Free RHIA Exam Braindumps (page: 2)

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A risk manager needs to locate a full report of a patient's fall from his bed, including witness reports and probable reasons for the fall. She would most likely find this information in the

  1. doctors' progress notes.
  2. integrated progress notes.
  3. incident report.
  4. nurses' notes.

Answer(s): C



For continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the documentation found in the

  1. interdisciplinary patient care plan.
  2. discharge summary.
  3. transfer record.
  4. problem list.

Answer(s): D



Joint Commission does not approve of auto authentication of entries in a health record. The primary objection to this practice is that

  1. it is too easy to delegate use of computer passwords.
  2. evidence cannot be provided that the physician actually reviewed and approved each report.
  3. electronic signatures are not acceptable in every state.
  4. tampering too often occurs with this method of authentication.

Answer(s): B



As part of quality improvement study you have been asked to provide information on the menstrual history, number of pregnancies, and number of living children on each OB patient from a stack of old obstetrical records the best place in the record to locate this information is the

  1. prenatal record.
  2. labor and delivery record.
  3. postpartum record.
  4. discharge summary.

Answer(s): A



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Britt commented on March 19, 2019
I take it this weekend, feeling confident about using this as an extra study tool!
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