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Chapter 14 Medical Records Managment

18 Questions  I  By Bstetson45
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  • 1. 
    Which of the following is not an important skill to have when filing?
    • A. 

      You should know the alphabet

    • B. 

      You should know the basic rules of filing

    • C. 

      You should pay attention to details

    • D. 

      You should be good at math


  • 2. 
    Medical records are important for many reasons. They provide information for medical care, legal protection, and research papers.
    • A. 

      True

    • B. 

      False


  • 3. 
    It is acceptable to realse medical information to family members as long as they can show proper picture identification.
    • A. 

      True

    • B. 

      False


  • 4. 
    The standard in court is if that there is no record of information related to the appointment, including care and treatment of that patient, then it didnt happen.
    • A. 

      True

    • B. 

      False


  • 5. 
    All medical filing systems use the alphabetic filing system.
    • A. 

      True

    • B. 

      False


  • 6. 
    Why is accurate, up to dat, complete documention in the patient medical records essential in the ambulatory care setting?

  • 7. 
    List four advantages of EMRs

  • 8. 
    What does SOAP stand for?

  • 9. 
    The most important reason for using numeric filing is that
    • A. 

      It perserves patient confidentiality

    • B. 

      A larger number of records can be filed

    • C. 

      A computer can more readily read numeric filing tablets


  • 10. 
    State statues have ruled that medical records are the property of the
    • A. 

      State medical society

    • B. 

      One who created them

    • C. 

      Patient only


  • 11. 
    Any information to be released from the medical record
    • A. 

      Goes to the medical insurance

    • B. 

      Requires a providers signature

    • C. 

      Requires patient notification and approval

    • D. 

      Requires a subpoena


  • 12. 
    Filing equipment
    • A. 

      Should have a locking capability

    • B. 

      Is available in vertical or lateral styles

    • C. 

      Is to be stored in an area accessible only to authorized personnel

    • D. 

      All of the above


  • 13. 
    EMR stands for
    • A. 

      Emergeny room

    • B. 

      A popular color coding systems trade name

    • C. 

      Electronic medical records

    • D. 

      Emergency medical rules


  • 14. 
    If a patient needs to return for another examination in six months, you might use the reminder system. what is the name of this system?
    • A. 

      Reminder system

    • B. 

      Recall system

    • C. 

      Phone log

    • D. 

      Tickler system

    • E. 

      Out-guide


  • 15. 
    The most common method of filing in todays medical office is
    • A. 

      Alphabetically

    • B. 

      Numerically

    • C. 

      By insurance

    • D. 

      By subject


  • 16. 
    The best method to use for making a correction in a paper medical record is
    • A. 

      Use "white out "

    • B. 

      Scribble over the error with a maic marker

    • C. 

      Puts "x's" through the error

    • D. 

      Draw a single line through the error, make the correction, write "CORR" or "CORRECTION" above the area corrected, and addyour initals and date


  • 17. 
    Identifiable patient information that should not appear on the outside of the chart would include
    • A. 

      Patients address

    • B. 

      Patients social

    • C. 

      Patients birthday

    • D. 

      All of the above


  • 18. 
    What are the 5 c's of accurate medical records

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