Exam 5: Health Information Management Processing

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Which of the following is NOT a guiding principle in quantitative analysis?

(Multiple Choice)
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Which one of the following activities can be considered a preventive control?

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The set of procedures by which a paper record is reorganized into a standard order for further processing is:

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Clinicians can evidence supervision of subordinate personnel by ___________ the subordinates' documentation.

(Short Answer)
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Developing a universal chart order will theoretically eliminate which one of the following HIM functions?

(Multiple Choice)
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The postdischarge process begins with which of the following steps:

(Multiple Choice)
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The process of recording elements into a collection device is called _________.

(Short Answer)
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In a paper record environment, _______________ refers to the maintenance of the same page order both predischarge and postdischarge.

(Short Answer)
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The data quality characteristic associated with the capture of data concurrently with its observation is:

(Multiple Choice)
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In an electronic environment, changes to a patient's record should be tracked in:

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When a patient is being treated for a health-related issue, regardless of the health care setting, the physician must state the patient's ___________.

(Multiple Choice)
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Parts of paper records that arrive in the HIM department separately from the main record are often called ______________.

(Short Answer)
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Which of the following patients can be found on a discharge register for 5/1/12?

(Multiple Choice)
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Control over records in process can be maintained using:

(Multiple Choice)
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___________ is the process of determining the cause of an error.

(Short Answer)
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___________ procedures govern the storage of records, including duration, location, security, and access.

(Short Answer)
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There is a logical order to postdischarge processing. List the postdischarge processing steps, in order, beginning with obtaining control of the record.

(Essay)
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A review of individual user access codes to determine who had access to patient health information and to ensure the access was deemed necessary for patient care is called an ___________.

(Short Answer)
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Assignment of ICD-10-CM codes to clinical data while the patient is still being treated is ______________.

(Short Answer)
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A computer can create a log of processing and access activities called an ________.

(Short Answer)
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