Dr. Jones has signed a statement that all of her dictated reports should be considered approved and signed unless she makes correction within 72 hours of dictating. This is called _____________.

Study for the Canadian Health Information Management Association (CHIMA) NCE Test. With flashcards and multiple choice questions, each query is clarified with hints and explanations to ensure you're well-prepared for your exam!

The correct term for the situation described is autoauthentication. Autoauthentication is a practice in healthcare documentation that allows a physician's dictated reports to be automatically considered approved and finalized without requiring a manual signature, unless the physician indicates corrections within a specified time frame—in this case, 72 hours. This process streamlines patient record management by reducing delays associated with obtaining physician signatures on reports, thereby improving efficiency while still maintaining oversight on documentation accuracy.

In the context provided, it is essential to understand that autoauthentication is grounded in the principle of timely and effective communication in patient care, allowing healthcare providers to work more efficiently. When a physician utilizes autoauthentication, it is assumed that they have reviewed their reports in a timely manner unless they explicitly indicate otherwise.

The other options do not accurately capture this specific practice. Automatic record completion typically refers to the processes by which records are finalized or completed based on certain criteria, but it does not necessarily involve the physician's consent or the time frame for corrections. Chart tracking refers to the methods of monitoring a patient's chart within a healthcare system, ensuring all aspects are accounted for, and does not imply approval of dictated reports. An electronic signature refers to a digital form of a signature that confirms the identity of the signer and signifies approval but does

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