EOPA exam review
________ 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
