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Module 6: EHR Go Activity: Clinical Documentation Improvement (Questions & Answers) Verified 100% Correct!!

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1) Review each area as indicated. Find the required field in the patient's medical record for Jacy Sky Redbird. 2) Determine if the information is listed or deficient. 3) Select the appropriate option for each question. If the information listed in the question is present, this will be an example where any further CDI or query is not necessary. If the information listed in the question is deficient (lacking, sub-standard, or not present), this will be an example of a good CDI or query opportunity. For example: Allergies Allergies identified or "no known allergies" identified A. Information is present - CORRECT B. Information is deficient *This field "allergies" or "No known allergies" is complete (contains the required information) in the medical record for this patient.  The diagnosis, problem and/or reason for admission may be found on the Problems tab. The Admit order on the Orders tab The Admission H&P on the Notes tab  Page 3 of 8 Question 1 1.5 / 1.5 pts Data Elements What type of admission is listed? Outpatient Inpatient  Question 2 1.5 / 1.5 pts Problems Reason for admission listed Information is present Information is deficient  Question 3 1.5 / 1.5 pts Discharge Order Discharge order listed Information is present Information is deficient

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Module 6: EHR Go Activity: Clinical Documentation
Improvement
Due Apr 12 at 11:59pm
Points 35
Questions 20
Available Apr 4 at 11:59pm - Apr 25 at 11:59pm
Time Limit None
Allowed Attempts 2

Instructions
For this activity you will use EHR Go to complete hands-on assignments that replicate the
health care electronic health records experience for revenue cycle management.

In this exercise, you will review the data in the patient chart in detail to recognize areas of
deficiency in the medical record. Recognizing deficiencies is important for clinical
documentation improvements, query opportunities, and increase of reimbursement for
services potentially missed. There are two attempts for this activity. The highest grade will be
entered in the gradebook.

TAKE THE QUIZ AGAIN


Attempt History
Attempt Time Score
LATEST Attempt 1 28 minutes 21.5 out of 35


 Answers will be shown after your last attempt

Score for this attempt: 21.5 out of 35
Submitted Apr 5 at 5:15pm
This attempt took 28 minutes.


1. You will review the chart of Jacy Sky Redbird to complete this activity.



https://devryu.instructure.com/courses/134101/quizzes/54G58G 4/5/2G, 7:1G PM
Page 1 of 8

, 2. CLICK HERE (https://web21.ehrgo.com/rd/?courseActivity Id=4740) to access the
medical record in EHR Go. Select 2: Launch EHR to review the patient chart and
begin this activity.
3. Refer to the patient chart and any suggested resources to complete this activity.
4. Review the questions to extract answers from the EHR Go activity. You will need to
copy the questions or keep multiple windows active to answer the following graded
questions.



1) Review each area as indicated. Find the required field in the patient's medical record
for Jacy Sky Redbird. 2) Determine if the information is listed or deficient. 3) Select the
appropriate option for each question.

If the information listed in the question is present, this will be an example where any
further CDI or query is not necessary.
If the information listed in the question is deficient (lacking, sub-standard, or not
present), this will be an example of a good CDI or query opportunity.

For example:

Allergies

Allergies identified or "no known allergies" identified

A. Information is present - CORRECT
B. Information is deficient

*This field "allergies" or "No known allergies" is complete (contains the required
information) in the medical record for this patient.



The diagnosis, problem and/or reason for admission may be found on the Problems
tab.

The Admit order on the Orders tab

The Admission H&P on the Notes tab






https://devryu.instructure.com/courses/134101/quizzes/54G58G 4/5/2G, 7:1G PM
Page 2 of 8

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