Question 1

The advantages of using the color-coding filing system are the following:

Accepted Answer

A)  a misfiled record is easily spotted even from a distance. 
B)  the use of color visually restricts the area of search for a specific record. 
C)  you can use either the alphabetic or numeric color-coding system. 
D)  All of the above 
A)  a misfiled record is easily spotted even from a distance. 
B)  the use of color visually restricts the area of search for a specific record. 
C)  you can use either the alphabetic or numeric color-coding system. 
D)  All of the above

Question 2

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

Accepted Answer

A) True 
 B)False

Question 3

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

Accepted Answer

Obliteration
Obliteration is t

Question 4

Outguides are heavy guides used to replace a folder that has been removed temporarily.

Accepted Answer

A) True 
 B)False

Question 5

Match the EHR acronym with all the appropriate definitions. (Select all that apply.)

Accepted Answer

A)  Electronic record of health-related information 
B)  Defined by the ONC 
C)  Created and managed by authorized clinicians and staff from more than one healthcare organization 
D)  Conforms to nationally recognized interoperability standards 
E)  Can be drawn from multiple sources
F) Managed, shared, and controlled by the individual
G) Created and managed by authorized clinicians and staff within a single healthcare organization 
A)  Electronic record of health-related information 
B)  Defined by the ONC 
C)  Created and managed by authorized clinicians and staff from more than one healthcare organization 
D)  Conforms to nationally recognized interoperability standards 
E)  Can be drawn from multiple sources
F) Managed, shared, and controlled by the individual
G) Created and managed by authorized clinicians and staff within a single healthcare organization

Question 6

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

Accepted Answer

A) True 
 B)False

Question 7

Information that is gained by questioning the patient or that is taken from a form is called ________________ information.

Accepted Answer

A)  confidential 
B)  subjective 
C)  objective 
D)  necessary 
A)  confidential 
B)  subjective 
C)  objective 
D)  necessary

Question 8

Files still must be purged annually when an EHR system is used.

Accepted Answer

A) True 
 B)False

Question 9

HITECH Act stands for Health Information Technology for Economic and Clinical Health Act.

Accepted Answer

A) True 
 B)False

Question 10

Additional training on the EHR system is needed to run it at full __________.

Accepted Answer

capacity
The initial training

Question 11

The medical assistant should expect __________ from some patients, who may worry that their information is being put "out on the Internet."

Accepted Answer

concerns
The medical assistant

Question 12

Medical records offer protection to the physician during legal proceedings if they are accurate and complete.

Accepted Answer

A) True 
 B)False

Question 13

Match the PHR acronym with all the appropriate definitions. (Select all that apply.)

Accepted Answer

A)  Electronic record of health-related information 
B)  Defined by the ONC 
C)  Created and managed by authorized clinicians and staff from more than one healthcare organization 
D)  Conforms to nationally recognized interoperability standards 
E)  Can be drawn from multiple sourcesf. Managed, shared, and controlled by the individual
F) Created and managed by authorized clinicians and staff within a single healthcare organization 
A)  Electronic record of health-related information 
B)  Defined by the ONC 
C)  Created and managed by authorized clinicians and staff from more than one healthcare organization 
D)  Conforms to nationally recognized interoperability standards 
E)  Can be drawn from multiple sourcesf. Managed, shared, and controlled by the individual
F) Created and managed by authorized clinicians and staff within a single healthcare organization

Question 14

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 15

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 16

A process of electronic data entry of medical practitioner or provider instructions for the treatment of patients is called _______________.

Accepted Answer

computerized physician/provider order en

Question 17

Remember that all backup systems need __________ to run.

Accepted Answer

power
Larger medical clinics o

Question 18

The business care and prudence expected from a person seeking to satisfy a legal requirement under similar circumstances is called ________________.

Accepted Answer

reasonable diligence
Reasonabl

Question 19

Both the physician and staff members must receive training in the use of the EHR system.

Accepted Answer

A) True 
 B)False

Question 20

Match the EMR acronym with all the appropriate definitions. (Select all that apply.)

Accepted Answer

A)  Electronic record of health-related information 
B)  Defined by the ONC 
C)  Created and managed by authorized clinicians and staff from more than one healthcare organization 
D)  Conforms to nationally recognized interoperability standards 
E)  Can be drawn from multiple sources
F) Managed, shared, and controlled by the individual
G) Created and managed by authorized clinicians and staff within a single healthcare organization 
A)  Electronic record of health-related information 
B)  Defined by the ONC 
C)  Created and managed by authorized clinicians and staff from more than one healthcare organization 
D)  Conforms to nationally recognized interoperability standards 
E)  Can be drawn from multiple sources
F) Managed, shared, and controlled by the individual
G) Created and managed by authorized clinicians and staff within a single healthcare organization

Exam 11: The Health Record

The advantages of using the color-coding filing system are the following:

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

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

Outguides are heavy guides used to replace a folder that has been removed temporarily.

Match the EHR acronym with all the appropriate definitions. (Select all that apply.)

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

Information that is gained by questioning the patient or that is taken from a form is called ________________ information.

Files still must be purged annually when an EHR system is used.

HITECH Act stands for Health Information Technology for Economic and Clinical Health Act.

Additional training on the EHR system is needed to run it at full __________.

The medical assistant should expect __________ from some patients, who may worry that their information is being put "out on the Internet."

Medical records offer protection to the physician during legal proceedings if they are accurate and complete.

Match the PHR acronym with all the appropriate definitions. (Select all that apply.)

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

Continuity of care means

A process of electronic data entry of medical practitioner or provider instructions for the treatment of patients is called _______________.

Remember that all backup systems need __________ to run.

The business care and prudence expected from a person seeking to satisfy a legal requirement under similar circumstances is called ________________.

Both the physician and staff members must receive training in the use of the EHR system.

Match the EMR acronym with all the appropriate definitions. (Select all that apply.)

Competency-Based Education and the Medical Assistant Student

The Medical Assistant and the Healthcare Team

Professional Behavior in the Workplace

Therapeutic Communications

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

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

Infection Control

Patient Assessment

Patient Education

Nutrition and Health Promotion

Vital Signs

Assisting with the Primary Physical Examination

Principles of Pharmacology

Pharmacology Math

Administering Medications

Safety and Emergency Practices

Assisting in Ophthalmology and Otolaryngology

Assisting in Dermatology

Assisting in Gastroenterology

Assisting in Urology and Male Reproduction

Assisting in Obstetrics and Gynecology

Assisting in Pediatrics

Assisting in Orthopedic Medicine

Assisting in Neurology and Mental Health

Assisting in Endocrinology

Assisting in Pulmonary Medicine

Assisting in Cardiology

Assisting in Geriatrics

Principles of Electrocardiography

Assisting with Diagnostic Imaging

Assisting in the Clinical Laboratory

Assisting in the Analysis of Urine

Assisting in Blood Collection

Assisting in the Analysis of Blood

Assisting in Microbiology and Immunology

Surgical Supplies and Instruments

Surgical Asepsis and Assisting with Surgical Procedures

Career Development and Life Skills

Filters