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WGU C810 Study Guide Questions and Answers
(2022/2023)
1.Which component of the patient portal is the ability to see a doctor's availability ANS Scheduling 2.Where would information about the patient's insulin dosage be found within the portal ANS Medication history 3.Which form of review is conducted following the discharge of a patient from an acute care facility to obtain information about trends and patterns of documentation ANS Closed-record review 4.A hospital uses a filing system for permanent storage of paper-based records. The records are filed according to a three-part number made up of two-digit parts. What type of system is this ANS Terminal-digit filing system 5.A patient went to the emergency room complaining of chest pain and 1 / 4
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was released home 4 hours later. Which type of documentation is required in this scenario ANS Discharge orders 6.Within how many days prior to admission must the H&P be performed and within how many hours must the H&P be placed in the patient's record after admission ANS 30 days 24 hours 7.A patient is ready to leave the emergency room but will need discharge orders before leaving. How should the discharge orders be communicated to this patient ANS A physician should issue the order in writing 8.Which component of the medical record does CMS CoP require to be completed no more than 30 days before or 24 hours after admission ANS History and physical 9.Which type of consent is a patient asked to sign prior to undergoing a scheduled gallbladder surgery ANS Informed consent 10.Where does a nurse document that a patient is given an oral dose of Coumadin 1 mg while hospitalized ANS Medication administration record (MAR) 2 / 4
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11.Which person's signature must be included on a consent form ANS Patient 12.In a physician's practice, a doctor is attempting to submit a claim to MCR, but the system is experiencing an outage. Which form would this doctor use to submit a paper claim ANS CMS-1500 13.Which guideline should an HIM professional use for documentation of both paper and electronic records ANS The original documents should be main- tained in the health record 14.Which type of information can be found in a physician's order ANS Written or verbal requests for treatment, tests, procedures, and medications 3 / 4
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15.A nurse at a long-term care facility is documenting a comprehensive assessment into the patient's medical record. What must the record include to meet CMS requirements ANS Minimum Data Set (MDS) 16.A state hospital system is collecting information on patient discharges from hospitals in the central part of the state. Which databases should the hospital system use to collect this data ANS Uniform Hospital Discharge Data Set (UHDDS) 17.Which data type is a cardiac catheterization examination note an example of ANS Unstructured data 18.A paragraph in a physician's order specifies information about a patient's discharge. Which type of data is described in this scenario ANS Unstructured
19.Structured or Unstructured data: A zip code is entered and the state
is automatically populated.: Structured
20.Structured or Unstructured data: PT chooses Therapy tab in the EHR
and writes their treatment plan notes.: Structured
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