Registered Health Information Technician! Trivia Test! Quiz

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1. The master patient index should be kept
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Registered Health Information Technician! Trivia Test! Quiz - Quiz

Are you on your way to becoming a registered health information technician? If you said yes, you are in luck as the quiz below is precisely what you need to refresh your memory on record keeping and what someone in your position is expected to do when it comes to... see moreaccess and details. How about you check it out and see how good you will do.
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2. Birth and death certificates should be maintained by the facility
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3. Divorce complicates which type of numbering system?
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4. The chief complaint included in a history and physical examination report is a statement made by the
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5. Compliance by a long-term care facility with which of the following would be considered voluntary?
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6. Susan is a nurse who brings to your attention an error in the health record. She is uncertain how to make the correction. What would Susan's first step be in amending an error in a health record?
Submit
7. A final progress note may be substituted for a discharge summary when a (an)
Submit
8. The inpatient's record generally begins in the
Submit
9. Color coding of health record folders helps prevent
Submit
10. Pathology (tissue) reports must be completed on
Submit
11. Which allows family members who normally provide care to a person to take a break from providing that care?
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12. An infant's record is
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13. Veterans Health Admininstration facilities consistently use which of the following as a basis for their numbering system?
Submit
14. With alphabetical filing, which of the following names would be filed first?
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15. How long should annual statistical reports based on monthly analyses of hospital services be kept?
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16. For records of medium thickness, a fule guide should be provided for every
Submit
17. Hospice patients spend the majority of their hospice stay at home. As a result,
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18. Which organizations' directives establish minimum contents of a health record?
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19. Which is the most important consideration in designing a form?
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20. A cancer registry program must acheive which follow-up rate to receive approval by the American College of Surgeons?
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21. All of the following are cinsedered long-term care facilities EXCEPT:
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22. Which gives legal approval for a facility to offer services?
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23. An 85-year old female home health patient requires assistance with daily bathing, weekly housecleaning, and daily preparation of one meal. She is recovering from recent hip replacement surgery on the right. She has completely recovered from the left hip replacement surgery she underwent 3 months ago. The home health agency reviewed her request and assigned a caregiver. Unfortunately, a home health aide was unavailable for this assignment; the agency sent a nurse to perform the above tasks. This is an example of
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24. A family numbering system is most useful in
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25. The release of health records that contain information about a drug addiction for which the patient sought treatment is controlled by
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26. The four major sections of a problem-oriented health record are:
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27. The JCAHO requires creation of a new record for emergency patients
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28. Which is a distinctive feature of health maintenance organizations (HMO's)?
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29. A health care facility receives notification from the Joint Commission of Accreditation of Healthcare Organizations that it has received an accreditation with commendation.
This means that:
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30. A rubber stamp of Dr. Day's signature is acceptable for use if
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31. A disease index organized patient data according to the
Submit
32. Quantitative analysis of the health record would include review for
Submit
33. Which filing system organizes records in strict chronological order?
Submit
34. Which would be considered an ancillary department?
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35. Which statement is characteristic of a group practice?
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36. All of the following are physicians EXCEPT:
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37. The reanalysis of health records refers to
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38. The major advantages of the problem-oriented health record include all of the following EXCEPT:
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39. A complete autopsy protocol or report is made part of the health record within
Submit
40. A satellite ambulatory care unit
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41. The increase in home health care services being offered has resulted in a (n)
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42. Which type of microfilm has the greatest storage density?
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43. Standing orders
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44. Anytown Medical Center uses a decentralized system for record keeping. The next number in the serial system for inpatient hospital admissions is 16888. The next number to be assigned in the outpatient clinic is unit number 17845. Mary Jones's last number on outpatient admissions was 10921 and on hospital admission was 15824. What patient number will be assigned to Mary Jones if she returns to the hospital as an outpatient?
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45. The more information abstracted into a disease and operation index, the
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46. A terminal digit file guide is labeled: 40/30.
