Question 1

When an error has been made and you need to correct a medical record,what must be done?

Accepted Answer

A)  Use Wite-Out to cover the error and rewrite. 
B)  Use a single red line and your initials. 
C)  Cross out with a black pen. 
D)  Do nothing and continue writing. 
A)  Use Wite-Out to cover the error and rewrite. 
B)  Use a single red line and your initials. 
C)  Cross out with a black pen. 
D)  Do nothing and continue writing.

Question 2

Which type of practitioners are least likely to use EMRs?

Accepted Answer

A)  Solo practitioners 
B)  Multi-provider clinics 
C)  Primary care practitioners 
D)  Specialty providers 
A)  Solo practitioners 
B)  Multi-provider clinics 
C)  Primary care practitioners 
D)  Specialty providers

Question 3

The middle pair of digits in the middle-digit filing system are considered which of the following?

Accepted Answer

A)  Primary 
B)  Secondary 
C)  Third 
D)  None of the above 
A)  Primary 
B)  Secondary 
C)  Third 
D)  None of the above

Question 4

MATCHING
Match the following choices with the statements below.

-used when a limited number of files is accessed

Accepted Answer

A) alphabetic filing 
B) numeric filing 
A) alphabetic filing 
B) numeric filing

Question 5

Which of the following is a coding system NOT commonly used in ambulatory care centers?

Accepted Answer

A)  Alphabetic 
B)  Geographic 
C)  Numeric 
D)  Subject 
A)  Alphabetic 
B)  Geographic 
C)  Numeric 
D)  Subject

Question 6

Which of the following is the appropriate place for filing an item that does not have enough in number to warrant an individual folder?

Accepted Answer

A)  Incoming correspondence 
B)  Outgoing correspondence 
C)  Miscellaneous 
D)  Dead letter 
A)  Incoming correspondence 
B)  Outgoing correspondence 
C)  Miscellaneous 
D)  Dead letter

Question 7

Which type of medical record has data filed strictly with the most recently charted materials at the top of the folder?

Accepted Answer

A)  Problem-oriented medical record (POMR) 
B)  Source-oriented medical record (SOMR) 
C)  Strict chronological arrangement 
D)  SOAP 
A)  Problem-oriented medical record (POMR) 
B)  Source-oriented medical record (SOMR) 
C)  Strict chronological arrangement 
D)  SOAP

Question 8

Which of the following is considered to be a HIPAA standard in regard to EMRs?

Accepted Answer

A)  Firewalls and anti-virus measures must block unauthorized access. 
B)  Passwords are to be hidden when entered and are not shared with anyone. 
C)  The number of invalid entries to access information must be limited. 
D)  All of the above. 
A)  Firewalls and anti-virus measures must block unauthorized access. 
B)  Passwords are to be hidden when entered and are not shared with anyone. 
C)  The number of invalid entries to access information must be limited. 
D)  All of the above.

Question 9

MATCHING
Match the following choices with the statements below.

-labels assigned to each file

Accepted Answer

A) alphabetic filing 
B) numeric filing 
A) alphabetic filing 
B) numeric filing

Question 10

Which of the following is considered primary information found on an outguide?

Accepted Answer

A)  Full name of the doctor 
B)  Diagnosis of the patient 
C)  Person having possession 
D)  Reason chart was removed 
A)  Full name of the doctor 
B)  Diagnosis of the patient 
C)  Person having possession 
D)  Reason chart was removed

Question 11

Which of the following statements does NOT best describe the importance of accurate medical records?

Accepted Answer

A)  They are essential to patient care. 
B)  They assist in controlling the costs of medical care. 
C)  They may be released without a patient's knowledge. 
D)  They are needed to provide referrals. 
E)  They maintain a conscientious record of patient care. 
A)  They are essential to patient care. 
B)  They assist in controlling the costs of medical care. 
C)  They may be released without a patient's knowledge. 
D)  They are needed to provide referrals. 
E)  They maintain a conscientious record of patient care.

Question 12

Which of the following is used in numeric filing as a journal or computer listing in which numbers are preassigned?

Accepted Answer

A)  Accession record 
B)  Alphabetic card file 
C)  Serial file 
D)  Consecutive file 
A)  Accession record 
B)  Alphabetic card file 
C)  Serial file 
D)  Consecutive file

Question 13

Which method of arranging charts uses a page that lists vital identification data,immunizations,allergies,medications,and problems?

