) -
ANSWER-The hospital is required to maintain a medical record
on every patient under state licensure laws, Joint Commission
standards, and conditions of participation in federal
reimbursement programs. The medical record is a written
compilation of information generated during the course of a
patient's treatment for illness and or health maintenance. It
documents a variety of data including personal, social, financial,
and medical information. The required content may vary from
state to state. Federal regulations (Medicare/Medicaid) state that
, 3|Page
the medical record must be retained for a minimum of five years
and otherwise accordance with state law.
If the patient is under the age of 24, the record must be kept until
they are - ANSWER-24 years of age or older according to Federal
regulations. Healthcare facilities and states may impose even
longer retention time.
Primary Purposes of the medical record: - ANSWER-*To serves
as the communication and continuity of care tool among
physicians and other health care professionals involved in the
patient's care *To furnish documentary evidence of illness and
treatment *To protect the legal interests of the patient and the
health care provider *To provide clinical data for research and
education
The content of the medial record serves as a legal document and
the - ANSWER-HIM department has the responsibility to protect
the legal interests of the patient, provider and hospital.
CHAM ARRIVAL REVENUE CYCLE LATEST 2025 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
Tampering with or falsification of medical documentation is a -
ANSWER-crime. Tampering with, erasing or changing
documentation after the fact undermines your credibility in the
event of litigation. It is important to not jeopardize the record by
using questionable or improper correction methods.
Non clinical Patient Access staff should not make any non-policy
approved changes to a - ANSWER-patient medical record.
The following will guide you in making proper documentation and
corrections: - ANSWER-*NEVER document in pencil or erasable
ink *Never attempt a correction by erasing *Never obliterate an
entry or use correction methods such as 'white out' or correction
tape *Never add to or clarify an entry after receiving a subpoena
,2|Page
If it is necessary to correct an entry; simply draw a single line
through the entry so that the original entry is still readable. Make a
notation explaining why the correction was necessary (wrong
patient, etc.). If necessary, make a note/addendum with the
correct information. Last step is? - ANSWER-Date and sign the
notation and corrected entry.
If information is left out or omitted from the record; it is acceptable
to go back and amend the record, this amended documentation is
often referred to as a - ANSWER-'late entry'.
Health Information Management (Medical Record Department) -
ANSWER-The hospital is required to maintain a medical record
on every patient under state licensure laws, Joint Commission
standards, and conditions of participation in federal
reimbursement programs. The medical record is a written
compilation of information generated during the course of a
patient's treatment for illness and or health maintenance. It
documents a variety of data including personal, social, financial,
and medical information. The required content may vary from
state to state. Federal regulations (Medicare/Medicaid) state that
, 3|Page
the medical record must be retained for a minimum of five years
and otherwise accordance with state law.
If the patient is under the age of 24, the record must be kept until
they are - ANSWER-24 years of age or older according to Federal
regulations. Healthcare facilities and states may impose even
longer retention time.
Primary Purposes of the medical record: - ANSWER-*To serves
as the communication and continuity of care tool among
physicians and other health care professionals involved in the
patient's care *To furnish documentary evidence of illness and
treatment *To protect the legal interests of the patient and the
health care provider *To provide clinical data for research and
education
The content of the medial record serves as a legal document and
the - ANSWER-HIM department has the responsibility to protect
the legal interests of the patient, provider and hospital.