The 40 is considered
Submit
47. All of the following are types of cancer registries EXCEPT:
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48. Henry Franklin undergoes a right inguinal herniorraphy at 7:00 A.M. and is discharged at noon to return home in order to recuperate.
Submit
49. Which statement bwlow representsa current trend in the provision of ambulatory care?
Submit
50. Medicare would categorize a county health department home health agency as
Submit
51. Which of the following would be found in a history report?
Submit
52. The major advantage of straight numeric filing is
Submit
53. How would the last name, St. John, be filed in an alphabetical file?
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54. A department maintains records in hard copy form instead of microfilming; it also has limited space for record storage. Which would the department benefit most from?
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55. Mary Jones sustained a laceration to her hand while on the job and was seen in the facotry's clinic where the hand was evaluated by the nurse. Ms. Jones was sent to the hospital's emergency department for suturing. This visit to the factory's clinic is a form of
Submit
56. Revisions of report forms created for use in the record must be approved by the
Submit
57. The terminal digit number filed first in the following series is
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58. The best application for bar coding in the health information department is
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59. Which statement would be documented in the physical examination report?
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60. A hospital administrator requests the health information management department to provide a report detailing the number of incompleted discharged health records during the past 6 months.  Such a report would be the result of a(an)
Submit
61. The P in the SOAP note of the problem-oriented record refers to the
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62. According to JCAHO requirements, a Type 1 recommendation may be given if the total number os health records delinquent exceeds what percentage of the average monthly discharges?
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63. A nongovernment-owned hospital can be sponsered by any of the following EXCEPT:
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64. Because the clinical record is a confidential document, release of information must be handled in such a way that no unauthorized person has access to the record. Another consideration is the situation in which a patient is transferred from one facility to another. The transferring facility fowards copies of records to the receiving facility; this information from the transferring facility is placed in the receiving facility's health record. Upon discharge of the patient from the second facility, the insurance campany responsible for paying for the stay requests copies of any and all records on this particular patient. How should the receiving facility handle the rerelease of copies of the transferring facility's health record?
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65. A physician who has newly relocated to the area applied and was accepted as an active staff member at the local hospital. The physician will
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66. CARF accredits
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67. Sally Smith underwent emergency surgery in the hospital's day surgery unit and stayed a total of 18 hours. The care rendered during this time was
Submit
68.  Which was the first major U.S. impetus for improvig hostipal health records?
Submit
69. Which of the following demonstrates the personal use of the health record?
Submit
70. Unitized microforms include all of the following EXCPET:
Submit
71. When documenting SOAP notes, reference is made to the problem list by
Submit
72. Dr. Dawson performs an operation on a patient and realizes that there is a backlog in transcription turnaround time of operative reports. According to the JCAHO standards, he should
Submit
73. The chronological listing of all patients in a cancer/tumor registry is called the
Submit
74. All would be contained in thephysical examination report EXCEPT:
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75. File guides are more permanent with which filing system?
Submit
76. A final note serves as a discharge summary in minor cases requiring less than
Submit
77. Many long-term care facilities perform chart thinning. This means that
Submit
78. Which would be the chief criterion for determining record inactivity?
Submit
79. A postanesthesia evaluation is documented in the patient's record by the practitioner administering the anesthetic
Submit
80. A question on the documentation practices of a particular physician arises through health information department analysis. The health information practitioner should first notify the
Submit
81. Which of the following demonstrates the personal use of the health record?
Submit
82. Which represents records filed within a primary section in terminal digit order?
Submit
83. The terminal digit file area requires 2000 file guides.  What is the pattern of file guides?
Submit
84. The diagnosis recorded at the conclusion of the history and physical is the
Submit
85. Which would provide a chronological listing of all patient admissions?
Submit
86. Mrs. Hughston is transported to the hospital after complaining of sever right lower quadrant pain. She is evaluated and undergoes laboratory tests, which prove to be negative. She is discharged to be seen by her primary care physician in his office.
