HIM 5010 Health Data Management
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HIM 5010 Health Data Management
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25 Questions

1. 100 mg of penicillin per mouth administered at 8am is an example of what kind of documentation"

2. A_________is a multidisciplinary tool for organizing diagnostic and therapeutic services to be provided to the patient?

3. What is a discharge summary?

4. Health information exchange (HIE) is the ability to request healthcare information from a centralized database

5. Which of the following statements best describes an integrated delivery system?

6. The ___________ was established in 1847 to represent the interests of physicians across the US.

7. What is a physical exam?

8. Which of the following is a governmental designations by the state that is necessary for the facility to offer services?

9. What defines a hospital's mission statement?

10. The development of managed care services in the US is an indirect result of the federal governments enactment of_________

11. Generally, which of the following people does not have authority to disclose PHI?

12. Healthcare organizations seek ______ in order to prove they meet standards of legitimate and appropriate medical practice.

13. The adoption of minimum standards marked the beginning of the modern ________ process for healthcare organizations.

14. Which of the following anesthesia reports would be used to document an unusual event of complication that occurred during surgery?

15. What are the minimum elements that should be included in the master patient index?

16. Today, ________ , refers to the level of skilled care needed by patients with complex medical conditions, typically Medicare patients who have multiple medical problems.

17. What is an overlap of a medical record?

18. In 1910, Dr. Frankin H. Martin suggested that the surgical area of medical practice needed to become more concerned with_____________.

19. Agreements that are reached through participant governance committees

20. What are advanced directives?

21. Medical staff bylaws are legally binding and any changes must be approved by a vote of the __________

22. What name used in reference to the formal document prepared by the principal surgeon to describe the surgical procedure performed for the patient?

23. What is the purpose of the master patient index?

24. Which of the following types of physician documentation is used to document the patients own description of his or her present illness?

25. What term is used in reference to the patient care instructions that physicians give to other healthcare providers?

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