Exam 11: The Health Record

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An electronic health record system conceivably could hold all the patients seen over the life of a physician's practice.

(True/False)
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An aggregate of activities designed to ensure adequate quality is called quality control.

(True/False)
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When a patient is transferred from one facility to another, __________ of care ensures that no lapses in treatment occur and that transitions are smooth.

(Short Answer)
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__________ information is provided by the patient.

(Short Answer)
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How would you properly index the name "Amanda M. Stiles-Duncan" for filing?

(Multiple Choice)
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The type of record created by an entity that is a single organization involved in the patient's care is an electronic __________ record.

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

(Short Answer)
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PHI stands for "private health information."

(True/False)
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Deciding where to file a particular chart based on the patient's name is called __________.

(Short Answer)
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The EMR relates to more than one healthcare organization.

(True/False)
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Charge capture relates to charges for missed appointments.

(True/False)
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The "R" entry in the SOAPER charting method means

(Multiple Choice)
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Any of a set of physical properties, the value of which determines characteristics or behavior, is called a(n) __________.

(Short Answer)
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When documents are added to a patient's chart, the most recent information should be placed on top.

(True/False)
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The medical assistant should consider which of the following when selecting filing equipment?

(Multiple Choice)
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A correction to a medical record can be made by

(Multiple Choice)
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The process of moving an active file to inactive status is called

(Multiple Choice)
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A standard, nationwide rule must be followed in establishing a records retention schedule.

(True/False)
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A strong, highly glazed composition paper or heavy card stock is called

(Multiple Choice)
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Which of the following is not objective information?

(Multiple Choice)
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