Case Studies in Health Information Management
Case Studies in Health Information Management
3rd Edition
ISBN: 9781305955332
Author: Patricia Schnering, Nanette B. Sayles, Charlotte McCuen
Publisher: Cengage Learning
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The purpose of obtaining a health history in today's medical office is to: a. have a basis for all treatment given by the provider and a guide for all future treatment. b. have information for the patient's personal use. c. have something to document in the patient's medical record. O d. have information for the insurance company.
A nurse answers a patient’s call light and finds the patient on the floor by the bathroom door. After calling for assis-tance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe aspects of this proce-dure? Select all that apply. a. An incident report is used as disciplinary action againststaff members.b. An incident report is used as a means of identifyingrisks.c. An incident report is used for quality control.d. The facility manager completes the incident report.e. An incident report makes facts available in case litigationoccurs.f. Filing of an incident report should be documented in thepatient record.
Physical locations where health care is provided to patiemts (eg office or other outpatiets settings, hospitals, nursing facilities, home health care or emergency departments the two digit location code is required by medicare
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