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The acceptable method for correcting an error in the (hard copy) medical

record includes:

A. Date, initial and / or sign the correction

B. Remove the page with the error and recopy the correct information on to a clean sheet

C. Draw a single line through the incorrect information

D. Write the correct information above the incorrect information

Group of answer choices

A, C, D

A,B,C

B, C, D

A, B, D

all of the above

The purpose of documentation includes:

a. records chronology of patient care

b. meet accreditation and licensure standards

c. provides for continuity of patient care

d. basis for reimbursement

e. facilitates communication among all caregivers

Group of answer choices

all of the above

a, b, d

a, b, c

c, d, e

Record retention depends upon factors such as statutes of limitation, state statutes and various standards and regulations promulgated by:

a. The Joint Commission (or other accrediting body)

b. Occupational Safety and Health Administration (OSHA)

c. Physician Preference

d. Federal /State reimbursement requirement guidelines - i.e. Medicare/Medicaid

e. Healthcare and provider licensure requirements

Group of answer choices

a, b, d, e

a, b, c, e

a, c, d, e

a, b, c, d

all of the above

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