The health record states that the patient is a female, but...

This preview shows page 1 - 2 out of 4 pages.

HIT 252 : Week 1 CCA Exam Which of the following is a form or view that is typically seen in the health record of a long-term care patient but is rarely seen in records of acute care patients?- Pharmacy Consultation The health care providers at your hospital do a very thorough job of periodic open record review to ensure the completeness of record documentation. A qualitative review of surgical records would likely include checking for documentation regarding - the presence or absence of such items as preoperative and postoperative diagnosis, description of findings, and specimens removed. The 2014 AHIMA Foundation's “Clinical Documentation Improvement Job Description Summative Report” identified that most clinical documentation improvement specialists report directly to the - HIM Department The master patient index must, at a minimum, include sufficient information to- uniquely identify the patient. In determining your acute care facility's degree of compliance with prospective payment requirements for Medicare, the best resource to reference for recent certification standards is the - Federal Register The health record states that the patient is a female, but the registration record has the patient listed as male. Which of the following characteristics of data quality has been compromised in this case?
Protected health information includes - individually identifiable health information in any format stored by a health care provider or business associate A retrospective review as part of quality improvement activities is conducted after the patient has been - discharged. As the chair of a Forms Review Committee, you need to track the field name of a particular data field and the security levels applicable to that field. Your best source for this information would be the - facility's data dictionary The first patient with cancer seen in your facility on January 1, 2018 was diagnosed with colon cancer with no known history of previous malignancies. The accession number assigned to this patient is - 18-0001/00.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture