Question 1

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

Accepted Answer

A) purging 
B) indexing 
C) coding 
D) conditioning 
A) purging 
B) indexing 
C) coding 
D) conditioning A

Question 2

__________ of an entry in a medical record is never acceptable.

Accepted Answer

Obliteration
Obliteration is the marking out of an entry and is never acceptable in the medical record.

Question 3

The concise account of the patient's symptoms in his or her own words is the __________.

Accepted Answer

chief complaint
The concise account of the patient's symptoms in his or her own words is the chief complaint.

Question 4

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 5

Which of the following is not a method of organizing a medical record?

Accepted Answer

A) Source oriented 
B) Problem oriented 
C) Progressively 
D) Chronologically 
A) Source oriented 
B) Problem oriented 
C) Progressively 
D) Chronologically

Question 6

An informed consent form must address which of the following?

Accepted Answer

A) Risks and benefits of the procedure 
B) Reasonable alternatives to the procedure 
C) Risks and benefits of not performing the procedure 
D) All of the above 
A) Risks and benefits of the procedure 
B) Reasonable alternatives to the procedure 
C) Risks and benefits of not performing the procedure 
D) All of the above

Question 7

Continuity of care means :

Accepted Answer

A) an aggregate of activities designed to ensure adequate quality, especially in manufactured products or in the service industries 
B) a formal examination of an organization's or individual's accounts 
C) medical attention that continues smoothly from one provider to another so that the patient receives the most benefit 
D) granted or endowed with a particular authority 
A) an aggregate of activities designed to ensure adequate quality, especially in manufactured products or in the service industries 
B) a formal examination of an organization's or individual's accounts 
C) medical attention that continues smoothly from one provider to another so that the patient receives the most benefit 
D) granted or endowed with a particular authority

Question 8

The three stages of machine transcription do not include:

Accepted Answer

A) keyboarding the dictated text to a printed document 
B) reviewing the dictated text with the patient 
C) dictating into a dictation unit 
D) listening to what has been dictated 
A) keyboarding the dictated text to a printed document 
B) reviewing the dictated text with the patient 
C) dictating into a dictation unit 
D) listening to what has been dictated

Question 9

The newest component used today to complete transcription and authenticate records is __________ software.

Accepted Answer

A) voice-activated 
B) voice recognition 
C) voice registry 
D) voice-controlled 
A) voice-activated 
B) voice recognition 
C) voice registry 
D) voice-controlled

Question 10

When preparing a file for a new patient, the medical assistant should:

Accepted Answer

A) make sure the patient's name is spelled correctly 
B) review the forms the patient filled out for completeness 
C) copy the insurance card or make sure that insurance information is included 
D) all of the above 
A) make sure the patient's name is spelled correctly 
B) review the forms the patient filled out for completeness 
C) copy the insurance card or make sure that insurance information is included 
D) all of the above

Question 11

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 12

HIPAA recommends that physicians keep the records on patients for at least:

Accepted Answer

A) 1 year 
B) 2 years 
C) 3 years 
D) HIPAA does not recommend a number of years. 
A) 1 year 
B) 2 years 
C) 3 years 
D) HIPAA does not recommend a number of years.

Question 13

The method of filing in which one report is laid on top of the older report, resembling a roof, is called:

Accepted Answer

A) alphanumeric filing 
B) gleaning 
C) shingling 
D) pressboard filing 
A) alphanumeric filing 
B) gleaning 
C) shingling 
D) pressboard filing

Question 14

Subjective information is that which the physician observes during the physical examination of the patient.

Accepted Answer

A) True 
 B)False

Question 15

Entities considered essential or necessary are called __________.

Accepted Answer

requisites
Requisites are nece

Question 16

A(n) __________ schedule is a plan for keeping and purging medical records.

Accepted Answer

retention
A retention schedule

Question 17

Which of the following are 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 18

A folder used to provide space for the temporary filing of materials is a(n) __________.

Accepted Answer

OUTfolder
The OUTfol

Question 19

The most efficient type of medical record is the:

Accepted Answer

A) computer-based medical record 
B) paper-based medical record 
C) both are equally efficient 
D) neither is efficient 
A) computer-based medical record 
B) paper-based medical record 
C) both are equally efficient 
D) neither is efficient

Question 20

Transcription tasks might be outsourced to:

Accepted Answer

A) individuals working at home 
B) a business that offers transcription services 
C) a hospital employee who does extra transcription work 
D) any of the above 
A) individuals working at home 
B) a business that offers transcription services 
C) a hospital employee who does extra transcription work 
D) any of the above

Exam 14: The Paper Medical Record Formerly Medical Records Management

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

__________ of an entry in a medical record is never acceptable.

The concise account of the patient's symptoms in his or her own words is the __________.

Which statement is not accurate about correcting charting errors?

Which of the following is not a method of organizing a medical record?

An informed consent form must address which of the following?

Continuity of care means :

The three stages of machine transcription do not include:

The newest component used today to complete transcription and authenticate records is __________ software.

When preparing a file for a new patient, the medical assistant should:

The physical medical record belongs to the:

HIPAA recommends that physicians keep the records on patients for at least:

The method of filing in which one report is laid on top of the older report, resembling a roof, is called:

Subjective information is that which the physician observes during the physical examination of the patient.

Entities considered essential or necessary are called __________.

A(n) __________ schedule is a plan for keeping and purging medical records.

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

A folder used to provide space for the temporary filing of materials is a(n) __________.

The most efficient type of medical record is the:

Transcription tasks might be outsourced to:

Becoming a Successful Student

The Healthcare Industry

The Medical Assisting Profession

Professional Behavior in the Workplace

Interpersonal Skills and Human Behavior

Medicine and Ethics

Medicine and Law

Computer Concepts

Telephone Techniques

Scheduling Appointments

Patient Reception and Processing

Office Environment and Daily Operations

Written Communications and Mail Processing

The Electronic Medical Record

Health Information Management

Privacy in the Physicians Office

Basics of Diagnostic Coding

Basics of Procedural Coding

Basics of Health Insurance

The Health Insurance Claim Form

Professional Fees, Billing, and Collecting

Banking Services and Procedures

Financial and Practice Management

Medical Practice Management and Human Resources

Medical Practice Marketing and Customer Service

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Patient Assessment

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Vital Signs

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Principles of Pharmacology

Pharmacology Math

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Principles of Electrocardiography

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