Question 1

Match each example of information to the part of the medical record in which it would be found.
-Referral form from another physician

Accepted Answer

A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information 
A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information

Question 2

Most filing systems are based directly or indirectly on a(n) _____ arrangement.

Accepted Answer

A)  chronologic 
B)  alphabetical 
C)  geographic 
D)  subject 
A)  chronologic 
B)  alphabetical 
C)  geographic 
D)  subject

Question 3

Which of the following are simply a collection of medical records compiled and maintained by an individual?

Accepted Answer

A)  electronic medical records (EMRs) 
B)  personal electronic records (PERs) 
C)  electronic health records (EHRs) 
D)  personal health records (PHRs) 
A)  electronic medical records (EMRs) 
B)  personal electronic records (PERs) 
C)  electronic health records (EHRs) 
D)  personal health records (PHRs)

Question 4

Match each term with its definition.
-Indexing

Accepted Answer

A) Privacy Officer 
B) imaging 
C) correction fluid 
D) tickler file 
E) physician's order
F)color coding system
G)clinical trials
H)CHEDDAR
I)cross-index
J)meaningful use performance measures
K)dictated reports 
A) Privacy Officer 
B) imaging 
C) correction fluid 
D) tickler file 
E) physician's order
F)color coding system
G)clinical trials
H)CHEDDAR
I)cross-index
J)meaningful use performance measures
K)dictated reports

Question 5

Match each example of information to the part of the medical record in which it would be found.
-Patient's contact information (address, telephone number, etc.)

Accepted Answer

A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information 
A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information

Question 6

When filing alphabetically, if two names are identical, the address is used to make the filing decision in which order?

Accepted Answer

A)  street, city, state 
B)  state, street, city 
C)  city, state, street 
D)  state, city, street 
A)  street, city, state 
B)  state, street, city 
C)  city, state, street 
D)  state, city, street

Question 7

Which of the following is not an advantage of EHRs?

Accepted Answer

A)  They facilitate coordination of care among providers. 
B)  They completely eliminate the necessity for paper records. 
C)  They can assign CPT and ICD codes at the time of the visit. 
D)  They make chart notes immediately available when a referral is needed. 
A)  They facilitate coordination of care among providers. 
B)  They completely eliminate the necessity for paper records. 
C)  They can assign CPT and ICD codes at the time of the visit. 
D)  They make chart notes immediately available when a referral is needed.

Question 8

When using the POMR method of record keeping, which of the following types of information appear on the same page?

Accepted Answer

A)  medication lists and preventive care lists 
B)  the chief complaint and list chronic problems 
C)  education information provided to the patient, and the review of systems 
D)  the patient profile and list of chronic problems 
A)  medication lists and preventive care lists 
B)  the chief complaint and list chronic problems 
C)  education information provided to the patient, and the review of systems 
D)  the patient profile and list of chronic problems

Question 9

Match each example of information to the part of the medical record in which it would be found.
-Request-of-information letter from a patient's insurance company

Accepted Answer

A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information 
A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information

Question 10

A HIPAA Security Rule audit includes a review of all but which of the following categories?

Accepted Answer

A)  drug authorizations 
B)  organizational requirements 
C)  documentation 
D)  administrative safeguards 
A)  drug authorizations 
B)  organizational requirements 
C)  documentation 
D)  administrative safeguards

Exam 13: The Skeletal System

Match each example of information to the part of the medical record in which it would be found. -Referral form from another physician

Most filing systems are based directly or indirectly on a(n) _____ arrangement.

Which of the following are simply a collection of medical records compiled and maintained by an individual?

Match each term with its definition. -Indexing

Match each example of information to the part of the medical record in which it would be found. -Patient's contact information (address, telephone number, etc.)

When filing alphabetically, if two names are identical, the address is used to make the filing decision in which order?

Which of the following is not an advantage of EHRs?

When using the POMR method of record keeping, which of the following types of information appear on the same page?

Match each example of information to the part of the medical record in which it would be found. -Request-of-information letter from a patient's insurance company

A HIPAA Security Rule audit includes a review of all but which of the following categories?

The Medical Assistant

The Health Care Team and the Medical Environment, Past and Present

Legal Issues

Ethical Issues

Verbal and Nonverbal Communications

Applying Communication Skills

Introduction to Medical Terminology

Understanding and Building Medical Terms of Body Systems

Anatomic Descriptors and Fundamental Body Structure

The Nervous System

The Senses

The Integumentary System

The Muscular System

The Respiratory System

The Circulatory System

The Immune System

The Digestive System

The Urinary System

The Endocrine System

The Reproductive System

Telephone Communications

Written Communications

Operating Computers and Office Equipment

Scheduling Appointments and Receiving Patients

The Medical Record, Documentation, and Filing

Health Insurance

Procedural and Diagnostic Coding

Patient Accounts

Preparing Insurance Claims and Posting Insurance Payments

Patient Billing, Posting Patient Payments, and Collecting Fees

Banking Procedures

Accounts Payable and Accounting Procedures

Infection Control and Medical Asepsis

The Medical History and Patient Screening

Body Measurements and Vital Signs

Preparing for Examinations

The Physical Exam

Specialty Exams and Other Procedures

Obgyn Examinations

Pediatric Examinations

The Physicians Office Laboratory

Specimen Collection and Processing

Blood Specimen Collection

Diagnostic Testing

Cardiology Procedures

Radiology Procedures

Preparing for Surgery

Assisting With Minor Surgery

Pharmacology Fundamentals

Measurement Systems, Basic Mathematics, and Dosage Calculations

Administering Oral and Non-Injectable Medications

Administering Injections and Immunizations

Emergencies in the Medical Office and the Community

First Aid for Accidents and Injuries

Rehabilitation

Nutrition, Exercise, and Healthy Living

Practicum and the Job Search

Maintaining the Office Environment

Filters