Question 1

Which statement is not accurate about correcting charting errors?

Accepted Answer

A)  Insert the correction above or immediately after the error. 
B)  Draw two clear lines through the error. 
C)  In the margin,initial and date the error correction. 
D)  Do not hide charting errors. 
A)  Insert the correction above or immediately after the error. 
B)  Draw two clear lines through the error. 
C)  In the margin,initial and date the error correction. 
D)  Do not hide charting errors.

Question 2

Who is the legal owner of the information stored in a patient's record?

Accepted Answer

A)  The patient 
B)  The physician or agency where services were provided 
C)  The patient's insurance company 
D)  Both the patient and the physician 
A)  The patient 
B)  The physician or agency where services were provided 
C)  The patient's insurance company 
D)  Both the patient and the physician

Question 3

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

Accepted Answer

A) True 
 B)False

Question 4

In Subtitle D of the HITECH Act,the privacy and security concerns related to the electronic submission of health information are addressed.

Accepted Answer

A) True 
 B)False

Question 5

Who ultimately decides whether a medical record can be released?

Accepted Answer

A)  The physician 
B)  The office manager 
C)  The medical assistant 
D)  The patient 
A)  The physician 
B)  The office manager 
C)  The medical assistant 
D)  The patient

Question 6

A filing system that uses a combination of letters and numbers is said to be __________.

Accepted Answer

The answer of A filing system that uses a combination...

Question 7

Brochures are helpful for explaining a new EHR system to patients.

Accepted Answer

A) True 
 B)False

Question 8

Which of the following is not objective information?

Accepted Answer

A)  Progress notes 
B)  Family history 
C)  Diagnosis 
D)  Physical examination and findings 
A)  Progress notes 
B)  Family history 
C)  Diagnosis 
D)  Physical examination and findings

Question 9

Physicians can expect reductions in the amounts that they are paid from Medicare and Medicaid if they are not in compliance by 2015.

Accepted Answer

A) True 
 B)False

Question 10

For a record to be admissible as evidence in court,the person dictating or writing the entries must be able to attest that they were true and correct at the time they were written.The best indication of this is the provider's signature or initials on the typed or EHR entry.

Accepted Answer

A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second is false. 
D)  The first statement is false;the second is true. 
A)  Both statements are true. 
B)  Both statements are false. 
C)  The first statement is true;the second is false. 
D)  The first statement is false;the second is true.

Question 11

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

Accepted Answer

A)  Remedies the patient has tried to relieve symptoms 
B)  The duration of pain 
C)  The time when symptoms were first noticed 
D)  How many family members are healthy 
A)  Remedies the patient has tried to relieve symptoms 
B)  The duration of pain 
C)  The time when symptoms were first noticed 
D)  How many family members are healthy

Question 12

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

Accepted Answer

A) True 
 B)False

Question 13

In most cases,does the electronic health record system require more or less storage space than a paper filing system?

Accepted Answer

A)  More 
B)  Less 
C)  About the same 
A)  More 
B)  Less 
C)  About the same

Question 14

PHI stands for "private health information."

Accepted Answer

A) True 
 B)False

Question 15

The physical medical record belongs to the

Accepted Answer

A)  patient. 
B)  physician or provider. 
C)  insurance company. 
D)  All of the above 
A)  patient. 
B)  physician or provider. 
C)  insurance company. 
D)  All of the above

Question 16

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)

Accepted Answer

A)  EMH. 
B)  EHR. 
C)  EMR. 
D)  PHI. 
A)  EMH. 
B)  EHR. 
C)  EMR. 
D)  PHI.

Question 17

The EHR system should be backed up __________.

Accepted Answer

The answer of The EHR system should be backed up...

Question 18

Information picked up bit by bit is said to be __________.

Accepted Answer

The answer of Information picked up bit by bit is...

Question 19

Which EHR system backup is probably the least trouble and requires the least amount of hardware?

Accepted Answer

A)  Online backup system 
B)  External hard drives 
C)  Full server backup 
D)  Thumb drive backup 
A)  Online backup system 
B)  External hard drives 
C)  Full server backup 
D)  Thumb drive backup

Question 20

A(n)__________ file is a follow-up system used to help the medical assistant remember when a certain task needs to be done.

Accepted Answer

The answer of A(n)__________ file is a follow-up system used...

Exam 12: The Health Record

Which statement is not accurate about correcting charting errors?

Who is the legal owner of the information stored in a patient's record?

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

In Subtitle D of the HITECH Act,the privacy and security concerns related to the electronic submission of health information are addressed.

Who ultimately decides whether a medical record can be released?

A filing system that uses a combination of letters and numbers is said to be __________.

Brochures are helpful for explaining a new EHR system to patients.

Which of the following is not objective information?

Physicians can expect reductions in the amounts that they are paid from Medicare and Medicaid if they are not in compliance by 2015.

For a record to be admissible as evidence in court,the person dictating or writing the entries must be able to attest that they were true and correct at the time they were written.The best indication of this is the provider's signature or initials on the typed or EHR entry.

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

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

In most cases,does the electronic health record system require more or less storage space than a paper filing system?

PHI stands for "private health information."

The physical medical record belongs to the

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)

The EHR system should be backed up __________.

Information picked up bit by bit is said to be __________.

Which EHR system backup is probably the least trouble and requires the least amount of hardware?

A(n)__________ file is a follow-up system used to help the medical assistant remember when a certain task needs to be done.

Competency-Based Education and the Medical Assistant Student

The Medical Assistant and the Healthcare Team

Professional Behavior in the Workplace

Therapeutic Communications

Patient Education

Medicine and Law

Medicine and Ethics

Technology and Written Communication in the Medical Office

Telephone Techniques

Scheduling Appointments and Patient Processing

Daily Operations in the Ambulatory Care Setting

Administrative Pharmacology Applications

Basics of Diagnostic Coding

Basics of Procedural Coding

Basics of Health Insurance

Medical Billing and Reimbursement

Patient Accounts,collections and Practice Management

Banking Services and Procedures

Supervision and Human Resources Management

Medical Practice Marketing and Customer Service

Safety and Emergency Practices

Career Development and Life Skills

Filters