CHIMA NCE Data
& EHR Questions
and answers
An organization's legal health record definition
must identify the following regarding individually
identifiable data:
a. Sources
b. Medium
c. Location
d. All of the above - answer d
It is best practice to establish a ____ when defining
the legal health record.
a. Policy
b. Master patient index
c. Health record matrix
d. Both a and c - answer d
,The legal health record can only be comprised of
documentation that physically exists in an
electronic system.
True/False - answer False
Which function is the first step in the creation of a
patient's medical record and initiates the flow of
patient information within the EHR?
a. Analysis
b. Patient registration
c. Scheduling
d. Coding - answer b
Which of the following processes includes
deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews - answer d
Malpractice cases generally fall into the category of
_____.
a. Negligence torts
, b. Intentional torts
c. Fraud cases
d. Criminal cases - answer a
In a negligence case, a physician will be held to a
standard of providing care that reflects what is
called _____ care.
a. Minimal
b. Optimal
c. Maximum
d. Reasonable - answer d
A physician who fails to treat a patient who is
brought to him or her for care is guilty of _____.
a. Malfeasance
b. Misfeasance
c. Nonfeasance
d. Malpractice - answer c
A physician who performs a surgical procedure
without patient consent may be prosecuted for
_____.
& EHR Questions
and answers
An organization's legal health record definition
must identify the following regarding individually
identifiable data:
a. Sources
b. Medium
c. Location
d. All of the above - answer d
It is best practice to establish a ____ when defining
the legal health record.
a. Policy
b. Master patient index
c. Health record matrix
d. Both a and c - answer d
,The legal health record can only be comprised of
documentation that physically exists in an
electronic system.
True/False - answer False
Which function is the first step in the creation of a
patient's medical record and initiates the flow of
patient information within the EHR?
a. Analysis
b. Patient registration
c. Scheduling
d. Coding - answer b
Which of the following processes includes
deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews - answer d
Malpractice cases generally fall into the category of
_____.
a. Negligence torts
, b. Intentional torts
c. Fraud cases
d. Criminal cases - answer a
In a negligence case, a physician will be held to a
standard of providing care that reflects what is
called _____ care.
a. Minimal
b. Optimal
c. Maximum
d. Reasonable - answer d
A physician who fails to treat a patient who is
brought to him or her for care is guilty of _____.
a. Malfeasance
b. Misfeasance
c. Nonfeasance
d. Malpractice - answer c
A physician who performs a surgical procedure
without patient consent may be prosecuted for
_____.
