ALH 106 FINAL TEST/STUDY GUIDE chpt 9
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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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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Falsification of a medical record is grounds for criminal indictment | show 🗑
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show | True or False
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