EOPA exam review

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________ contracts may require that the copayment be paid at the time of the visit and may not allow providers to bill patients at a later time.

Managed care

_____ file storage is set up with electrically powered or manually controlled file units that move on tracks in the floor.

Movable

Which of the following is NOT one of the rules for alphabetic filing?

Names are filed as first name, middle name, last name.

_______ or failed appointments occur when a patient does not show up to keep an appointment.

No-shows

____ is the most common system for filing medical records.

Numbering

Patient accounting software is also referred to as a_____.

Practice Management System(PMS)

____is a discount that physicians may opt to offer to other physicians, staff, family members, or clergy.

Professional courtesy(PC)

Which of the following would NOT be a step in making a referral using EHRs?

Receptionist copies and sends any needed records before the appointment.

When payments are over_____days past due, they become very difficult to collect.

90

Which of the following would NOT be included in an EHR drop-down menu?

A patient's phone number

Which of the following examples would NOT occur in a medical office that uses a computer-based system?

A prescription is written by hand and given to the patient to take to the pharmacy.

Which of the following is NOT correct about the acronym SOAP charting?

A=Administration

_______ records relate to patients who have been seen in the past few years and are currently being treated.

Active

_____ are illnesses or injuries that patients suddenly experience and require treatment but may not be life-threatening.

Acute conditions

The ________ system uses file labels to denote the patient's name and a color label with the letter of the alphabet to indicate the index unit.

Alpha-Z

Which of the following statements is TRUE?

An office that has converted to an EHR must accommodate other health care facilities that have not yet done so.

Who is responsible for providing technical support related to the EHR?

Companies that sell EHR software

Which procedure would be estimated to take 60 minutes?

Complete physical with an EKG

Which of the following is NOT a recommended step in implementing a successful EHR system?

Create a training program.

_______ time is the length of time the average patient spends in the medical office.

Cycle

The statistic_____is the average number of days that money has been owed to the practice.

Days in AR

Which is the most secure type of electronic signature?

Digital

Which type of signature is an electronic image of a handwritten signature?

Digitized

_______ is the practice of scheduling two patients to be seen during the same time slot without allowing for any additional time in the schedule.

Double booking

In 2003, the Institute of Medicine of the National Academies (IOM) adopted ________ as the preferred and exclusive term to describe all types of computerized medical records.

EHR

Which of the following is an example of an acute condition?

Earache

Which of the following is NOT an advantage of computerized appointment system?

Electronic appointment records are easier to archive.

The_____provides guidelines for collecting an individual's credit information.

Fair Credit Reporting Act

The_____provides a guide for determining the fair collections practice for creditors.

Fair Debt Collection Practices Act of 1978

T/F A blood pressure check should normally take 20 minutes.

False

T/F A receptionist should use leading questions when trying to determine why a patient needs to schedule an appointment.

False

T/F Ambulatory care has been quick to adopt EHR technology.

False

T/F Cruise control systems facilitate the coordination of appropriate time segments for staff, patients, and the practice's available equipment.

False

T/F Discrimination is the process of sorting or grouping patients according to the seriousness of their condition

False

T/F Every office will utilize the same method for appointment scheduling

False

T/F It is recommended that medical professionals use only the term electronic medical record, or EMR.

False

T/F Legally, all medical records should be stored for two years from the time of the last entry.

False

T/F No-go's or failed appointments occur when a patient does not show up to keep an appointment

False

T/F Office hours are usually determined by the medical assistant or office managers in a practice.

False

T/F Patients are responsible, on their own, for scheduling their admissions to the hospital.

False

T/F Prescriptions provided to a patient are typically NOT included in the EHR.

False

T/F The simplest numerical filing method is the terminal-digit filing method.

False

T/F Training offered by software companies related to using the EHR system should be attended by front office staff only.

False

_______ cabinets are used to file documents such as patient records, tax records, insurance policies, and canceled checks.

Fireproof

Which of the following is NOT one of the three types of file storage commonly used in a physician's office?

Fixed

T/F A medical assistant may sometimes need to schedule a referral appointment for a p

True

T/F A personal health record (PHR) is health information that the patient stores electronically on a computer or on a secure central Internet site.

True

T/F A tickler file is used to remind the medical assistant of an event or action that will take place at a future date

True

T/F An open office hours system is the least structured of all the systems

True

T/F An operative report describes a surgical procedure.

True

T/F Backup systems are usually set to run daily in a medical office.

True

T/F Building a free time block into the office daily schedule at the same time each day is very important.

True

T/F Cross-referencing refers to alerting the health worker that a file may be found under another name.

True

T/F Forming a matrix means depicting all unavailable times within a schedule.

True

T/F Ideally, before leaving the office, the patient will schedule his or her next appointment. This routine is known as advance bookin

True

T/F It is critical to document a cancelled or no-show appointment to protect the physician from legal liability

True

T/F It is the responsibility of the medical staff to help their patients become more comfortable with the EHR system.

