Exam 12: The Health Record

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Medical records offer protection to the physician during legal proceedings if they are accurate and complete.

(True/False)
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Disadvantages of the EHR system include

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

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Medical assistants can encourage other staff members during a conversion to an electronic health record system by

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Who is responsible for calming patients' fears and concerns about switching to an electronic medical record system?

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__________ information is provided by the patient.

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Information contained in an electronic health record usually can be accessed from several different physical places.

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Charge capture relates to charges for missed appointments.

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

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By legal definition,if it isn't charted,then it didn't happen.

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Outguides are heavy guides used to replace a folder that has been removed temporarily.

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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?

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__________ information is observed by the physician.

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Perhaps the most essential action for the medical assistant working with a patient and using an electronic record is to

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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.

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The "E" entry in the SOAPER charting method means

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The type of record created by an entity that is a single organization involved in the patient's care is an electronic __________ record.

(Short Answer)
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Meriting condemnation,responsibility,or blame especially as wrong or harmful is called __________.

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

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The medical record should be released only with a

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