Health Record Content and Documentation
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Health Record Content and Documentation
Topics of this game:
- What is the recording of pertinent healthcare findings, interventions, and responses to treatment as a business record and form of communication among caregivers?
- What is a set of principles, codes, beliefs, guidelines, and regulations that have been vetted and agreed upon by an individual or a group of individuals who are regarded as an authority on a particular subject matter?
- What are those principles, codes, beliefs, guidelines and regulations that guide health record documentation?
- What is the intentional deception or misrepresentation that an individual knows or should know to be false or does not believe to be true knowing the deception could result in some unauthorized benefit to himself or other persons?
- What describes practices that either directly or indirectly result in unnecessary costs to the Medicare program?
- What are the standards that govern the practice of medical staff members?
- What organizations are the legal authority or formal permission from the authorities to carry on certain activities that require such permission?
- What is a group of physicians and non-physicians such as nurse practitioners and physician assistants called?
- What is a specific list of services and procedures that the medical staff member may perform at a particular healthcare provider organization?
- What is a voluntary process of institutional or organizational review in which a quasi-independent body created for this purpose periodically evaluates the quality of the entity's work against pre-established written criteria?
- What is an official designation indicating that a healthcare organization complies with Medicare Conditions of Participation?
- What is the process by which a duly authorized body evaluates and recognizes an individual, institution, or educational program as meeting predetermined requirements?
- What is a piece of legislation written and approved by a state or federal legislature and then signed into law by the state's governor , or the President of the United States?
- What are documents and data elements that a healthcare provider may include in response to legally permissible requests for patient information?
- What is the process of identifying the source of the health record entries by attaching a handwritten signature, the author's initials, and an electronic signature?
