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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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Question
Answer
show subpeona  
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show accuracy confidentiality proper documentation proper storage proper filing  
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Patient information in the medical record should include   show
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show diagnosis prescription information test results physical examination  
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show insurance company clearinghouse covered intity WLAN WI-FI  
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show covered entity  
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show EIN  
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show Healthcare plan  
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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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show information the government collects about them and limits the use of information for unneccesary purposes  
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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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show True of False  
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How long should medical records be stored for an adult   show
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How long should medical records be stored for a minor   show
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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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show physician notification patient notification copy the entire chart verify the trial date verify all of the information in the subpoena  
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What purpose does a medical record serve   show
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show name dob ss# rx refill # # of children  
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Give examples of clinical information found in a medical record   show
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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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what is the correct way to make a correction in a paper chart   show
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what is the correct way to make a correction in an EMR   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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An original version of the patients medical record should be sent when it is subpoenaed   show
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Created by: SBGrandRapids