CCS Lesson #7 Provider Queries and
Regulatory Compliance Assessment
PREP STUDY QUESTIONS
Sophia manages documentation compliance for ABC's Teaching Hospital who works with
several residents and medical students. Looking through documentation for some of Dr. Young's
recent patients, she sees that the residents and students have signed all documentation they
generated but the medical scribe has not signed his reports. Dr. Young has signed only the
reports made by the scribe. To maintain compliance, which of the following steps should Sophia
take? - Answers:Have Dr. Young sign he reports from the residents and medical students
Discharge summaries must be completed with _______ days of discharge or ________ hours of
transfer. - Answers:30, 24
Which of the following is true about patient safety indictors? - Answers:They provide a
standardized method for identifying and reporting patient safety issues
To which of the following does the Uniform Hospital Discharge Data Set (UHDDS) not apply? -
Answers:Placement of a cast in the emergency department to treat Jorge's broken radius
Mark fell of his bike and is complaining that his arm hurts. His mm takes him to see Dr. Thomas
who uses her prescription pad to order an x-ray of Mark's forearm. Mark and his mom present to
the radiology dept. and give the order to Matias who notices that Dr. Thomas' signature is
illegible. What is the appropriate action for Matias to follow? - Answers:Check Mark into the
radiology dept. and begin the process for obtaining the x-ray
Which of the following disclosures of PHI relies on informal permission from the patient by
asking them to agree or object to disclosure? - Answers:Including the patent in the facility
directory
Vera has a total knee replacement performed by Dr. Phillips. Her hematocrit and hemoglobin
drop dramatically postoperatively. Dr. Phillips orders a transfusion of packed red cells and
documents a diagnosis of blood loss anemia. Maria believes the record support a relationship
Regulatory Compliance Assessment
PREP STUDY QUESTIONS
Sophia manages documentation compliance for ABC's Teaching Hospital who works with
several residents and medical students. Looking through documentation for some of Dr. Young's
recent patients, she sees that the residents and students have signed all documentation they
generated but the medical scribe has not signed his reports. Dr. Young has signed only the
reports made by the scribe. To maintain compliance, which of the following steps should Sophia
take? - Answers:Have Dr. Young sign he reports from the residents and medical students
Discharge summaries must be completed with _______ days of discharge or ________ hours of
transfer. - Answers:30, 24
Which of the following is true about patient safety indictors? - Answers:They provide a
standardized method for identifying and reporting patient safety issues
To which of the following does the Uniform Hospital Discharge Data Set (UHDDS) not apply? -
Answers:Placement of a cast in the emergency department to treat Jorge's broken radius
Mark fell of his bike and is complaining that his arm hurts. His mm takes him to see Dr. Thomas
who uses her prescription pad to order an x-ray of Mark's forearm. Mark and his mom present to
the radiology dept. and give the order to Matias who notices that Dr. Thomas' signature is
illegible. What is the appropriate action for Matias to follow? - Answers:Check Mark into the
radiology dept. and begin the process for obtaining the x-ray
Which of the following disclosures of PHI relies on informal permission from the patient by
asking them to agree or object to disclosure? - Answers:Including the patent in the facility
directory
Vera has a total knee replacement performed by Dr. Phillips. Her hematocrit and hemoglobin
drop dramatically postoperatively. Dr. Phillips orders a transfusion of packed red cells and
documents a diagnosis of blood loss anemia. Maria believes the record support a relationship
