CHIMA NCE DATA & EHR QUESTIONS WITH CORRECT ANSWERS

CHIMA NCE DATA & EHR QUESTIONS
WITH CORRECT 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


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,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 _____.


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, 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




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