Discuss the assigned clinical scenario below. You are the nurse
Chapter 4 The Medical Record Assignment: 210-14 MATCHING TERMS Match each term with the correct definition 1. The Patient Record a. the owner of the medical record 2. OIG b. 86.9% 3. Physician documentation c. 4% 4. The provider d. The HIPAA Security Rule 5. The percent of office-based physicians using any EMR system in the USA today e. 1% 6. Providers who had not adopted certified EMR systems by 2015 had their Medicare reimbursements reduced by f. authentication 7. Providers who had not adopted certified EMR systems by 2018 had their Medicare reimbursements reduced by g. the Office of Inspector General 8. Establishes a set of security standards for protecting Protected Health Information (PHI) stored or transferred electronically h. documenting the care of the patient 9. “If it’s not documented…” i. SOAP notes 10. Records that document patient care are considered… j. It’s a business record and a legal record. 11. All patient record entries require… k. “…it never happened”
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