HIM - Mod. Exam Mult Ch

Which of the following does NOT apply to medical record documentation?

What will the electronic health record reduce?

Which of the following is NOT considered a common documentation error or deficiency?

Which of the following is included in patient demographics?

Which of the following would NOT be considered a documentation error?

Implementation of the electronic health record offers many challenges. Which would NOT be considered a critical challenge?

Response to treatment, change in patient's diagnosis, and progress towards discharge are all pieces of information found in this medical report.

"The patient had mumps and measles as a child. She has suffered from community-acquired pneumonia twice in the past 15 years. Her last hospitalization occurred earlier this year after being involved in a car accident. The patient's clavicle was repaired at that time." This information is found on the ___ section of History & Physical exam.

Determine which of the following report types would ONLY be found in an inpatient medical record.

Which of the following is something that makes implementing EHR difficult?

The ___ is the name of the U.S. government agency tasked with guiding the nationwide implementation of health information technology.

One of the benefits to using an encoder is ___

Medical professionals can use the ___ to identify, match, merge and cleanse patient records to create an index to obtain a complete view of a patient.