1 | P a g e WGU C810 FOUNDATIONS IN HEALTHCARE DATA MANAGEMENT LATEST EXAM 2023 -2024 WITH 200+ REAL EXAM QUESTIONS AND ANSWERS|AGRADE WGU C810 FOUNDATIONS IN HEALTHCARE DATA MANAGEMENT LATEST EXAM 2023 -2024 WITH 200+ REAL EXAM QUESTIONS AND ANSWERS|AGRADE A physician group is updating its electronic database system to allow patients to create profiles and provide access to necessary individuals. Patients have the opportunity to access their personal health information electronically from remote locations. T he patients like being able to see the doctor's open times to coordinate their schedules before requesting an office visit.Which component of the patient portal is the ability to see a doctor's availability? - ANSWER - Scheduling A patient is admitted to an acute care facility while on vacation, but records from his physician's office cannot be immediately obtained. The patient has difficulty remembering his insulin dosage, but he recalls being enrolled in a patient portal.Where would information about th e patient's insulin dosage be found within this portal? - ANSWER - Medication history Which form of review is conducted after a patient is discharged from an acute care facility in order to obtain information about trends and patterns of documentation? - ANSWER - Closed -record review A hospital uses a filing system for permanent storage of paper -based health records. The records are filed according to a three -part number made up of two -digit pairs. Which type of system is this? - ANSWER - Terminal -digit filing system 3 | P a g e A patient goes t o an emergency room complaining of chest pain and is released home four hours later.Which type of documentation is required in this scenario? - ANSWER - Discharge orders A physician in an acute care facility is performing an H&P in accordance with the C MS Conditions of Participation.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? - ANSWER - 30 days; 24 hours A patient is ready to leave the emerge ncy room but will need discharge orders before leaving. How should the discharge orders be communicated to this patient? - ANSWER - A physician should issue the order in writing. Which component of the medical record do the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation require to be completed no more than 30 days before or 24 hours after admission? - ANSWER - History and physical Which type of conse nt is a patient asked to sign before undergoing a scheduled gallbladder surgery? - ANSWER - Informed consent Where does a nurse document that a patient is given an oral dose of Coumadin 1 mg while hospitalized? - ANSWER - Medication administration record Which person's signature must be included on a consent form? - ANSWER - Patient In a physician's practice, a doctor is attempting to submit a claim to Medicare, but the system is experiencing an outage.Which form should this doctor use to submit a paper claim? - ANSWER - CMS -1500 Which guideline should an health information management (HIM) professional follow for documentation of both paper and electronic records? - ANSWER - Original documents should be maintained in the health record. In which time frame should the history and physical be completed after a patient is admitted to an inpatient healthcare facility? - ANSWER - No more than 30 days before or 24 hours after admission Which type of information can be found in a physician's orders? - ANSWER - Written or verbal requests for treatment, tests, procedures, and medications A nurse at a long -term care facility is documenting a comprehensive assessment into a patient's medic al record.What must the record include to meet Centers for Medicare and Medicaid Services (CMS) requirements? - ANSWER - Minimum Data Set (MDS) A state hospital system is collecting information on inpatient discharges from hospitals in the central part o f a state.Which database should the hospital system use to collect this data? - ANSWER - Uniform Hospital Discharge Data Set (UHDDS) Which data type is a cardiac catheterization examination note an example of? - ANSWER - Unstructured data A paragraph in a physician's order specifies information about a patient's discharge. Which type of data is described in this scenario? - ANSWER - Unstructured
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