Answers for A+ Results.
Terms in this set (262)
The process by which an organization or agency performs an
external review and grants recognition to the program of study or
institution that meets certain
d. accreditation predetermined standards is called:
a. standardization
b. registration
c. formalization
d. accreditation
Dr. Barbette is delinquent, with 10 of 15 of medical records needing
to be completed. what is her delinquency rate?
a. 5%
d. 67% b. 10%
c. 33%
d. 67%
Upon discharge analysis of a patient's record, the analyst does not
see a discharge order written by the physician. what can the analyst
assume?
b. the patient left against medical
a. the patient died prior to discharge.
advice
b. the patient let against medical advice.
c. the family members requested hospice care.
d. the patient will continue treatment on an outpatient basis
which of the following is a secondary record for J. Pratt?
a. ICD-9-CM code of 650 in the diagnostic index
a. ICD-9-CM code of 650 in the
b. emergency room record dated June 6
diagnostic index c. Mental health record at Houston Honorary Adolescent Center
d. admitted and discharged same day with ICD-9-CM code of 650
, how long should the master patient index be maintained?
a. 5 years
d. indefinitely b. 10 years
c. 20 years
d. indefinitely
The Hill-Burton Act of 1946:
a. enacted legislation funding the construction of hospitals and
a. enacted legislation funding the
other healthcare facilities
construction of hospitals and other b. established the retrospective payment system
healthcare facilities c. assured the provision of health care for the indigent
d. provided health care to Americans 65 years of age and older
Dr. Thomas made an error in recording the progress notes in a
patient's medical record. what is the first thing he should do to
correct the error?
c. draw a single line through the error
a. remove the page on which he made the error
b. tell the nursing staff to ignore the statement
c. draw a single line through the error
d. obliterate the error and enter the correct entry
a patient is hospitalized for less than 48 hours. which of the
following is permissible in lieu of a discharge summary?
a. discharge order
b. final progress note b. final progress note
c. discharge diagnosis
d. final diagnosis
who is responsible for developing bylaw governing physicians'
completion of medical records?
a. governing board
d. medical staff b. chief of medicine
c. chief executive officer
d. medical staff
Which system avoids assigning a new number for each patient encounter?
a. straight numerical
c. unit numbering b. serial numbering
c. unit numbering
d. serial-unit numbering
By signing a consent for treatment, the patient agrees to
a. allow the hospital to release information to his or her insurance company
b. treatments and procedures to be
b. treatments and procedures to be performed by healthcare providers.
performed by healthcare providers c. take all medications prescribed and dispensed by healthcare providers
d. allow hospital to dispose of property and value in the case of death.
, Reviewing the record to assure the presence of a discharge
summary is referred to as
a. legal analysis
d. quantitative analysis b. qualitative analysis
c. documentation analysis
d. quantitative analysis
a major advantage of the source-oriented medical record is the
a. speed at which individual sheets
a. speed at which individual sheets can be located
can be located
b. ease with which healthcare providers can follow the course of one problem