True

T/F Medical practices may have non-patient appointments to schedule

True

T/F Much of the same information found in a patient's paper chart is found in an electronic chart.

True

T/F Pain or burning on urination is an example of an emergency condition.

True

T/F Paper records must be scanned and entered into the EHR system and flagged for the physician to review.

True

T/F Per HIPAA, all computer users must have their own unique login, consisting of username and password, to access the patient medical records.

True

T/F Some medical practices use manual appointment systems instead of computerized systems.

True

T/F Some offices do NOT allow an employee who is also a patient of the practice to access their own or a family member's records.

True

T/F Some offices have the patient complete a self-addressed postcard reminder to use in an appointment reminder system known as a tickler file

True

T/F The medical assistant has a responsibility to screen a patient correctly and assess the patient's need for immediate treatment.

True

T/F The physician has a legal responsibility to see patients who are actually ill or need emergency care

True

T/F Time patterns are similar to matrixing off time within the schedule to allow for catch-up time or nonscheduled appointments

True

T/F Using EHR, a receptionist can flag a telephone message and send it electronically to another staff member, such as the physician, without needing to leave his or her desk.

True

T/F Wave scheduling provides built-in flexibility to accommodate unforeseen situations, such as patients who require more time with the physician, a late-arriving patient, or the patient who fails to keep an appointment (no-show)

True

______ systems assign a number to patients the first time they are seen or admitted to a hospital.

Unit number filing

______ scheduling provides built-in flexibility to accommodate unforeseen situations, such as patients who require more time with the physician, a late-arriving patient, or the patient who fails to keep an appointment.

Wave

The pegboard system is an antiquated but effective method of documenting patient bills and payment. This system is also called the ________ method.

Write-it-once

Which of the following can NOT be documented in an EHR?

X rays that are 30 years old.

In accordance with HIPAA compliance, the appointment book and schedule must maintain patient ________ at all times.

confidentiality

Due to the large number of files processed in a busy office and the confusion over surnames, ________ of files is recommended.

cross-referencing

The prevailing fee is referred to by insurance companies as the ________ fee.

customary

The ________ section of the POMR contains information about physical examinations, the patient history, and the results of baseline laboratory or diagnostic procedures.

database

The ________is completed on every hospitalized patient and summarizes the hospitalization. It explains why the patient was admitted, a summary of the patient's history, and a review of what occurred during the hospitalization.

discharge summary

Any patient who has been previously seen by the physician is considered a(n) ________ patient.

established

The Health Information Technology for Economic and Clinical Health Act (HITECH) includes ________ for providers who adopt an EHR system and demonstrate its use in ways that can improve quality, safety, and effectiveness of care.

financial incentives

To be absolutely safe, all medical records should be retained _____.

forever

Maintaining ________ with established patients includes making follow-up appointment reminders.

good customer service

Scheduling by ________ is when patients requiring similar procedures and examinations are scheduled during a particular block of time.

grouping procedures

Divider ________ are used to separate files in the drawer or on the shelf.

guides

Converting a paper-based system to an EHR typically

happens over a period of time.

In general, patients will

have different levels of comfort regarding the EHR

The unit-number filing system is most commonly used in _______.

hospitals

A_____is a carryover from the days of manual billing.

ledger card

All of the following are types of numerical filing systems EXCEPT

left- digit numerical filing

The appointment book is a(n) ________ document that records the physician's day and time spent in contact with patients.

legal

In the alphabetic filing system, a married woman is indexed using her ________

legal name

All of the following may be documented in an EHR EXCEPT

letters to or about patients.

Cross-referencing can be a simple but useful tool for finding and avoiding ________ records.

lost

The medical assistant should be sure the schedule depicts all unavailable times, which is known as forming a ________.

matrix

The ________ is responsible for scheduling all patient admissions to the hospital.

medical assistant

A medical office that needed to store medical records, books, and journals would likely use ________ files.

movable

Insurance companies compensate ________ at a higher level.

new patients

Using an EHR, a medical assistant will

not need to worry about missing charts

The patients arrive without an appointment and are generally seen in the order of arrival. A medical office or facility using such a system is said to have ________ office hours.

open

In every medical office, policies and procedures should clearly establish when ________ is appropriate.

overbooking

Listening to the ________ information and requests will help determine the type of appointment that is actually needed

patient's

This should always appear in quotation marks within the medical record

patient's current chief complaint

All blocking out and scheduling in a manual scheduling system should be done in _______.

pencil

The ability of providers to document the patient encounter in the examination room and enter the information into a computer while the patient is present is known as

point of care documentation

Alerts sent to other staff members regarding patient care should always be

professional

To make sure the accounts and entries are correct, the day sheets need to be_____at the end of the day.

