CCA study guide Questions With Answers with latest updates 2023 Already GRADED A+

1. Discharge summary documentation must include: significant findings during hospitalization. 2. 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 operative report. 3. You have been asked to identify every reportable case of cancer from the previous year. A key resource will be the facility's disease index. 4. Joint Commission does not approve auto authentication of entries in a health record. The primary objection to this practice is that tampering too often occurs with this method of authentication. 5. One of the patients at your physician group practice has asked for an electronic copy of her medical record. Your electronic computer system will not allow you to accommodate this request. Chances are, you are NOT in compliance with the HIPAA Privacy Rule. 6. 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 use of prohibited or "dangerous" abbreviations.