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87. The health information manager who investigates the establishment of a policy for mental health record retention should first
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88. Sally Sims is seen in the hospital and undergoes a bilateral mammogram because this type of radiographic equipment is not available in her physician's office.
Submit
89. Mary Forbes is registered for her weekly physical therapy and undergoes treatment consisting of whirlpool baths and diathermy.
Submit
90. A minimum data set is mandated for use in certified long-term care facilities. The federal requirements that address this document are found under
Submit
91. Which has ultimate authority and responsiblility for providing proper care to hospital patients?
Submit
92. A facility that has a medical staff consisting of MD's and DO's desires American Osteopathic Association accreditation status. It is also currently accredited by the Joint Commission on Accreditation of Healthcare Organizations. The facility
Submit
93. Reports that summarize administration of therapeutic radiation are documented
Submit
94. Inpatient discharges total 1,763 in one month; 521 of these discharged health records are complete at discharge. Calculate the month's incomplete health record rate.
Submit
95. Which is responsible for coordinating all hospital clinical activities?
Submit
96. The JCAHO requires mental health care facilities to conduct several types of quality assurance reviews. Review the list below and select the type of review that would be more characteristic of that conducted in a mental health care facility than a hospital.
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97. A local hospital expanded its services offered to the community and operates an urgent care center across town in addition to the hospital.
This would now be considered a
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98. Which problem-oriented record portion incorporates the history and physical?
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99. As HIM Director, you have been asked to report the incomplete record rate for the month of October at the medical staff meeting. There were 2,250 discharges and 200 incomplete records in the month of October. What would the incomplete record rate be?
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100. On January 15, the patient underwent an intravenous pyelogram performed by the x-ray technician and interpreted by the radiologist, who also met with the patient briefly; urinalysis performed by the lab technician and interpreted by the pathologist; and one hour of gait training was conducted by the physical therapist in the Physical Theropy Department. How many occasions of service were provided?
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101. The term nursing facility is being applied to facilities participating in the Medicaid program and replaces the term
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102. A physician who is anactive member in one hospital and applies to admit an occasional patient to another is applying for what kind of medical staff membership at the second facility?
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103. Upon review of discharged health records, the analysis clerk notices that one physician in consistent in his lack of timely discharge summary documentation. He has previously been notified of this problem. Next, the analysis clerk should
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104. Who has primary responsibility for the home health care client's plan of care?
Submit
105. Which system makes it easiest to purge records for microfilming?
Submit
106. Which would be considered a major component of the record control function?
Submit
107. The first step in developing a problem-oriented record is
Submit
108. If a record cannot be completed because of the death of a physician, the health information practitioner should
Submit
109. The integrated health record format is identified by its
Submit
110. Utilization review of hospice services uses objective criteria to monitor concerns. Review each statement below and select the one that would be considered utilization review monitoring.
Submit
111. A multidisciplinary team approach in mental health care allows for participation in monitoring and socumenting the patient's  progress during and response to treatment. Which documentation system would best allow for the above process?
Submit
112. Rehabilitative care requires coordination of health disciplines to facilitate a successful patient outcome. A critical factor in the coordination of the rehabilitation process is
Submit
113. Progress notes
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114. Which modification of the unit numbering system includes pseudonumbers
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115. If a patient falls while in the hospital, an incident form is generated and
Submit
116. Patients admitted to the hospital on September 18th were issued the following patient nubmers: 9010, 2053, 9011, 9012, 3155, 0381. Which numbering system is being used?
Submit
117. A factory guaranteed that all employees would seek care at the local hispital and was able to negotiate a special reduced rate for care rendered. This is a(an)
Submit
118. Which is the most important use of a number index?
Submit
119. An ambulatory care encounter is defined as
Submit
120. Peer Review Organizations obtain government contracts to evaluate the necessity and quality of health services rendered to Medicare patients. Reviews are conducted and judgments are based primarily on the
Submit
121. Home health care agencies have established a protion of the record that can be maintained in the home. Information contained in this record would include all EXCEPT:
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122. Which is an example of a medical staff rule and regulation?
