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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A request for a patient’s medical record is sent by fax to your office. The fax cover sheet contains the letterhead of a nearby medical facility. You do not recognize the name of the physician, fax number, or telephone number stated for the physician’s office. How do you respond to the request?
When a patient is being admitted from home,
the social worker should arrange for the medical records on the patient's last
hospitalization.
the facility should begin recording the patient's past history and background.
prior medical records are generally not available.
the social worker should obtain medical records from the admitting physician's
office.
None of the patient access staff have access to the health history section of the patient's health record. This is an example of a(n)_____________safeguard.
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- The term meaning wound or injury is ___________________________________. trauma triagearrow_forwardA PATIENT’S RECORD UNDERWENT REVIEW BECAUSE THE OUTPATIENT DIAGNOSIS ABOUT MULTIPLE INJURIES WAS UNCLEAR. WHO IS AUTHORIZED TO CLARIFY THE DIAGNOSIS? HEALTH CARE PROVIDER HIM SUPERVISOR INSURANCE COMPANY OUTPATIENT CODERarrow_forwardA surgical team is able to function with the surgical information system because it allows the team to: A. Store images taken during the procedure B. Ensure documentation/ charging functions are available C. Identify the radiology team they will be working with D. Turn on available equipmentarrow_forward
- It is the job of the healthcare worker to present the informationarrow_forwardHow are you going to manage this patient? (Provide a detailed care plan and include a full trauma assessment in sequential order)arrow_forwardIf a patient or loved one has made it very clear that they do not want any extraordinary life saving measures and have signed a DNR, do you feel there is any reason for a doctor or family member to ignore it and do whatever it takes to save their life if they can be saved? Please explain your answer.arrow_forward
- Why is it important to step out of the pharmacy and interact with other hospital staff.arrow_forwardMartha comes in the office and presents a state assistance card, followed by the next patient, Debra, who presents a Blue Cross Blue Shield card. The medical assistant greets Debra with a smile but never acknowledges Martha, and after handing back Martha's card, the medical assistant makes sure to sanitize her hands. This is an example of:arrow_forwardA 17-year-old college student calls the emergency department(ED) and tells the nurse that she was raped by a professor.She wants to come to the ED but only if the nurse can assureher that they will not call her parents. What should be thenurse’s first priority?a. Getting the patient into a safe environment and mobilizingsupport for her. b. Encouraging the student to disclose the name of the pro-fessor so that his predatory behavior will be stopped. c. Convincing the student to be assessed for pregnancy, STIs,or other complications.d. Convincing the student to tell her parents so that she canreceive their support.arrow_forward
- When the patient presents with a non life threatening issue, the provider is most likely to access the full electronic health record (EHR) to assess for A Patient history and allergies B Self pay status C Social Security number D Marital statusarrow_forwardMary O'Keefe calls the Inner City Health Care office in a panic. Gwen Carr, CMA (AAMA), answers the telephone. Mary: "Oh my God, help me. I need Dr. King." Gwen: "This is Ellen Armstrong, Who is this calling? What is the situation?" Mary: "It's my haby, oh God, get Dr. King." Gwen: "Dr. King is unavailable, but we can help you. Now, tell me your name." Mary: "It's Mary O'Keefe. Help me, I think my baby is dead." Gwen: "Are you at home?" Mary: "Yes" Gwen: "Ok. Try to calm down. Speak slowly and tell me what's happened." Mary: "My son Chris pried the plug off an outlet and he's electrocuted himself!" Mary cries. "He's just lying there. I'm so scared, if I touch him, will I electrocute myself? Oh my God, my baby, my baby. What should I do?" Gwen, who has been writing down the details on a piece of paper, motions to Joe Guerrero, another CMA (AAMA) in the office, and hands him her notes. Joe immediately accesses the O'Keefe address from the patient database and uses…arrow_forwardEmma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What is the patient responsibility, discount amount, and the amount the carrier pays provider?arrow_forward
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