Question 21 an internal coding audit at community

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QUESTION 21 An internal coding audit at Community Hospital shows that the cause of improper coding is lack of proper physician documentation to support reimbursement at the appropriate level. Coders have found that coding issues are a result of physician documentation needing clarification. The HIM department staf has met periodically with each clinical specialty to improve communication and provide targeted education, but documentation problems still persist. Which of the following actions would be the most reliable and consistent method to improve communication and documentation? Allow coders to make clinical judgments in absence of physician documentation Revise medical staf bylaws to include documentation requirements Implement a standardized physician query form so that coders can request clarification from physicians about documentation issues Suspend medical staf privileges after a specified number of documentation problems have occurred
1 points QUESTION 22 Which organization is responsible for ensuring compliance with the HIPAA Privacy and Security Rules?
1 points QUESTION 23 To decrease risk exposures in a health care facility, which of the following can be used to track and document incidents?
Occurrence report Root-cause analysis All options are correct 1 points QUESTION 24 Dr. Jones entered a progress note in a patient’s health record 24 hours after he visited the patient. Which quality element is missing from the progress note?
1 points QUESTION 25 Which of the following is NOT an element that makes information "PHI" under the HIPAA Privacy Rule? Relates to one's health condition In the custody of or transmitted by a CE or its BA Contained within a personnel file Identifies an individual
1 points QUESTION 26 When coding, what is the best source of documentation to determine the size of a removed malignant lesion?
Physical examination Operative report Laboratory report 1 points QUESTION 27 The Filing and Retrieval Supervision is Mary Johnson, RHIT at Rasmussen Medical Clinic. Mary is developing a staffing schedule for the upcoming year. The facility is open 260 days per year and has an average of 500 clinic visits per day. The standard for filing records at the clinic is 50 records per hour. The standard for record retrieval is 40 records per hour. Based on these standards of performance, how many filing hours will be required daily to retrieve and file records for each clinic day?
1 points

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