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123. A departmentalized medical staff is organized according to service. What is the title of the individual who is responsible for directing the functions of each service?
Submit
124. The middle digit number filed last in the following series is
Submit
125. Which form would provide the basic facts about a long-term care resident who has been transferred from a hospital?
Submit
126. With which filing system is quality control most difficult?
Submit
127. Which is the name of the data set developed by the DHHS and approved by the National Committee on Vital and Health Statistics?
Submit
128. Which best describes the organization of the source-oriented record on the nursing unit?
Submit
129. Which number was most recently assigned to a new patient by the admitting department of a facility that uses unit numbering to assign numbers and terminal digit filing to file records?
Submit
130. Part of the accreditation survey process is listed below in responses A to E. Identify the first step that is out of order
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131. Which health maintenance organization model requires employed physicains to treat patients in the organization's facilities?
Submit
132. An accident report was generated on Joe Poole when he was found on the floor next to his nursing facility bed. Mr. Poole was evaluated and found to be unharmed by the presumed fall. The staff responsible for caring for Mr. Poole completed an accident report and
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133. Which is documented in the physical examination report?
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134. Regulations about physician completion of health records are developed by the
Submit
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The master patient index should be kept
Birth and death certificates should be maintained by the facility
Divorce complicates which type of numbering system?
The chief complaint included in a history and physical examination...
Compliance by a long-term care facility with which of the following...
Susan is a nurse who brings to your attention an error in the health...
A final progress note may be substituted for a discharge summary when...
The inpatient's record generally begins in the
Color coding of health record folders helps prevent
Pathology (tissue) reports must be completed on
Which allows family members who normally provide care to a person to...
An infant's record is
Veterans Health Admininstration facilities consistently use which of...
With alphabetical filing, which of the following names would be filed...
How long should annual statistical reports based on monthly analyses...
For records of medium thickness, a fule guide should be provided for...
Hospice patients spend the majority of their hospice stay at home. As...
Which organizations' directives establish minimum contents of a health...
Which is the most important consideration in designing a form?
A cancer registry program must acheive which follow-up rate to receive...
All of the following are cinsedered long-term care facilities EXCEPT:
Which gives legal approval for a facility to offer services?
An 85-year old female home health patient requires assistance with...
A family numbering system is most useful in
The release of health records that contain information about a drug...
The four major sections of a problem-oriented health record are:
The JCAHO requires creation of a new record for emergency patients
Which is a distinctive feature of health maintenance organizations...
A health care facility receives notification from the Joint Commission...
A rubber stamp of Dr. Day's signature is acceptable for use if
A disease index organized patient data according to the
Quantitative analysis of the health record would include review for
Which filing system organizes records in strict chronological order?
Which would be considered an ancillary department?
Which statement is characteristic of a group practice?
All of the following are physicians EXCEPT:
The reanalysis of health records refers to
The major advantages of the problem-oriented health record include all...
A complete autopsy protocol or report is made part of the health...
A satellite ambulatory care unit
The increase in home health care services being offered has resulted...
Which type of microfilm has the greatest storage density?
Standing orders
Anytown Medical Center uses a decentralized system for record...
The more information abstracted into a disease and operation index,...
A terminal digit file guide is labeled: 40/30.The 40 is considered
All of the following are types of cancer registries EXCEPT:
Henry Franklin undergoes a right inguinal herniorraphy at 7:00 A.M....
Which statement bwlow representsa current trend in the provision of...
Medicare would categorize a county health department home health...
Which of the following would be found in a history report?
The major advantage of straight numeric filing is
How would the last name, St. John, be filed in an alphabetical file?
A department maintains records in hard copy form instead of...
Mary Jones sustained a laceration to her hand while on the job and was...
