Below are some CHIMA mock test practice questions! When it comes to health services, one of the most important things one can do is ensure that they have proper documentation of a patient, which comes in handy when looking for one’s medical history. Take the quiz and see how good you are at proper documentation under CHIMA and your role.
Leadership
Integrity
Excellence
Tolerance
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Documentation should be true, complete, clear, concise, and legible.
Documentation should include the date and time when the entry was made.
Documentation should be authenticated by the person who prepared it.
Documentation should take place within an hour of the event that is being recorded.
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CHIMA Code of Ethics.
Staff members union.
Human resources department.
Departmental manager.
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Offer a prize to the employee who locates the requested records first
Review and possibly reengineer the retrieval process to decrease retrieval time
Allow the requesters to retrieve the record themselves
Increase file area staff to include one additional file clerk devoted to pulling records for the emergency room
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To control costs and integrate health care services.
To improve system planning and provide greater accountability.
To enhance public participation in decision-making and emphasize population health.
All of the above.
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CHIMA Board of Directors.
CHIMA Chief Executive Officer.
CHIMA Vice President of Professional Practice.
Professional Ethics Committee.
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HIMSS
LOHIM
IMIA
COACH
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Perform a 100% review of one of the employees' work each day.
Review a sample of each employee's work annually.
Review a random sample of each employee's work monthly.
Have each employee check each other's work and report any problems to the supervisor.
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Leaving the policy as written in the manual.
Contacting the hospital attorney to decide what action to take.
Enforcing tile existing policy.
Revising the policy appropriately and documenting the date of the change
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Written warning and reprimand
Meeting with the supervisor of her supervisor
Suspension
Termination
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Ask Dr. Brown to provide a consent form from Amy
Provide the records to Dr. Brown only if he is on your medical staff
Provide the records to Dr. Brown since he is treating the patient
Refuse access to the records
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Mary is not required to release the extra documentation because the facility has the right to interpret a request and apply the minimum standard rule.
Mary is required to release the extra documentation because the requestor knows what is needed.
Mary is required to release the extra documentation because, in the customer service program for the facility, the customer is always right.
Mary is not required to release the additional information because her administrator agrees with her
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Failure to document the chart at all during a critical time is a breach of standard of care and documentation standards
Correction must be completed by the care provider within 60 days of the request
Both original and revised documentation must be retained as part of the record
Incorrect information should be deleted and replaced with the correct information.
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Remove the incident report and send it to the patient.
Tell the employee to leave the report in the record.
Remove the incident report and have nursing personnel transfer all documentation from the report to the medical record.
Refer this record to the Risk Manager for further review and removal of the incident report.
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Consultation reports.
Incident reports.
Independent medical examination reports.
Reports to government ministries.
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Business Risk
Operational Risk
Project Risk
Privacy Risk
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Privacy
Quality
Secondary use
Risk
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Acknowledgement of having received patient’s rights information
Consent to release information
Consent to undergo treatment
Living will
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Shred it.
Try to get it signed, and if not, to document the action taken.
Keep trying to get the document signed until you succeed, even if you must go to the patient's hotline.
File the blank form in the chart.
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Identify the facts.
Define the ethical question.
Identify the principles and values at stake.
Identify how the situation might be averted in the future.
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Decision tree.
Impact analysis.
Process map.
Cause and effect diagram
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Canadian Association of Medical Record Librarians.
Canadian College of Health Record Administrators.
Canadian Health Record Association.
Canadian Hospital Association.
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TRA
BCP
HIE
PIA
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Electronic signatures are not acceptable in many health care facilities
Evidence cannot be provided that the physician reviewed and approved each report
It is too easy to delegate use of computer passwords
Tampering too often occurs with this method of authentication
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Be filed in a health record created for the infant
Be filed in the mother's record
Be retained in a separate file in the administrative offices
Not be retained in hospital records
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00-06-26
02-06-26
03-06-26
99-99-25
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Visit corporate headquarters of the vendor.
Perform a vendor reference check
Read consumer reports before buying
Test the software prior to purchase
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Invasion of privacy.
Violation of security of person
Slander.
Defamation.
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Electronic Health Information Management (e‐HIM)
Data Quality
Health Information Management Standards
Risk Management
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The mother
The patient
No consent is needed for emergency care
The girlfriend
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Job redesign
Work standards
Job evaluation
Benchmarking
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Accidental
Malicious
Catastrophic
Intentional
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How the situation might be averted in the future.
The principles and values at stake.
The facts.
The ethical question.
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Scatter plots
Heatmaps
Gantt charts
Electrocardiograms (ECGs)
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Do nothing because the coding area is extremely productive.
Discuss the problem with the CFO.
Discuss the matter directly with the coder and instruct him to review the entire record for correct assignment of codes
Discuss your concerns with the supervisor of coding and direct her to address this issue immediately.
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1 and 2 only
1 and 3 only
2 and 3 only
2 and 4 only
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Regular data backups and storage offsite
Implementation of audit trails and access controls
Routine staff training on data entry procedures
Use of encrypted communication channels for data transmission
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Add-ons
Scope creep
Effort expansion
Deliverable increase
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Administrative law
Case law
Common law
Statutory law
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Probation.
Censure.
Expulsion.
Suspension.
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Project scope, resources needed, and amount of time required
Project scope, resources needed, and developing the solution
Resources needed, amount of time required, and preparing supporting documentation for the system chosen
Amount of time required, alternative analysis, and implementation review
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Communication and consultation.
Risk assessment.
Risk treatment.
Monitoring and review.
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Expulsion and revocation of credential
Censure
Suspension of membership and credential
Probation
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Accessibility
Universality
Comprehensiveness
Public Administration
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Work distribution chart.
Gantt chart
Procedure flowchart.
Flow process chart.
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Political context.
Technical solution.
Information governance.
Organizational culture.
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Capital budget and the finance budget
Capital budget and the operational or revenue and expense budget
Profit and loss budget and the finance budget
Finance budget and the revenue and expense budget
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Design of the workflow and processes
Physician willingness to adopt
Contribution to the quality of patient care
Individual provincial/territorial legal and regulatory issues
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