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RHIA – Registered Health Information Administrator

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Showing 4–6 of 20 questions

Question 4

What advice should be given to a physician who has just informed you that she just discovered that a significant portion of a discharge summary she dictated last month was left out?

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    Squeeze in the information omitted by writing in available spaces such as the top, bottom, and side margins.

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    Dictate the portion omitted with the heading "Discharge Summary—Addendum" and make a reference to the addendum with a note that is dated and signed on the initial Discharge Summary (e.g., "9/1 /08—See Addendum to Discharge Summary"— Signature).
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    Redictate the discharge summary and replace the old one with the new one.

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    Inform the physician that nothing can be done about the situation.

Question 5

Your facility conducted a study of patient satisfaction, but you question the reliability of the questionnaire you used. The high degree of patient satisfaction expressed on the questionnaire just doesn't match the large number of complaints you have been receiving. You decide to try switching to an investigative strategy that will give you an immediate opportunity to review patient responses and correct errors. You have decided to use

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    samples.

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    interviews.

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    observations.

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    questionnaires.
Question 6

Mandatory reporting requirements for vital statistics generally

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    do not require authorization by the patient.

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    require authorization by the physician.

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    require authorization by the payer.

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    do not apply to health care facilities.