Revisions of report forms created for use in the record must be...
The terminal digit number filed first in the following series is
The best application for bar coding in the health information...
Which statement would be documented in the physical examination...
A hospital administrator requests the health information management...
The P in the SOAP note of the problem-oriented record refers to...
According to JCAHO requirements, a Type 1 recommendation may be given...
A nongovernment-owned hospital can be sponsered by any of the...
Because the clinical record is a confidential document, release of...
A physician who has newly relocated to the area applied and was...
CARF accredits
Sally Smith underwent emergency surgery in the hospital's day surgery...
 Which was the first major U.S. impetus for improvig hostipal...
Which of the following demonstrates the personal use of the health...
Unitized microforms include all of the following EXCPET:
When documenting SOAP notes, reference is made to the problem list by
Dr. Dawson performs an operation on a patient and realizes that there...
The chronological listing of all patients in a cancer/tumor registry...
All would be contained in thephysical examination report EXCEPT:
File guides are more permanent with which filing system?
A final note serves as a discharge summary in minor cases...
Many long-term care facilities perform chart thinning. This means that
Which would be the chief criterion for determining record inactivity?
A postanesthesia evaluation is documented in the patient's record by...
A question on the documentation practices of a particular physician...
Which of the following demonstrates the personal use of the health...
Which represents records filed within a primary section in terminal...
The terminal digit file area requires 2000 file guides.  What is...
The diagnosis recorded at the conclusion of the history and physical...
Which would provide a chronological listing of all patient admissions?
Mrs. Hughston is transported to the hospital after complaining of...
The health information manager who investigates the establishment of a...
Sally Sims is seen in the hospital and undergoes a bilateral mammogram...
Mary Forbes is registered for her weekly physical therapy and...
A minimum data set is mandated for use in certified long-term care...
Which has ultimate authority and responsiblility for providing proper...
A facility that has a medical staff consisting of MD's and DO's...
Reports that summarize administration of therapeutic radiation are...
Inpatient discharges total 1,763 in one month; 521 of these discharged...
Which is responsible for coordinating all hospital clinical...
The JCAHO requires mental health care facilities to conduct several...
A local hospital expanded its services offered to the community and...
Which problem-oriented record portion incorporates the history and...
As HIM Director, you have been asked to report the incomplete record...
On January 15, the patient underwent an intravenous pyelogram...
The term nursing facility is being applied to facilities participating...
A physician who is anactive member in one hospital and applies to...
Upon review of discharged health records, the analysis clerk notices...
Who has primary responsibility for the home health care client's plan...
Which system makes it easiest to purge records for microfilming?
Which would be considered a major component of the record control...
The first step in developing a problem-oriented record is
If a record cannot be completed because of the death of a physician,...
The integrated health record format is identified by its
Utilization review of hospice services uses objective criteria to...
A multidisciplinary team approach in mental health care allows for...
Rehabilitative care requires coordination of health disciplines to...
Progress notes
Which modification of the unit numbering system includes pseudonumbers
If a patient falls while in the hospital, an incident form is...
Patients admitted to the hospital on September 18th were issued the...
A factory guaranteed that all employees would seek care at the local...
Which is the most important use of a number index?
An ambulatory care encounter is defined as
Peer Review Organizations obtain government contracts to evaluate the...
Home health care agencies have established a protion of the record...
Which is an example of a medical staff rule and regulation?
A departmentalized medical staff is organized according to service....
The middle digit number filed last in the following series is
Which form would provide the basic facts about a long-term care...
With which filing system is quality control most difficult?
Which is the name of the data set developed by the DHHS and...
Which best describes the organization of the source-oriented record on...
Which number was most recently assigned to a new patient by the...
Part of the accreditation survey process is listed below in responses...
Which health maintenance organization model requires employed...
An accident report was generated on Joe Poole when he was found on the...
Which is documented in the physical examination report?
Regulations about physician completion of health records are developed...
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