C810 - Key Words questions and answers graded A+ 2023/2024

C810 - Key WordsProvider needing access to medical record - correct answer Availability Hospital meaningful use eligibility - correct answer Ensure EHR certification Extensive social services documentation - correct answer Behavioral Health Keep the original entry, enter the correct information, and sign/date the change - correct answer Correcting documentation errors EHR - correct answer Primary data source Within how many days prior to admission must the H&P be performed and within how many hours must the H&P be placed in the patient's record after admission? - correct answer 30 days; 24 hours Documentation of symptoms in the H&P - correct answer History of Present Illness Completed discharge summary post discharge - correct answer 30 days CPOE - correct answer Computerized Physician Order Entry Consent to Treatment Form - correct answer Patient agrees to specific services Progress Notes - correct answer Documentation of care, treatment & therapeutic response CIO directs action - correct answer Accountability Data stewards take action - correct answer Accountability Data breaches, confidentiality, security concerns - correct answer Protection Secure remote access - correct answer Cloud storage Reducing error - correct answer Accuracy One data repository - correct answer Centralized Model Requires CEs to develop/implement electron transaction standards - correct answer HIPAA Stores provider licensure and credential status - correct answer NPDB Requires data for end-stage renal disease - correct answer CMS Response needed after system shut down due to breach - correct answer Access backup date to restore impact documents Allows patient to add information for provider to see - correct answer Patient portal Largest biomedical database, acute care and skilled nursing facilities, using DRGs - correct answer National Library of Medicine (NLM) Database of severe injuries - correct answer Trauma Registry Freestyle writing - correct answer Unstructured data Data Steward - correct answer Develops data definitions and models