QUESTIONS AND ANSWERS
Which of the following is an ancillary report?
- Operative
- Discharge Summary
- Radiology
- Emergency Department
Radiology
Which of the following is a common documentation error?
- Date and location inconsistencies
- Missing physician signatures
- Incorrect patient identification
- All of the above
All of the above
Ben works in the HIM department. He is contacted by Mr. Allen's insurance
company who wants to know the admit and discharge dates for Mr. Allen's most
recent admission to the hospital. Where is the best place for Ben to look for this
information?
- The patient's billing account
- The release of information database
- The master patient index
- The patient's personal healthrecord
The master patient index
The term for electronically transferring medical records between facilities around
the country.
- Centralization
- Meaningful use
,- Abstracting
- Health Information Exchange
Health Information Exchange
The documentation type that contains various types of analyses or examinations
of body substances collected from the patient.
- History and Physical
- Physician Progress Note
- Operative Report
- Laboratory Report
Laboratory Report
While reviewing the record for an inpatient who was discharged the previous day,
Sally notices the discharge summary is not included in the documentation. Which
of the following would Sally use to alert the doctor that documentation is missing
from the record?
- A physician query form
- A deficiency slip
- A SOAP note
- A release of information request
A deficiency slip
A medical record does not contain
- Demographic information
- Diagnoses and procedures
- Financial information
- Physician Referral Forms
Financial information
This department provides image-guided procedures such as CT scans and MRIs:
- Laboratory
, - Pathology
- Surgery
- Radiology
Radiology
Which of the following would track a patient who has basal cell carcinoma of the
abdomen wall?
- Trauma Registry
- Immunization Registry
- Insulin-Dependent Diabetes Mellitus Registries
- Cancer Registry
Cancer Registry
In order for a facility to receive federal healthcare funding (Medicare and
Medicaid), they must comply with regulations called:
- Certificate of Compliance (CoC)
- Conditions of Participation (CoP)
- Standards of Regulation (SoR)
- Conditions of Compliance (CoC)
Conditions of Participation (CoP)
After suffering a stroke, a patient requires therapy to assist in performing
activities of daily living such as getting dressed and cooking. Which department
would assist this patient?
- Physical therapy
- Occupational therapy
- Social services
- Respiratory therapy
Occupational therapy
Mr. Thomas has moved to a new city and is looking for a physician to help
manage his diabetes. Which type of specialist would he look for?