EXERCISES, LESSON 4
INSTRUCTIONS: Complete the following exercises by marki ng the lettered response
that best answers the question, or by finishing the incomplete statement, or by writing
the answer in the space provided at the end of the question, or by extracting data from
an Inpatient Treatment Record Cover Sheet (ITRCS) and coding the A&C Form
provided.
After you have completed the exercises, turn to "Solutions to Exercises" at the end
of the lesson and check your answers.
1. The purpose of the Individual Patient Data System is to provide:
a.
__________________________ ___
_____________________________
_____________________________.
b.
_____________________________.
c.
_____________________________
_____________________________.
d.
_____________________________
_____________________________
_____________________________.
2. The purposes of DA Form 2985 (Admission and Coding Information) are:
a.
_____________________________.
b.
_____________________________.
3. Because it is a dual purpose form, DA Form 2985 is known as the
___________ Form.
MD0753
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