10 Questions |
By Msdanabrown | Last updated: Jan 18, 2013
| Total Attempts: 1030
Closed book, NO notes, No cellphones, and no discussing questions or answers to other students and lastly, absolutely no cheating. Any one caught cheating will get a zero.
Questions and Answers
assessment shall be completed within the first _______ hours of admission to inpatient services.
Operative reports should be dicatated or written in the medical record
immediately before surgery.
Information in medical records fall into which two classifications?
Electronic and written
Non privileged and privileged
Dictated or written
Diagnostic or therapeutic
Discharge summaries records shall be completed within a
period of time that will in no event exceed 30 days following discharge.
____________________ requires physicians signatures in a medical record for hospital
compliance with Medicare conditions of participation and to qualify for
reimbursement under the prospective payment system.
Reports should include three dates:
Date when _________ was provided.
Date when the _________ was dictated.
Date when the document was ________.ANSWER IN THIS FORMAT: answer 1, answer2, answer 3 All 3 must be correct to get this one.
When a necropsy is performed, provisional anatomic diagnoses should not
be recorded in the medical record within 5 days, and the complete protocol
should be made part of the record within 120 days.
If a patient's medical record is presented in court as evidence in a
professional liability case and the records have been sloppily corrected, a prosecuting
attorney might win a case if it is proved that the records might have been
Medical records are property of the ________________________
that provided the care.
All of the above
None of the above
1. Assist in the diagnosis and treatment of a patient by
communicating with the attending physician and other medical personnel working
with the patient.
2. Aid and advance the science of medicine.
3. Comply with laws and serve in support of claim the
accreditation manual states requirements for medical report completeness,
signatures, abbreviations, deadlines, and dates of documents.
These 3 things are?
Healthcare practitioners at times post their reports in the forms of audio files. The files can be stored in writing when they are transcribed. Medical transcription certification will take at least six months, though most...
Questions: 10 | Attempts: 205 | Last updated: Dec 14, 2018
Operative reports should be dictated or written in the medical record immediately before surgery.