Medical records

Complaints regarding patient privacy must be filed within how many days

180

Which of the following names should be filed first

A Roberts Production

The most efficient type of medical record is the ______ based medical record

Computer

An organization that transmits information in an electronic form

Covered entity

Which of the following is correct

Doe, Mary Jones (Mrs. John L.)

Which statement is not accurate about correcting charting errors

Draw two clear lines through the error

A correction to a medical record can be made by

Drawing a line through the entry and writing the correct information

The E entry in the soaper charting method means

Education

Most healthcare facilities are now interested in

Exceeding standards and providing optimum healthcare to patients

A filling system in which an intermediary source of reference such as a file card must be consulted to locate specific files is called ______ system

Indirect filling

Which of the following is one Demings 14 points for managements 1

Institute training on job

Which of the following is not true about an incidental exposure

It can be reasonably prevented

Which of the following names should be filed first

MacAllister

Which of the following is one Demings 14 points for managements 2

Make sure the the managers work to accomplish the transformation to quality service

Continuity of care means

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

the federal government that enforces privacy standards

Ocr

Who ultimately decides whether a medical record can be released

Patient

Releasing a record with regard to filing it means

Placing a mark indicating that the item is ready for filling

A strong highly glazed composition paper or heavy card stock is called

Pressboard

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

The R entry in the soaper charting method means

Response

Which of the following steps for records release is out of order

Review the record release form with the patient and ask whether the person understands it

The method of filing in which one report is laid on top of the older report resembling a roof is called

Shingling

Information that is gained by questioning the patient or that is taken from a form is called

Subjective

Not truer Complaints OCR regarding privacy violation

The complaint can be made orally or in writing

The preferred filing method for a physician office is

The most preferred by the staff

Which of the following statement is accurate

Variations in the use of healthcare services are common

The newest method used today to complete transcription and authenticate record is

Voice recognition

Which of the response is appropriate when calling a patient after a medical error has been discovered

We'd like you to come into the office to discuss some things that have happened with your care

The parent is not considered the child representative in which of the following cases

When the minor consent to care and the consent of the parent is not required by state law

The most frequently used follow up method is

A tickler file

Which of the following would most likely be a sentinel event

A total power failure in the hospital

Which of the following names should be filed first

A. Martin

The characteristics of high quality data that ensures that multiple users can obtain data at one time is

Accessibility

A situation that is corrected before the patient can be harmed is

Adverse events

An injury caused by a medical management rather than by the patient underlying conditions is

Adverse events

The organization that supports health information personnel is the

Ahima

A temporary or transitory file might be used for

All of the above

An informed consent form must address which of the following

All of the above

Health information professionals perform which of the following on data

All of the above

Healthcare information is used to

All of the above

Many health care facilities now use voice recognition software for transcription The system can be used to dictate which types of reports

All of the above

Quality assurance is concerned with ______ of medical services

All of the above

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

All of the above

The national center for health statistics keeps statistics on

All of the above

When preparing a file for a new patient the medical assistant should

All of the above

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

All of the above

Which of the following is functions of NCHS

All of the above

The advantage of using the color coding filing system are which of the following

All of the above are advantages

How can medical assistant use reasonable care when sending health information via fax

All of the above are correct

Which of the following is not a characteristic of high quality health data

Authenticated

An indication of success and high quality patient care is

Benchmark

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

Closed

Which of the following is not objective information

Family history

Which of the following is not true regarding HIPPA

Few boundaries are set on the use and release of health records

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 Jill Freeman MD. For filling if you had another patient with the same name but without title

Freeman Hill MD

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

The patients family may want to examine the records and correct errors

Who is the legal owner of the information stored in the patient record

The physician or agency where services were provided

The physical medical records belongs

The physician or provider

When information is entered into medical record as soon as it becomes available it is said

Timely

The nonprofit organization that assists healthcare facilities by providing accreditation services is

Tjc

The nchs keeps records on all except

Transplant