Chapter 10 and 11 Review
How can the EHR function to best help improve a facility's appointment show rate?
The system can be programmed to initiate reminder and confirmation calls to patients
Medical facilities should keep records on minors for how long?
Until the minor reaches the age of majority, plus 3 years
The newest component used to complete transcription and authenticate records is __________ software
Voice recognition
The medical record should only be released with a
Written release from the patient
Advantages of the EHR. System include
ability of the physician to see more patients in a day
For equipment inventory, which of the following should be kept at a central location, available to all users?
Operations Manual
A set of physical properties, the values of which determine characteristics or behavior, is called
Parameters
The physical medical record belongs to the
Physician or provider
A strong highly glazed composition paper or heavy card stock is called
Pressboard
The process f moving an active file to inactive status is called
Purging
Which type of special postal service would you use for a heavy, expensive piece of medical equipment being returned to the manufacturer for a refund?
Registered
The "R" in the SOAPER charting method means
Response
How would you properly index the name " Amanda M Stiles- Duncan" for filing?
Stilesduncan,Amanda M.
Who is responsible for calming patients' fears and concerns about switching to an electronic medical record system?
The entire team at the office
The preferred filing method for a physician's office is
The one preferred by the staff
Who ultimately decides whether a medical record can be released?
The patient
Which statement is not true regarding the reason for keeping accurate medical records?
The patient's family may want to examine the records and correct errors
Who is the legal owner of the information stored in a patient's record
The physician or agency where services were provided
How are corrections made to the electronic health record?
A new entry or addendum must be added close to the original entry with the correct information and the initialed.
Common items that criminals look for in physicians' offices include
Narcotics and cash
What duties should be performed in anticipation of the day at the provider's office?
All of the Above ( Turn on lights, make sure each room is fully stocked, turn on all equipment that will be used.)
Medical assistants can encourage other staff members during a conversion to an electronic health record system by
All of the above ( assisting whenever possible as coworkers perform their duties, welcoming a call for help if asked to provide assistance, working as a team to help clarify confusing technical instructions)
The medical assistant should consider which of the following when selecting filing equipment?
All of the above ( fire protection, cost of space and equipment, confidentiality requirements)
Which of the following is not an advantage of color-coded filing systems?
All of the above are advantages (patient charts can be found quickly, it is easy to tell when a file has been misplaced, patient charts can be re-filed quickly)
Many healthcare facilities now use voice recognition software for transcription. The system can be used to dictate which types of reports?
All of the above( Progress notes, letters, emails)
The advantage of using the color-coded filing system are the following
All of the above( a misfiled record is easily spotted even from a distance, the use of color visually restricts the area of search, you can use either the alphabetic or numeric color coding system)
Disadvantage of the EHR system include
All of the above. ( cost, training time, learning curve)
Which of the following are common types or filing equipment found in a medical office?
All the above( rotary circular files, lateral files , automated files)
An ordered item that has not been delivered when promised or demanded but will be supplied at a later date is said to be
Back ordered
The reorder point for an item is calculated based on
Both A and B ( The number used per day, the number of days it takes to order and receive the product)
Inventory management involves tracking inventory and identifying the quantity of product to purchase. The goal of inventory management is to have adequate supplies on hand to use in the healthcare facility, yet not have too much stock that will expire or take a long time to use.
Both statements are true
If proof of mailing is needed, the medical assistant might ask the post office for:
Certificate of mailing
Many state laws mandate that termination letters be sent by which of the following services?
Certified mail with return receipt
Files for patients who have died, moved away or otherwise terminated their relationship with the physician are called_________ files
Closed
Which EHR system backup is probably the least trouble and requires the least amount of hardware?
Online backup system
Inventories of computer hardware, calculators and copiers for tax purposes are
Depreciated over 5 years
Which statement is not accurate about correcting charting errors?
Draw two clear lines through the error
The type of electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff from more than one healthcare organization is a(n)
EHR
The type of electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff in a single healthcare organization is a(n)
EMR
The "E" in the SOAPER charting method means
Education
Which of the following is not objective information?
Family History
Which of the following is not an advantage of a numeric filing system?
Filing activity is greatest when the system is initiated
How would you properly index the name " Jill Freeman M.D." for filing if you had another patient with the same name but without the title?
Freeman, Jill M.D
What is one of the benefits of using a paper health record?
Good evidence of patient care.
HIPAA recommends that physicians keep the records on patients for at least
HIPAA does not recommend a number of years.
Which of the following is not needed when describing a patient's chief complaint?
How many family members are healthy
For practices that do not use e-prescribing, where should extra prescription pads be stored?
In a locked cabinet
When new stock is added, it should be placed
In the back
A filing system in which an intermediary source of reference, such as a file card, must be consulted to locate specific files is called a(n)___________ system
Indirect filing
In most cases, does the electronic health record system require more or less storage space than a paper filing system?
Less
Which is the man reason for acute back injuries?
Lifting items too heavy for the back to support
Perhaps the most essential action for the medical assistant working with a patient and using an electronic record is to
Make frequent eye contact with the patient and smile
For which of the following products must a physician authorize the order and provide a copy of his or her DEA registration?
Narcotics
The most frequently used follow-up method is a
Tickler file
What is the most important reason for telling the physician when a charting error is discovered later?
To protect the patient's health and well being
A difference among conflicting facts, claims, or opinions is called
discrepancy
A correction to a medical record can be made by
drawing a line through the entry and writing the correct information
Which is the most common service used by healthcare facilities for envelopes and packages weighing up to 13 ounces?
first class mail
Which of the following is a monthly activity?
inventory emergency supplies
Books, manuscripts and computer-recorded items are classified as _______ mail
media
Continuity of care means
medical attention that continues smoothly from one provider to another so that the patient receives the most benefit
Which of the following is not a method of organizing a medical record?
progressively
Information that is gained by questioning the patient or that is taken from a form is called ____________ information
subjective