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MRD Questions

The document discusses the roles and responsibilities in a medical record department, including the role of health information management professionals in coding records, the types of records maintained, privacy laws like HIPAA, the purpose of medical coding, auditing records for accuracy, and benefits of electronic health records like improved accessibility. It also provides answers to questions on these topics.

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drdheeeerendraverma
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3K views

MRD Questions

The document discusses the roles and responsibilities in a medical record department, including the role of health information management professionals in coding records, the types of records maintained, privacy laws like HIPAA, the purpose of medical coding, auditing records for accuracy, and benefits of electronic health records like improved accessibility. It also provides answers to questions on these topics.

Uploaded by

drdheeeerendraverma
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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1.

What is the role of the Health Information Management (HIM) professional in the
Medical Record Department?
a) Patient diagnosis and treatment
b) Coding and classifying medical records
c) Managing hospital finances
d) Cleaning and maintaining hospital facilities

2. Which of the following is NOT a type of patient record commonly found in the
Medical Record Department?
a) Electronic Health Record (EHR)
b) Paper-based record
c) Video recordings of patient consultations
d) Radiology images

3. In the context of medical record confidentiality, what does "HIPAA" stand for?
a) Health Insurance Portability and Accountability Act
b) Hospital Information Privacy and Access Act
c) Healthcare Information Protection and Administration Act
d) Hospital Inpatient Privacy and Access Act

4. What is the purpose of medical coding in the Medical Record Department?


a) Assigning alphanumeric codes to medical procedures and diagnoses & storing
paper records in alphabetical order
b) Scheduling patient appointments
c) Creating patient treatment plans

5. What is the term for the process of reviewing medical records to ensure accuracy and
completeness?
a) Documentation
b) Coding
c) Auditing
d) Billing

6. Which of the following is an advantage of using Electronic Health Records (EHRs) in


the Medical Record Department?
a) Lower cost
b) Enhanced security
c) Improved accessibility
d) Limited data storage capacity

Answers:
1. b) Coding and classifying medical records
2. c) Video recordings of patient consultations
3. a) Health Insurance Portability and Accountability Act
4. a) Assigning numeric codes to medical procedures and diagnoses
5. c) Auditing
6. c) Improved accessibility
1. True or False: Electronic Health Records (EHRs) have completely replaced paper-
based medical records in all healthcare facilities.
2. True or False: Patient medical records must be kept confidential and can only be
accessed by authorized personnel.
3. True or False: Medical Record Departments are responsible for coding diagnoses and
procedures for billing purposes.
4. True or False: The release of medical records to a patient or authorized parties does
not require written consent.
5. True or False: Medical records are typically kept for a fixed period, after which they
are destroyed.
6. True or False: The Medical Record Department is responsible for tracking and
managing patient appointments.
7. True or False: The Health Insurance Portability and Accountability Act (HIPAA)
regulations do not apply to the management of medical records.
8. True or False: Medical record professionals are not responsible for ensuring the
accuracy and completeness of patient records.
9. True or False: The Medical Record Department plays a crucial role in quality
improvement and research efforts within a healthcare facility.
1. The primary purpose of a medical record is to _______________ information about a
patient's medical history and treatment.
Answer: document
2. The process of organizing, storing, and retrieving medical records is known as
_______________.
Answer: medical records management
3. The Health Insurance Portability and Accountability Act (HIPAA) ensures the
_______________ of patient medical records.
Answer: privacy and security
4. The release of patient information to individuals or entities not involved in the
patient's care typically requires a signed _______________ from the patient.
Answer: authorization
5. A _______________ is a document that summarizes a patient's stay in the hospital,
including diagnoses, procedures, and outcomes.
Answer: discharge summary
6. A _______________ is a standardized classification system used to code medical
diagnoses and procedures for billing and statistical purposes.
Answer: coding system
Short Notes

1. What is the primary purpose of a medical record department in a healthcare


facility?
2. What are the key components of a patient's medical record?
3. How are medical records organized and stored in a medical record
department?
4. Why is patient confidentiality important in the medical record department?
5. What is the role of health information technicians in the medical record
department?
6. How are electronic health records (EHRs) different from traditional paper
records in a medical record department?
7. How does the medical record department contribute to healthcare quality
improvement?

Long Note:

1. 2. Explain the importance of maintaining accurate and complete medical records


in patient care. How do these records support healthcare providers in making
informed decisions and delivering quality care?

2. Discuss the transition from paper-based medical records to electronic health


records (EHRs) in medical record departments. What are the advantages and
challenges associated with this transition?

3. Explore the legal and ethical aspects of patient confidentiality in the medical
record department. Discuss briefly different types of consent in healthcare.

4. What is ICD-10? Discuss the significance of coding and indexing in medical


records.

5. Discuss the impact of technology on the future of medical record departments.


How can Artificial Intelligence streamline record management and data analysis?

6. Describe the measures taken by the medical record department to ensure the
security and privacy of patient records. What safeguards and policies are in place
to protect against data breaches and unauthorized access?

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