reconciled

The patient ________ form usually includes the patient's name, the date of the visit, as well as the patient's age, date of birth (DOB), Social Security number, driver's license number (if applicable), address, and medical insurance information.

registration

A(n) ________ facilitates the coordination of appropriate time segments for staff, patients, and the practice's available equipment.

scheduling system

The ________ filing system assigns the patient a new medical record number with each visit.

serial-number

Payment at the time of _________ is the ideal method of collection.

service

A ________ is a collection problem that requires immediate action because this individual has a balance due and has moved without leaving a forwarding address

skip

The drawback to ________ scheduling is that some patients may not provide enough information about their medical problems at the time the appointment is scheduled.

specified time

With ________ scheduling, the time allocated to each patient will depend upon the reason for the office visit or the type of examination or testing that is to be done.

specified time

Ideally, a physician who saves time using an EHR will then

spend more time on patient care

Patient_________ refers to whether a patient is a new or an established patient for the office.

status

Filing by ________ is used for general files, such as invoices, correspondence, resumes, and personnel records.

subject matter

The first health care organization to utilize an electronic medical record was______.

the Mayo Clinic

A patient is considered "new" if

the patient has not seen a physician within the practice for three years

Much of the patient information contained in an EHR is ________ the contents of a paper medical record.

the same as

_______ file is used to remind the medical assistant of an event or action that will take place at a future date.

tickler

Some offices have the patient complete a self-addressed postcard reminder to use in an appointment reminder system known as a(n) _______.

tickler file

The ________ is a type of e-signature that is commonly used in EHRs.

token signature

The _____-year statute of limitations begins to run at the point of discovery of the damage and the connection between that damage and the treatment.

two

Most states require that all patient records be retained for________ years after the last treatment.

two to seven

If an error is made AFTER the typing process, you should do all of the following EXCET

use a commercial correction fluid

Medical offices that utilize electronic signatures

use signatures based on each individual's login

The purpose of ________ scheduling is to begin and end each hour on time.

wave

Using ________ scheduling, all the patients are told to come in at the beginning of the hour in which they are to be seen.

wave

As with any office policy, a medical record destruction policy should follow a(n) ________ procedure.

written

Which procedure would be estimated to take 15 minutes?

-Well-baby checkup -Dressing change -Blood pressure check

The time estimate for a school physical would be ________ minutes.

15

In ________, Congress passed legislation that made funding available for EHR implementation.

2009

Ideally, a patient will call to cancel an appointment at least ________ hours in advance.

24

Which of the following is NOT one of the three ways medical services can be achieved?

Bartering for services

How is an error within an EHR corrected?

By marking the erroneous information for deletion and entering the new information

How would a medical assistant use the EHR system to send information about a patient to the patient's health insurance company?

By using the EHR system

______ EHR technology gives assurance to purchasers that a specific EHR system provides the features necessary to meet meaningful use criteria.

Certified

These types of records are also referred to as archives.

Closed

____ records are those of patients who have actively terminated their contract with the physician.

Closed

This law protects the confidentiality of patient information.

HIPAA

Which of the following is NOT a rule of alphabetic filing?

Hyphenated names are treated as two units.

In 1999, which of the following organizations raised awareness regarding the prevalence of medical errors?

Institute of Medicine

A(n) ________ system is the least structured of all the scheduling system.

Open office hours

A(n) ________ is maintained by the patient and allows him or her to maintain electronic records of his or her own health information.

PHR

For a physician to easily track the progress of a patient, the ________ system can be used.

POMR

______ filing method is the simplest numerical filing system.

Straight-numeric

Which of the following is NOT true about using mobile devices to access protected health information (PHI)?

These devices are good for long-term storage of PHI.

________ are similar to matrixing off time within the schedule for catch-up time or nonscheduled appointments.

Time patterns

________ is the process of sorting or grouping patients according to the seriousness of their condition.

Triage

Which of the following is NOT one of the several variations used for scheduling?

Triple booking

Ideally, before leaving the office, the patient will schedule his or her next appointment. This routine is known as ________.

advance booking

Which of the following specific office visit procedures would have the MOST estimated time?

allergy testing

Files are ________ by placing the appointment book or backup disks (in the case of electronic appointment scheduling) in a storage container or facility and keeping them for several years as backup documentation

archived

Modified wave scheduling works best for ________ offices that tend to have many appointments of approximately the same length.

busy

Many offices will build in time, known as ________ time, to compensate for the extra time that may be needed.

catch-up

Once a patient's account is in the hands of a_____agency, most offices will terminate the physician-patient relationship.

collection

In large practices with several physicians using a file storage system, each physician may have a folder ________ assigned to him or her.

color

To decrease the number of misfiled charts and aid in file retrieval, many medical record departments use a ________-coded system on their file folder.

color


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