QUESTION: 85

The lack of a discharge order may indicate that the patient left against medical advice. If this situation occurs, you would expect to see the circumstances of the leave

documented in an incident report and filed in the patient's health record.
reported as a potentially compensable event.
reported to the Executive Committee.
documented in both the progress notes and the discharge summary

Answer(s): D

Reveal Solution Next Question

Your committee is charged with developing procedures for the Health Information Services staff of a new home health agency. You recommend that the staff routinely check to verify that a summary on each patient is provided to the attending physician so that he or she can review, updated, and recertify the patient as appropriate. The time frame for requiring this summary is at least every

week.
month.
60 days.
90 days.

Answer(s): C

Reveal Solution Next Question

QUESTION: 87

You want to review the one document in your facility that will spell out the documentation requirements for patient records; designate the time frame for completion by the active medical staff; and indicate the penalties for failure to comply with these record standards.
Your best resource will be