Exam 11: The Health Record

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A correction to a medical record can be made by

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The __________ diagnosis is temporary and is made before test results have been received.

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Color coding is used only for patients' records and not for business records.

(True/False)
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The EHR system's __________ component allows the physician's staff to communicate with and send claims electronically to insurance companies.

(Short Answer)
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The process of moving an active file to inactive status is called

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

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__________ information is provided by the patient.

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How are corrections made to the electronic health record?

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Physicians performing consultations still must request paper records on a patient, even if both the referring physician and the consulting physician are using an EHR system.

(True/False)
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Outguides are heavy guides used to replace a folder that has been removed temporarily.

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The EHR billing system can perform online insurance __________ and can capture demographic data.

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The computer-based record has no disadvantages, whereas the paper-based record has numerous disadvantages.

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

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The three basic filing methods are alphabetic, numeric, and alphanumeric.

(True/False)
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A storage method that connects to the back of the main computer and can be unplugged and taken out of the facility is an external __________.

(Short Answer)
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What is the most important reason for telling the physician when a charting error is discovered later?

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The type of record that is created from more than one healthcare organization and can be managed and consulted by licensed clinicians and staff from those organizations who are involved in the patient's care is an electronic __________ record.

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The system is not capable of telling whether a certain procedure matches a specific diagnosis code.

(True/False)
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A computer that functions as a(n) __________ at the medical facility is another form of EHR system backup.

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The most frequently used follow-up method is a

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