RADR 1201 EXAM 2 Questions and Correct Answers |
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Entering health information into a patient's medical record (charting) is
completed by
Ans: any department personnel who provide care to a patient
.Before a diagnostic study can be initiated,
the requesting physician must be identified on the request
Assignment Expert
a formal, documented examination request is entered into the
institution's information system
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reasons for the examination must be on the request
all of the above should be done.
2026
Ans: all of the above should be done.
Health records for inpatients should contain what information?
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1. Patient identification data
2. Number of patient visitors during the stay
3. Reports of any diagnostic or therapeutic studies
4. Physical examination data
5. Number of times the nurse call light is activated for nursing care
6. All informed consent documents
7. Medical history, including the chief complaint
Ans: 1, 3, 4, 6, and 7 only
, 2 for specific request mail
In the event a correction is needed in a paper document in a patient
health record,
Ans: the original entry needs to be crossed out by the author with a line
an highlighted as an ERROR followed by authentication and dating
With regard to HIPAA regulations,
Ans: none of the above is true
All of the following would be characteristics of a patient health record
except it
Assignment Expert
Ans: is required for hospitals and emergency department visits only
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A major distinction between DRGs and APCs is that
Ans: APCs are used for the reimbursement of outpatient and ancillary
procedures
2026
A typical health information management department
Ans: is responsible for the maintenance, retrieval, and storage of health
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information.
As part of a medical imaging quality assurance program, items to be
considered would include
1. medication errors.
2. the amount and duration of breaks taken by staff daily.
3. thermal injuries occurring in MR.
4. the time span available to schedule mammograms.
5. the radiology department's rate of repeat images.
6. personnel monitoring (film badge) data of staff.