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1 of
71
Term
What is the function of a consultation report?
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Records the financial transactions Summarizes the patient's medical
related to the patient's treatment history for insurance purposes
, Provides a detailed account of the Documents opinions about the
hospital's operational patient's condition from the
procedures perspective of a physician not
previously involved in the
Don't know? patient's care
2 of 71
Term
True or False
With an increase in medical identity theft, it is important for HIM
professionals to help find and correct fraudulent information within a
health record.
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CSA Purged
TRUE 25 days or less
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3 of 71
Term
The overall goal of documentation standards is to ____________
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, Ensure what is documented
in the health record is
complete and accurately Establish guidelines for
reflects the patient billing and insurance
treatment provide to claims
the patient
Focus on the aesthetic Limit the amount of information that
presentation of health records can be shared with patients
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4 of 71
Term
A term that refers to a statistical process of data to reveal new
information is which of the following?
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Research Informatics
Analytics Auditing
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5 of 71
Term
, Which of the following elements is typically found in the paper
health record?
a) Radiology imaging
b) MRI imaging films
c) Financial information
d) Patient identification
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Patient registration Physical exam
Patient information Data mapping
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6 of 71
Term
Clinical documentation systems that support clinical decision
making capture data via __________________
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Unrelated data logs Randomized data sets
Structured data templates Generalized data summaries