AHIMA Health Records Management 1

Question 1

What is the purpose of a health record?

Accepted Answer

To document patient care, support clinical decisions, and serve as a legal document

Answer

Only for billing purposes

Answer

To track employee schedules

Answer

For marketing purposes only

Question 2

What is the difference between EHR and EMR?

Accepted Answer

EMR is a digital version of a single practice's chart; EHR is designed to share information across organizations

Answer

They are exactly the same

Answer

EMR is newer technology

Answer

EHR is only for hospitals

Question 3

What is health information exchange (HIE)?

Accepted Answer

The electronic sharing of health information between organizations according to national standards

Answer

Exchanging paper records between hospitals

Answer

A type of insurance plan

Answer

Email between doctors

Question 4

What is the legal health record?

Accepted Answer

The documentation of healthcare services maintained by an organization that serves as its business and legal record

Answer

Any notes a doctor writes

Answer

Only the billing records

Answer

The patient's personal health journal

Question 5

What is record retention policy?

Accepted Answer

Guidelines specifying how long different types of health records must be kept before destruction

Answer

Keeping all records forever

Answer

Destroying records immediately after discharge

Answer

Retention is optional

Question 6

What is data integrity in health information?

Accepted Answer

The accuracy, completeness, consistency, and reliability of data throughout its lifecycle

Answer

Having a large database

Answer

Data encryption only

Answer

Backing up files