Final Chapter 10,11,12

The three basic filing methods are alphabetic, numeric, and alphanumeric.

True

When documents are added to a patient's paper record, the most recent information should be placed on top.

True

Which of the following letters in the ICD-10-CM is reserved by the World Health Organization to assign new diseases with uncertain etiology?

U

Collecting important information from the health record describes which of the following terms?

abstract

____________ is money owed by a company to other companies for services and goods.

accounts payable

How often should the crash cart be inventoried?

after each use and monthly

Diagnostic statements can be found in:

all are correct

How can the medical assistant prevent fires?

all are correct

Medical assistants have the trust of the physician and practice that employs them. A medical assistant must:

all are correct

Medigap polices cover which of the following?

all are correct

The medical assistant should always verify which of the following prior to the patient's appointment?

all are correct

What duties should be performed in anticipation of the day at the provider's office?

all are correct

What is a strategy to secure the environment?

all are correct

What is part of the inventory procedure?

all are correct

When comparing prices from two different companies, what must be considered?

all correct

To check the condition of administrative or clinical equipment certain actions should be taken to ensure they are in working order and won't cause injury to staff or patients. What actions should be taken?

all should be preformed

When performing diagnostic coding you should start in looking in the:

alphabetic index

An order placed for an item that is temporarily out of stock and will be sent at a later time.

backordered

A designated person who receives funds from an insurance policy is:

beneficiary

A list of the fixed fees for services is a:

fee schedule

For equipment inventory, which of the following should be kept at a central location, available to all users?

operations manual

When a medical assistant unpacks an order that arrives, the _______ should be compared to the items in the package.

packing slip

The provider who enters into a contract with an insurance company and agrees to certain rules and regulations is called a ______ provider.

participating

Health insurance typically covers services and procedures considered medically necessary. Most insurance policies also cover "elective" procedures, such as certain cosmetic surgeries, that are not considered medically necessary.

False

PHI stands for "private health information."

False

Subjective information is that which the provider observes during the physical examination of the patient

False

The computer-based record has no disadvantages, whereas the paper-based record has numerous disadvantages.

False

The patient owns the medical record.

False

There are no government managed care plans.

False

Very little statistical information can be gleaned from an EHR system.

False

Which part of Medicare covers inpatient hospital charges?

Part A

Under which of the following Medicare plans for primary care and specialists' services is the patient required to pay a monthly premium?

Part B

Which type of referral is usually processed immediately?

STAT

Which of the following referrals can be approved online when it is submitted through the provider's web portal to the utilization review department?

STAT referral

What is not considered evacuation priorities?

Staff

When using a typical fire extinguisher, what is not a step?

Sweep the nozzle from the top to the base of the fire.

Dependents of military personnel are covered by which of the following government-sponsored health insurance plans?

TRICARE

Veterans of the U.S. armed forces may be covered by:

TRICARE

Which statement is not true regarding the reasons for keeping accurate medical records?

The patient's family may want to examine the records and correct errors.

ICD-10-CM codes are all numbers.

false

Nonessential modifiers must be in the actual diagnostic statement for the code to be used.

false

The "code first" notation can usually be ignored.

false

Mr. Jones's insurance has a $500 deductible and then pays 80% of the charges, how much will his policy pay on his bill of $4,359?

$4359 - $500= $3859 $3,859 ´ 0.8 = $3,087.20.

Babies are considered newborn or perinatal for the first ______ days.

28

ICD-10-CM uses up to ___ characters to identify a disease or injury.

7

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 then initialed.

The Affordable Care Act includes which of the following categories of essential health benefits?

ALL

What is involved with cleaning up the reception area?

ALL

Which of the following managed care plans require preauthorization for medical services such as surgery?

ALL

Which of the following is not an advantage of managed care?

Access to specialized care and referrals is limited.

The medical assistant should consider which of the following when selecting filing equipment?

All are correct

What is considered proper body mechanics?

All are correct

Which of the following are common types of filing equipment found in a medical office?

All are correct

Which of the following is not a disadvantage of managed care?

Authorized services usually are covered.

Which part of Medicare covers prescription drug services?

D

This term is defined as reducing the level or intensity.

De-escalating

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 an individual that can be created, gathered, managed, and consulted only by authorized clinicians and staff in a single healthcare organization is a(n):

EMR

A document sent by the insurance company to the provider and the patient explaining the allowed charge, the amount reimbursed for services, and the patient's financial responsibilities is:

EOB explanation of benefits

Patient sign-in sheets or schedules are used to account for patients. This is part of what critical element of an emergency response plan?

Evacuation policy and procedure

A standard, nationwide rule must be followed in establishing a records retention schedule.

False

Charge capture relates to charges for missed appointments.

False

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.

HIPAA recommends that physicians keep the records on patients for at least:

HIPAA does not recommend a number of years.

Which section of the law, commonly known as the Economic Stimulus Package, pertains to healthcare?

HITECH Act

Which of the following MCOs typically has/have the lowest monthly premiums with lower patient financial responsibility?

HMOs

Which of the following is not needed when describing a patient's chief complaint?

How many family members are healthy

What is the main reason for acute back injuries?

Lifting items too heavy for the back to support

The federal- and state-sponsored health insurance program for the medically indigent is called:

Medicaid

The abbreviation that is the equivalent of "unspecified" is __________

NOS

What is the purpose of routine maintenance of clinical and administrative equipment?

To help to ensure the best performance of the equipment

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 provider can choose whether to accept Medicaid patients.

True

A provisional diagnosis is not a final diagnosis and usually is made before test results are received.

