For the "Introduction" module, focus on the Discharge Summary. CMS requires 13 specific fields for a discharge summary to be non-deficient. The most commonly missed ones in EHR Go are:
The Question: "What is the issue with the three daily progress notes?" How to spot it: Identical phrasing, vital signs that don't change over 72 hours, or identical exam findings (e.g., "Abdomen soft/non-tender" repeated verbatim for an ICU patient). The Answer: Medical necessity is not supported due to cloned documentation. ehr go introduction to chart deficiencies answers
The Situation: The deficiency list shows a patient with a flag for "Authentication." The Problem: A physician has created a note (e.g., a Progress Note) but has not signed it. In a real hospital, this might happen if a doctor was called away for an emergency. In EHR Go, the note exists, but the "Signed" status is missing. For the "Introduction" module, focus on the Discharge
How to Fix It:
Navigating the "Introduction to Chart Deficiencies" module in EHR Go can be daunting for nursing and health information management (HIM) students. This simulation software is designed to mimic real-world electronic health records (EHR), and one of its most challenging exercises involves identifying, auditing, and correcting chart deficiencies. Disclaimer: This guide is intended for educational purposes
Whether you are preparing for the NURS 320 quiz, the HIM 225 assignment, or simply trying to understand why a chart is “incomplete,” this guide provides a comprehensive walkthrough. We will break down the core concepts, provide the correct answers to common questions, and explain the clinical rationale so you actually learn the material—not just cheat the system.
Disclaimer: This guide is intended for educational purposes to help students verify their work and understand clinical documentation standards. Always refer to your specific course rubric and instructor feedback.