CHIMA NCE Data & EHR Exam
Verified Exam Questions and Answers Latest update 2026/2027
,Question:
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 - CORRECT ANS WERS 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 - CORRECT ANSWERS d
The legal health record can only be comprised of documentation that physically exists in an
electronic system.
True/False - CORRECT ANSWERS 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 - CORRECT ANSWERS b
Which of the following processes includes deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews - CORRECT ANSWERS d
Malpractice cases generally fall into the category of .
, a. Negligence torts
b. Intentional torts
c. Fraud cases
d. Criminal cases - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS c
A physician who performs a surgical procedure without patient consent may be prosecuted for
.
a. Assault
b. Battery
c. Negligence
d. Malfeasance - CORRECT ANSWERS b
Defaming another person in writing is called .
a. Libel
b. Slander
c. Invasion of privacy
Verified Exam Questions and Answers Latest update 2026/2027
,Question:
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 - CORRECT ANS WERS 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 - CORRECT ANSWERS d
The legal health record can only be comprised of documentation that physically exists in an
electronic system.
True/False - CORRECT ANSWERS 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 - CORRECT ANSWERS b
Which of the following processes includes deficiency analysis and chart completion?
a. Release of information
b. Incomplete record
c. Coding
d. Chart reviews - CORRECT ANSWERS d
Malpractice cases generally fall into the category of .
, a. Negligence torts
b. Intentional torts
c. Fraud cases
d. Criminal cases - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS c
A physician who performs a surgical procedure without patient consent may be prosecuted for
.
a. Assault
b. Battery
c. Negligence
d. Malfeasance - CORRECT ANSWERS b
Defaming another person in writing is called .
a. Libel
b. Slander
c. Invasion of privacy