Accepted Answer

A)  Problem-oriented medical record (POMR) 
B)  Source-oriented medical record (SOMR) 
C)  Strict chronological arrangement 
D)  Shingling 
A)  Problem-oriented medical record (POMR) 
B)  Source-oriented medical record (SOMR) 
C)  Strict chronological arrangement 
D)  Shingling

Question 14

Which of the following would apply to the legal standard if there is no written record of a temperature,a visit,a history,a physical,or a lab report?

Accepted Answer

A)  It was not written down, so it did not happen. 
B)  The court will take the patient's word for it. 
C)  The court will take the provider's word for it. 
D)  The court will make the decision as to whether or not it happened. 
A)  It was not written down, so it did not happen. 
B)  The court will take the patient's word for it. 
C)  The court will take the provider's word for it. 
D)  The court will make the decision as to whether or not it happened.

Question 15

A unit identifies each part of a name. The key unit is also known as what?

Accepted Answer

A)  No unit 
B)  Unit 1 
C)  Unit 2 
D)  Unit 3 
A)  No unit 
B)  Unit 1 
C)  Unit 2 
D)  Unit 3

Question 16

What is the most common document that will be a part of the patient chart?

Accepted Answer

A)  Clinical notes 
B)  Correspondence 
C)  Lab reports 
D)  All of the above 
A)  Clinical notes 
B)  Correspondence 
C)  Lab reports 
D)  All of the above

Question 17

When using a tickler file,what should be listed on the reminder?

Accepted Answer

A)  Tickler date 
B)  Required action 
C)  Patient name 
D)  All of the above 
A)  Tickler date 
B)  Required action 
C)  Patient name 
D)  All of the above

Question 18

Which of the following best describes the captions marked on the tabs of the guides?

Accepted Answer

A)  Single, complex 
B)  First, second 
C)  Single, double 
D)  Name, address 
A)  Single, complex 
B)  First, second 
C)  Single, double 
D)  Name, address

Question 19

MATCHING
Match the following choices with the statements below.

-equally distributed files

Accepted Answer

A) alphabetic filing 
B) numeric filing 
A) alphabetic filing 
B) numeric filing

Question 20

Which of the following file cabinet types is most popular with a manual patient record system?

Accepted Answer

A)  Vertical files 
B)  Movable files 
C)  Open-shelf lateral files 
D)  Horizontal files 
A)  Vertical files 
B)  Movable files 
C)  Open-shelf lateral files 
D)  Horizontal files

Exam 14: Medical Records Management

When an error has been made and you need to correct a medical record,what must be done?

Which type of practitioners are least likely to use EMRs?

The middle pair of digits in the middle-digit filing system are considered which of the following?

MATCHING Match the following choices with the statements below. -used when a limited number of files is accessed

Which of the following is a coding system NOT commonly used in ambulatory care centers?

Which of the following is the appropriate place for filing an item that does not have enough in number to warrant an individual folder?

Which type of medical record has data filed strictly with the most recently charted materials at the top of the folder?

Which of the following is considered to be a HIPAA standard in regard to EMRs?

MATCHING Match the following choices with the statements below. -labels assigned to each file

Which of the following is considered primary information found on an outguide?

Which of the following statements does NOT best describe the importance of accurate medical records?

Which of the following is used in numeric filing as a journal or computer listing in which numbers are preassigned?

Which method of arranging charts uses a page that lists vital identification data,immunizations,allergies,medications,and problems?

Which of the following would apply to the legal standard if there is no written record of a temperature,a visit,a history,a physical,or a lab report?

A unit identifies each part of a name. The key unit is also known as what?

What is the most common document that will be a part of the patient chart?

When using a tickler file,what should be listed on the reminder?

Which of the following best describes the captions marked on the tabs of the guides?

MATCHING Match the following choices with the statements below. -equally distributed files

Which of the following file cabinet types is most popular with a manual patient record system?

The Medical Assisting Profession

Health Care Settings and the Health Care Team

History of Medicine

Coping Skills for the Medical Assistant

Therapeutic Communication Skills

The Therapeutic Approach to the Patient With Life-Threatening Illness

Legal Considerations

Ethical Considerations

Emergency Procedures and First AID

Creating the Facility Environment

Computers in the Ambulatory Care Setting

Telecommunications

Patient Scheduling

Written Communications

Medical Documents

Medical Insurance

Medical Insurance Coding

Daily Financial Practices

Billing and Collections

Accounting Practices

The Medical Assistant As Clinic Manager

The Medical Assistant As Human Resources Manager

Preparing for Medical Assisting Credentials

Employment Strategies

Filters