Ahima CCA Exam Prep Solved 100%

In preparation for an EHR, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to give to this form is a.)Pathology b.) operative report c.)discharge summary d.) recovery room record - ANSWER-Pathology report Patient data collection requirements vary according to health care setting. A data element you would expect to be collected in the MDS, but NOT in the UHDDS would be a. cognitive patterns. b. procedures and dates. c. principal diagnosis. d. personal identification. - ANSWER-cognitive patterns . In the past, Joint Commission standards have focused on promoting the use of a facility-approved abbreviation list to be used by hospital care providers. With the advent of the Commission's national patient safety goals, the focus has shifted to the a. flagrant use of specialty-specific abbreviations. b. use of prohibited or "dangerous" abbreviations. c. prohibited use of any abbreviations. d. use of abbreviations in the final diagnosis. - ANSWER-Use of prohibited of "dangerous"abbreviations Engaging patients and their families in health care decisions is one of the core objectives for a. the Joint Commission's National Patient Safety goals. b. HIPAA 5010 regulations. c. achieving meaningful use of EHRs. d. establishing flexible clinical pathways. - ANSWER-Achieving meaningful use of EHR's A risk manager needs to locate a full report of a patient's fall from his bed, including witness reports and probable reasons for the fall. She would most likely find this information in the