Select correct statement regarding the disposal of records in a physician's office
Any documnent that indentifies a patient by name should be disposed of in a way that ensures privacy.
First
according to alphabetic filing rules a person's last name is which indexing unit?
Insurance form
the medical assistant may need to abstract data from a patient's medical record as part of completing a(n)
To comply with HIPAA regulations regarding PHI, fluorescent labels
may be placed on the cover of folders and dividers sets used for patient files
Bar code
which of the following is a scannable label used in fililing and inventory systems
electronic health record practice management systems
when a medical practice uses a database to manage everything electronic including communicating with systems outside the office, it is called a/an
all of the above
the complexity of medical decision making is based on
when searching for a missing patient folder
all of the above
Tickler
which of the following is a type of follow-up file used as a reminder for when certain tasks need to be done?
Palpation
During which part of an examination are various body parts and organs touched and felt?
scores
Creases along the front flap of a folder that allow for expansion are known as
Inspection
During which part of an examination are the patient's physical characteristics and body parts observed?
Smieth
According to alphabetic filing , which of the following names would be filed before smith?
centimeters
when documenting measurements for laceration, lesions, burns, and so forth, they commonly appear in
full suspension drawer files
can tip forward if the top drawer are pulled out simultaneously
Label
A sticker that attaches to a tab or other part of a folder is called the
a benefit of an EHR system is
facilitates the documentation process
filed like other surnames, as one indexing unit
when using alphabetic filing rules, last names of prefixes are
Integrated
which record system files all document in chronological order without regard their source?
according to "meaningful use" standard
Government monetary incentives have been offered for eligible providers who have adopted electronic medical record keeping
Outguide
which item is placed in the file drawer or shelf to substitute for a file that has been temporarily removed?
C.A. Albert
According to alphabetic filing rules which name would name would be filed first?
past medical history
childhood diseases and previous illnesses are included in the patient's
Limited by HIPPA to a "reasonable, cost based fee.
the amount that health care organizations can charge for providing patient's with copies of their medical information is
green team
Concerned employees who work together to develop ways to conserve energy, reduce waste and use environmentally friendly products are referred to as a
a detriment of using an EHR system is
disruptions of the Internet may occur.
all of the above
In electronic record management, chart notes may be
considered to be one indexing unit
when using alphabetic filing rules, hyphenated last names are
burns
type, depth, site, and percentage of total body surface are important in documenting
which of the following is (are) an example(s) of a medical report
all of the above
Soap Chart note is an acronym for
Subjective, objective, assessment, plan
Units
in alphabetic filing, names are divided into sections called
It affects the integrity of the medical record
In the age of EMRs, medical record identity theft has been called the "privacy crime that can kill" because:
Thomson
According to alphabetic filing rules, which of the following names would be filed after Thompson?
Electronic medical records can be stored on a/an
all of the above
Cranial nerves
a neurologic examination could require when documenting the condition of which of the following
all of the above
When correcting an entry in an electronic medical record system
Laboratory tests
a. may be performed in the office or by an outside laboratory.
diagnosis
the physician's impression, assessment, or final conclusion of the nature of disease or illness is called the
Having to take documents apart for photocopying
what is disadvantage of shingling documents in a medical record?
external audit
if unusual billing patterns have been observed, government payers or insurance carriers may perform a(n)
Open-shelf lateral files
which type of file cabinets are popular in medical offices because they require less floor space?
vital signs
temperature, pulse, respiration, and blood pressure are recorded as the patient's
on microfilm
filmed records reduced in size to save space are stored
insurance history
the patient's case history will include all of the following elements EXCEPT the
cut
the width of the tab on the back of a folder is known as the
prognosis
the probable outcome of a disease or injury is known as the
Backup
what should be done periodically to protect electronic files in case a power surge, power failure, computer crash or virus occurs?
Medical assistant dictates data
which of following methods of recording data in the medical record is incorrect?
Numeric
what type of filing system might be preferable if privacy and convenience of expansion ate important considerations?