What data cannot be retrieved from the MEDPAR?
A. ICD-9-CM diagnosis and procedure codes
B. charges broken down by specific types of services
C. non-Medicare patient data
D. data on the provider
Which one of the following describes the electronic health record's impact on the record retrieval function?
A. This function will be eliminated except for historical files maintained in paper or on microform.
B. There will be more online management through computer-generated reports using logic rules.
C. This function will remain the same as the paper record function.
D. There will be increased record pulling as records are scanned or online documents become available.
Which one of the following is NOT a strategy when purchasing an electronic health record system?
A. Identify stakeholders from different organizational levels and engage them appropriately.
B. Identify return on investment or cost-benefit analysis.
C. Identify system requirements.
D. Broaden the vendor field and select several vendors of choice.
Fetal monitoring strips are part of the _________ record and should be maintained ______.
A. newborn's; 10 years past the age of majority
B. mother's; according to the length of time required for a minor's records
C. newborn's; according to the time period specific in the state's statue of limitations
D. mother's; 10 years
Which one of the following is NOT considered a challenge in the adoption of an electronic health record system?
A. executive commitment and support
B. physician willingness to adopt
C. contribution to the quality of patient care
D. individual state legal and regulatory issues
An example of a primary data source is the
A. physician index.
B. health record.
C. cancer registry.
D. hospital statistical report.
A health care facility has received a request to participate in a statewide study on cleft lip and cleft palate. This study would include data from the past year and subsequent years. Given that each of the data sources cited below contains the necessary information, the initial data would be most easily collected from the
A. newborn records.
B. state bureau of vital statistics.
C. maternal records.
D. birth defects registry.
The steps in developing a record retention program include all but which one of the following?
A. determining the format and location of storage
B. notifying the courts of the destruction
C. assigning each record a retention period
D. destroying records that are no longer needed
For a health care facility to meet its document destruction needs, the certificate of destruction should include all but which one of the following elements?
A. unique and serialized transaction number
B. location of destruction
C. patient notification
D. acceptance of fiduciary responsibility
According to AHIMA's recommended retention standards, which one of the following types of health information does NOT need to be retained permanently?
A. physician index
B. register of births
C. register of surgical procedures
D. register of deaths
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