True

By legal definition, if it is not documented, then it did not happen.

True

HITECH Act stands for Health Information Technology for Economic and Clinical Health Act.

True

Main terms appear in bold type.

True

Nearly all of the provider's income is derived from the insurance payments received for services rendered.

True

Numeric filing provides extra confidentiality to medical records.

True

Purchase order numbers are used as a reference by both the vendor and the healthcare facility if questions come up.

True

Reverse chronologic order is where the most recent item is on the top and older items are filed farther back.

True

TRICARE is a form of government insurance for veterans of the U.S. armed forces.

True

The patient's health record should never leave the office.

True

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 true

The source-oriented medical record (SOMR) categorizes the content by its source, such as provider, laboratory, radiology, hospital, and consultation.The problem-oriented medical record (POMR) categorizes each of the patient's problems and elaborates on the findings and treatment plans for all concerns

both true

A formal request for payment from an insurance company for services provided is:

claim

Files for patients who have died, moved away, or otherwise terminated their relationship with the physician are called _____________ files.

closed

A certain percentage of the allowed amount that the policyholder is responsible for is:

co-insurance

A set dollar amount that the policyholder must pay for each office visit is:

copayment

What is not a typical payment method for healthcare supply purchases?

debit card

The amount of money the policyholder pays per claim before the insurance company will pay on the claim is known as the:

deductible

Inventories of computer hardware, calculators, and copiers for tax purposes are:

depreciated over 5 years

Determining the cause of a condition, illness, disease, injury, or congenital defect describes which of the following terms?

diagnosis

A lack of similarity between what is stated and what is found; for instance, the computer inventory count is different than the physical count.

discrepancy

The "E" entry in the SOAPER charting method means:

education

The branch of medicine dealing with the incidence, distribution, and control of disease in a population and prevalence of disease in large populations and with detection of the source and cause of epidemics of infectious disease describes which of the following terms?

epidemiological

__________ are indented under the main term and must be included in the diagnostic statement.

essential modifiers

The study of the causes or origin of diseases describes which of the following terms?

etiology

An example of a man-made emergency event is a communicable disease, which is considered a biological hazard.

false

Buying cycle is defined as the point at which low inventory requires the product to be ordered.

false

Companies that use automated inventory control systems hand count their inventory at least twice a year

false

What is not considered a natural event?

fire

In some managed care plans referrals to a specialist must be approved by the:

gatekeeper

What is not a critical element of an emergency response plan?

hazards in the workplace

The medical assistant should never code a patient as having __________ unless it is clearly documented as confirmed in the medical record.

human immunodeficiency virus

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

Someone who is poor, needy, or impoverished is considered

indigent

A filing system in which an alphabetic cross-reference must be consulted to locate specific files is called a(n) _____________ system.

indirect filing

What are billing statements that list the amount owed for goods or services purchased?

invoices

This type of evacuation involves moving one or more people out of immediate danger.

local evacuation

What must be done when vaccines are stored in a refrigerator?

make sure the door is closed

The signs and symptoms of a disease are its __________.

manifestations

Continuity of care means:

medical attention that continues smoothly from one provider to another so that the patient receives the most benefit.

Accepted healthcare services appropriate for the evaluation and treatment of a disease, condition, illness, or injury and consistent with the applicable standard of care describes which of the following terms?

medically necessary

Services that are needed to improve the patient's current health are considered:

medically necessary

Diagnostic coding was originally developed to study causes of:

morality

For which of the following products must a physician authorize the order and provide a copy of his or her DEA registration?

narcotics

Common items that criminals look for in healthcare facilities include:

narcotics and cash.

A written agreement between two parties, where one party agrees to pay another party if certain specified circumstances occur is a:

policy

A process required by some insurance carriers in which the provider obtains permission to perform certain procedures or services is:

preauthorization

The amount of money paid to keep an insurance policy in force is the:

premium

Service provided to stop certain conditions from occurring or to lead to an early diagnosis are considered:

preventative

Which of the following is not a method of organizing a medical record?

progressively

The process of moving an active file to inactive status is called:

purging

An order from a primary care provider for the patient to see a specialist is a(n):

referral

To make repayment to for expense or loss incurred describes which of the following terms?

reimbursement

What is the correct order of steps to take when a large fire occurs?

rescue, activate ,confine, evacuate

Organizations that fund their own insurance programs offer their employees:

self-funded plans.

An abnormal condition resulting from a previous disease describes which of the following terms?

sequela

Burns are coded by:

site and degree and the body surface involved.

At times, the medical assistant must code a(n) __________ if the physician is not yet sure of the diagnosis.

symptoms

Who is responsible for quality-control tests on equipment at the beginning of the day?

the clinical medical assistant

The reorder point for an item is calculated based on:

the number used per day and the number of days it takes to order and receive the product.

Who ultimately decides whether a medical record can be released?

the patient

The most frequently used follow-up method is a:

tickler file

A neoplasm or new growth is coded by the site or location of the neoplasm and its behavior.

true

Health records offer protection to the provider during legal proceedings if they are accurate and complete.

true

Poor footing, bad body mechanics when lifting, and improper lift can cause back injuries.

true

Routine maintenance helps to ensure the best performance of the equipment. This action should be performed on a regular basis.

true

A review of individual cases by a committee to make sure that services are medically necessary is called a(n):

utilization review.

This type of evacuation involves evacuating people who are located on the floors above and below the situation.

vertical evacuation

A type of insurance that protects workers from loss of wages after an industrial accident that happened on the job is called:

workers compensation

The medical record should be released only with a:

written release from the patient.