CCS ASSESSMENT EXAM QUESTIONS WITH CORRECT ANSWERS

CCS ASSESSMENT EXAM QUESTIONS WITH CORRECT ANSWERS As a concurrent record reviewer for an acute care facility, you have asked Dr. Crossman to provide an updated history and physical for one of her recent admissions. Dr. Crossman pages through the medical record to a copy of an H&P performed in her office a week before admission. You tell Dr. Crossman that a new H&P is required for every inpatient admission. you apologize for not noticing the H&P she provided. the H&P copy is acceptable as long as she documents any interval changes. Joint Commission standards do not allow copies of any kind in the original record. - Answer-the H&P copy is acceptable as long as she documents any interval changes. Joint Commission and COP allow a legible copy of a recent H&P done in a doctor's office in lieu of an admission H&P as long as interval changes are documented in the record upon admission. In addition, when the patient is readmitted within 30 days for the same or a related problem, an interval history and physical exam may be completed if the original H&P is readily available. As a working HIM professional, you are investigating the workforce development projections of electronic health record specialists as outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need to regularly access the website of this governmental agency. ONC CDC OSHA CMS - Answer-ONC The Office of the National Coordinator (ONC) for Health Information Technology is the federal agency charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information. Engaging patients and their families in health care decisions is one of the core objectives for the Joint Commission's National Patient Safety goals. HIPAA 5010 regulations. establishing flexible clinical pathways. achieving meaningful use of EHRs. - Answer-achieving meaningful use of EHRs. There are several core objectives for achieving meaningful use. Engaging patients and their families is one of these core objectives. Ultimate responsibility for the quality and completion of entries in patient health records belongs to the