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ALH 106 FINAL TEST/STUDY GUIDE chpt 9

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Question
Answer
A medical record ordered by the court to be available during a malpractice case is   show
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show accuracy confidentiality proper documentation proper storage proper filing  
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show personal and clinical information  
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The medical record must include information about patient care such as   show
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A private or public healthcare entity that facilitates the processing of nonstandard electronic transactions into HIPAA transactions is a   show
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show covered entity  
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show EIN  
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The individual or group that provides or pays for the patient’s medical care is the   show
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show healthcare integrity and protection data bank  
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show maintain accurate public health statistics  
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show may be difficult for a healthcare provider to defend allegations in court  
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For the court’s purpose, if documentation does not appear in the medical record,   show
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show the physicians knowledge and permission  
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The Privacy Act of 1974 provides private citizens some control over what   show
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show find out what information was collected about them by the government see and have a copy of the information correct and ammend information exercise control over disclosure of their informartion  
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The privacy act only applies to federal agencies and government contractors   show
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How long should medical records be stored for an adult   show
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show the medical record for the minor should be kept until the age of maturity plus the period of the statute  
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list safeguards to help prevent the loss of a medical record   show
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Improper disclosure of a patients medical records can have   show
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when a medical record is subpoenaed these guidelines should be followed except   show
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show it serves as a document that gives a medical picture and record of the patient from life to death  
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give an example of personal information in a medical record   show
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show diagnosis CPT/ICD ss# rx refill #  
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What are the acronyms for JCAHO   show
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JCAHO and Medicare follow the same standard requirements for charting in the patient medical record; what is the requirement   show
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show  
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show  
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Falsification of a medical record is grounds for criminal indictment   show
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show  
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show True or False  
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Created by: SBGrandRapids