Final Exam #2 with verified answers
passed
The documentation type that contains various types of analyses or examinations of body
substances collected from the patient.
History and Physical
Physician Progress Note
Operative Report
Laboratory Report - correct answer ✔✔Laboratory Report
The healthcare documentation process is the process of creating, coding, billing, and ____ the
medical record.
publicizing
storing
auditing
reporting - correct answer ✔✔storing
The documentation from Mr. Jones' most recent visit to ABC hospital includes a discharge
summary. What kind of patient was Mr. Jones?
A clinic patient
An emergency department patient
An observation patient
,An inpatient - correct answer ✔✔An inpatient
Vital statistics for live births that are sent to a healthcare database are an example of _____.
secondary data
internal data
diagnostic data
primary data - correct answer ✔✔secondary data
Which of the following is true in regard to the release of protected health information (ROI)?
Covered entities must provide access to the PHI requested no later than 45 calendar days from
receipt of request
covered entity must provide access to PHI in the manner requested by the individual
The fee for copying PHI may include costs associated with searching for and retrieving the PHI
HIPAA requirements always supercede state laws in regard to how long a covered entitiy has to
provide a copy of PHI - correct answer ✔✔A covered entity must provide access to PHI in the
manner requested by the individual
HIPAA stands for:
Health Insurance Portability and Accountability Act
Health Information Portability and Accountability Act
Human Information and Personal Accountability Act
, Health Information and Personal Accountability Act - correct answer ✔✔Health Insurance
Portability and Accountability Act
The term for electronically transferring medical records between facilities around the country.
Centralization
Meaningful use
Abstracting
Health Information Exchange - correct answer ✔✔Health Information Exchange
This type of patient care is provided to terminally ill patients and is based on providing comfort
rather than curative treatment.
Hospice care
Ambulatory care
Acute care
Skilled care - correct answer ✔✔Hospice care
In order for a facility to receive federal healthcare funding (Medicare and Medicaid), they must
comply with regulations called:
Certificate of Compliance (CoC)
Conditions of Participation (CoP)
Standards of Regulation (SoR)
Conditions of Compliance (CoC) - correct answer ✔✔Conditions of Participation (CoP)
This department provides image-guided procedures such as CT scans and MRIs: