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Journal Q&A (10/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: October 02, 2000

Q: Can an emergency room exam serve as an inpatient history and physical?
A: It's important to understand the intent of the standards and regulations for hospitals and the practice standards for content of a history and physical (H&P) exam. The 2000 Joint Commission on Accreditation ....

Journal Q&A (9/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2000

Q: Is it legal to allow physicians within a group practice to authenticate records for each other?
A: This question comes up often in all practice settings, because it has become a common practice to allow physicians to sign for one another. Although regulations and accreditation stan....

Journal Q&A (9/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: September 02, 2000

Q: I have the opportunity to consult for a long-term care facility, though I have never worked in long-term care. What resources should I have?
A: Although there are fundamental HIM practices that apply across different practice settings, it is important to recognize that when you m....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: What is a good source for looking up Internet-related terms?
A: One of the quickest and least expensive ways to look up an unfamiliar Internet term is by doing a search at www.whatis.com.

In addition to explaining terms such as "cookie" and "ISP," ....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: My state's laws say that health information may be made available to researchers who provide written evidence of approval of their projects by an institutional review board (IRB).

What is an IRB?
A: An IRB is any board, committee, or other group formally designated by....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: Should my HIM department accept a subpoena from another state?
A: According to AHIMA's Release and Disclosure: Guidelines Regarding Maintenance and Disclosure of Health Information, "state statutes define the power to issue subpoenas and that power varies from state to stat....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: Where I can find sample policies and procedures for confidentiality, security, and disclosure of patient health information?
A: The Computerized Patient Record Institute (CPRI) and 3Com Corporation have partnered to publish a CPRI toolkit at http://healthcare.3com.com/securitynet/h....

Journal Q&A (7/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: July 02, 2000

Q: Where should informed consent forms for research and research-related access to patient records be filed?
A: As a general rule, records of informed consent or refusal to consent are filed in a patient's record. However, a notebook containing the following information can be valua....

Journal Q&A (5/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 2000

Q: Does the Joint Commission require an RHIT or RHIA to be employed in a hospital's HIM department?
A: The Joint Commission does not specifically require that a RHIT or an RHIA be employed in the HIM department. However, in the Accreditation Manual for Hospitals, standard IM.4 require....

Journal Q&A (5/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: May 02, 2000

Q: Within what time frame are verbal orders required to be authenticated?
A: The Joint Commission on Accreditation of Healthcare Organizations' standard IM.7.7 for hospitals requires that "each verbal order must be dated and identified by the names of the individuals who gave it and....

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