Free RHIA Exam Braindumps (page: 5)

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The use of personal signature stamps for authentication of entries in a paper-based record requires special measures to guard against delegated use of the stamp. In a completely computerized patient record system, similar rmeasures might be utilized to govern the use of

  1. fingerprint signatures.
  2. voice recognition systems.
  3. expert systems.
  4. electronic signatures.

Answer(s): D



Discharge summary documentation must include

  1. a detailed history of the patient.
  2. a note from social services or discharge planning.
  3. significant findings during hospitalization.
  4. correct codes for significant procedures

Answer(s): C



The performance of ongoing record reviews is an important tool is ensuring data quality through accurate health records. These reviews evaluate

  1. quality of care through the use of pre-established criteria.
  2. adverse effects and contraindications of drugs utilized during hospitalization.
  3. potentially compensable events.
  4. completeness, adequacy, and quality of documentation.

Answer(s): D



Ultimate responsibility for the quality and completion of entries in patient health records belongs to the

  1. chief of staff.
  2. attending physician.
  3. HIM director.
  4. risk manager.

Answer(s): B






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