Health Records and Health Information
Management fully solved
What are the functions of a hospital health information management department? - correct answer
✔✔~Coding of diagnoses and operative procedures and diagnosis-related group assignment.
~Quality management and performance improvement activities.
~Appropriate release of medical information.
The prospective payment system is a payment system based on: - correct answer ✔✔The diagnosis-
related group (DRG) or the ambulatory patient classification (APC)
What is an example of an organization that accredits hospitals and other health care institutions in the
United States? - correct answer ✔✔The Joint Commission
The chief complaint, included in a patient's history, is a statement made by the: - correct answer
✔✔Patient.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation affects radiology and
other hospital departments by its focus on: - correct answer ✔✔Patient record confidentiality
What is not required to be included in a patient's health record? - correct answer ✔✔Patient's
telephone number
Criteria used in performance improvement activities must be: - correct answer ✔✔Clinically valid.
Assessment of problems in performance improvement activities must be: - correct answer ✔✔Ongoing
In making a correction to an entry in the paper health record, the documenter should: - correct answer
✔✔Line out the error, authenticate, and insert correct information.