CRIS TEST EXAM 2024 WITH 100% CORRECT ANSWERS

Purposes of medical record - correct answer 1. To provide a communication tool between all healthcare providers. A physician, nurse, and any healthcare professional that treats the patient will complete documentation within the medical records 2. To provide documentation regarding diagnosis, treatment, and care of the patient while to find a receiving services from a healthcare facility. 3. To provide information needed for medical billing of services rendered to the patient and hospital financial management. 4. To provide a medium for analysis, study, and evaluation of the quality of care given to a patient. 5. To assist in protecting the legal rights of the patients, the healthcare facility, and other healthcare providers. A master patient index (MPI) - correct answer Tool gathered to obtain the complete medical record. (Is electronic medical database that holds information on every patient registered at a healthcare organization.) Discharge summary - correct answer Summary of treatment the patient received. Includes the diagnosis of their ailment. This is usually a transcribed report. history and physical - correct answer Reflects the history of the patients disease or injury, as well as the history of treatment. Usually transcribed, but may be hand written at the beginning of the progress notes.