HIM module exam Question and
answers correctly solved 2025/2026
Review of the medical record to ensure that standards are met and to determine accuracy of record
documentation - correct answer ✔qualitative analysis
Review of the medical record to determine its completeness and accuracy - correct answer
✔quantitative analysis
Process by which the medical record containing the details of a patient's healthcare visit(s) is created
and stored - correct answer ✔healthcare documentation process
Review of the medical record carried out while the patient is actively receiving care - correct answer
✔concurrent review
An electronic record of health-related information on an individual that conforms to nationally
recognized interoperability standards and that can be created, managed, and consulted by authorized
clinicians and staff across more than one healthcare organization - correct answer ✔electronic health
record EHR
Electronically transferring medical records between facilities around the country - correct answer
✔health information exchange HIE
The expectation that the personal information shared by an individual with a healthcare provider during
the course of care will be used only for its intended purpose - correct answer ✔confidentiality
Security regulations and restrictions developed by the federal government to protect patient rights -
correct answer ✔HIPAA
, Can be in roll form which holds thousands of images on a long roll that stores images - correct answer
✔microfilm
The protection of the privacy of individual and the confidentiality of health record - correct answer
✔security
Which of the following does NOT apply to medical record documentation? - correct answer ✔length
What will the electronic health record reduce? - correct answer ✔medical errors
Which of the following is NOT considered a common documentation error or deficiency? - correct
answer ✔late entry
Which of the following is included in patient demographics? - correct answer ✔name, address,
telephone
date of birth, gender
insurance billing
Which of the following would NOT be considered a documentation error? - correct answer ✔missing
operative report
Implementation of the electronic health record offers many challenges. Which would NOT be considered
a critical challenge? - correct answer ✔ease of storage
n the assessment, what diagnosis was ruled out by the physician? - correct answer ✔tooth abscess
In the objective portion of the report, which type of tooth does the physician specify is loose? - correct
answer ✔molar
answers correctly solved 2025/2026
Review of the medical record to ensure that standards are met and to determine accuracy of record
documentation - correct answer ✔qualitative analysis
Review of the medical record to determine its completeness and accuracy - correct answer
✔quantitative analysis
Process by which the medical record containing the details of a patient's healthcare visit(s) is created
and stored - correct answer ✔healthcare documentation process
Review of the medical record carried out while the patient is actively receiving care - correct answer
✔concurrent review
An electronic record of health-related information on an individual that conforms to nationally
recognized interoperability standards and that can be created, managed, and consulted by authorized
clinicians and staff across more than one healthcare organization - correct answer ✔electronic health
record EHR
Electronically transferring medical records between facilities around the country - correct answer
✔health information exchange HIE
The expectation that the personal information shared by an individual with a healthcare provider during
the course of care will be used only for its intended purpose - correct answer ✔confidentiality
Security regulations and restrictions developed by the federal government to protect patient rights -
correct answer ✔HIPAA
, Can be in roll form which holds thousands of images on a long roll that stores images - correct answer
✔microfilm
The protection of the privacy of individual and the confidentiality of health record - correct answer
✔security
Which of the following does NOT apply to medical record documentation? - correct answer ✔length
What will the electronic health record reduce? - correct answer ✔medical errors
Which of the following is NOT considered a common documentation error or deficiency? - correct
answer ✔late entry
Which of the following is included in patient demographics? - correct answer ✔name, address,
telephone
date of birth, gender
insurance billing
Which of the following would NOT be considered a documentation error? - correct answer ✔missing
operative report
Implementation of the electronic health record offers many challenges. Which would NOT be considered
a critical challenge? - correct answer ✔ease of storage
n the assessment, what diagnosis was ruled out by the physician? - correct answer ✔tooth abscess
In the objective portion of the report, which type of tooth does the physician specify is loose? - correct
answer ✔molar
