Chapter 14 Medical Records Managment

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

    • True
    • False
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Chapter 14 Medical Records Managment - Quiz
About This Quiz

It’s easy to overlook the amount of work that goes into recording your every ailment, injury and trip to the doctor’s office when you don’t have to do it for a living, but in this quiz, we aim to inform you on a lot of the processes for medical assistants who need to manage your medical records.

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  • 2. 

    EMR stands for

    • Emergeny room

    • A popular color coding systems trade name

    • Electronic medical records

    • Emergency medical rules

    Correct Answer
    A. Electronic medical records
    Explanation
    EMR stands for electronic medical records. This refers to a digital version of a patient's medical history, including diagnoses, treatments, medications, and other relevant information. Electronic medical records are used by healthcare professionals to store and access patient data, allowing for efficient and accurate documentation, communication, and decision-making. This technology has revolutionized the healthcare industry by improving patient care, reducing medical errors, and facilitating research and analysis.

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  • 3. 

    The best method to use for making a correction in a paper medical record is

    • Use "white out "

    • Scribble over the error with a maic marker

    • Puts "x's" through the error

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

    Correct Answer
    A. Draw a single line through the error, make the correction, write "CORR" or "CORRECTION" above the area corrected, and addyour initals and date
    Explanation
    The best method to use for making a correction in a paper medical record is to draw a single line through the error, make the correction, write "CORR" or "CORRECTION" above the area corrected, and add your initials and date. This method ensures that the original error is still visible but clearly marked as corrected, and provides a clear record of who made the correction and when it was made. Using "white out" or scribbling over the error with a magic marker can make the record messy and difficult to read, while putting "x's" through the error does not clearly indicate that a correction has been made.

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  • 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.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    This statement suggests that in a court of law, if there is no documented evidence or record of information regarding the appointment, care, and treatment of a patient, it is considered as if it never happened. This implies that without proper documentation, it becomes difficult to prove the occurrence of any medical procedures or actions in a legal setting. Therefore, the answer "True" indicates that the statement accurately reflects the standard in court regarding the absence of documented information.

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  • 5. 

    Identifiable patient information that should not appear on the outside of the chart would include

    • Patients address

    • Patients social

    • Patients birthday

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The identifiable patient information that should not appear on the outside of the chart includes the patient's address, social security number, and birthday. This information is considered sensitive and should be kept confidential to protect the patient's privacy and prevent potential misuse or identity theft. Including all of the above information on the outside of the chart would pose a risk to the patient's privacy and security.

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  • 6. 

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

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is incorrect. It is not acceptable to release medical information to family members solely based on showing proper picture identification. Medical information is protected by privacy laws and can only be released with the patient's consent or in certain specific situations outlined by law. Proper identification alone does not grant access to someone's medical records.

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  • 7. 

    Filing equipment

    • Should have a locking capability

    • Is available in vertical or lateral styles

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

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The correct answer is "all of the above" because the statement mentions three different characteristics that filing equipment should have. It should have a locking capability to ensure the security and confidentiality of the stored documents. It should be available in vertical or lateral styles, providing options for different storage needs. Lastly, it should be stored in an area accessible only to authorized personnel, further enhancing the security measures. Therefore, all three statements are true and make up the correct answer.

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  • 8. 

    Which of the following is not an important skill to have when filing?

    • You should know the alphabet

    • You should know the basic rules of filing

    • You should pay attention to details

    • You should be good at math

    Correct Answer
    A. You should be good at math
    Explanation
    The skill of being good at math is not important when filing because filing primarily involves organizing and categorizing documents based on their content or alphabetical order. Math skills are not directly relevant to this task.

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  • 9. 

    Any information to be released from the medical record

    • Goes to the medical insurance

    • Requires a providers signature

    • Requires patient notification and approval

    • Requires a subpoena

    Correct Answer
    A. Requires patient notification and approval
    Explanation
    When any information needs to be released from a medical record, it is necessary to obtain the patient's notification and approval. This ensures that the patient is aware of the information being released and gives their consent for it to be shared with the medical insurance or any other party. Without the patient's notification and approval, it would be a violation of their privacy to release their medical information.

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  • 10. 

    All medical filing systems use the alphabetic filing system.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement that all medical filing systems use the alphabetic filing system is false. While many medical filing systems do use the alphabetic filing system, there are also other methods used such as numeric filing, which organizes files based on numbers, and subject filing, which organizes files based on specific topics or categories. Therefore, it is not accurate to say that all medical filing systems solely rely on the alphabetic filing system.

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  • 11. 

    The most common method of filing in todays medical office is

    • Alphabetically

    • Numerically

    • By insurance

    • By subject

    Correct Answer
    A. Alphabetically
    Explanation
    The most common method of filing in today's medical office is alphabetically. This means that documents and records are organized and stored in alphabetical order based on the patient's last name. This method allows for easy retrieval and access to patient information, as it follows a logical and familiar system. It also helps in maintaining consistency and efficiency in the medical office's filing system.

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  • 12. 

    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?

    • Reminder system

    • Recall system

    • Phone log

    • Tickler system

    • Out-guide

    Correct Answer
    A. Tickler system
    Explanation
    The tickler system is a method used to remind patients to return for another examination in six months. It helps healthcare providers keep track of upcoming appointments and ensures that patients receive timely reminders. This system is commonly used in medical settings to improve patient compliance and follow-up care.

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  • 13. 

    The most important reason for using numeric filing is that

    • It perserves patient confidentiality

    • A larger number of records can be filed

    • A computer can more readily read numeric filing tablets

    Correct Answer
    A. It perserves patient confidentiality
    Explanation
    Numeric filing is the most important reason for preserving patient confidentiality because it allows for the identification and organization of patient records using a unique numerical system. This system ensures that patient information is kept private and secure, as only authorized personnel who have access to the numerical code can retrieve the records. Unlike alphabetical filing, where patient names are easily identifiable, numeric filing provides an added layer of confidentiality by using numbers instead of names.

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  • 14. 

    State statues have ruled that medical records are the property of the

    • State medical society

    • One who created them

    • Patient only

    Correct Answer
    A. One who created them
    Explanation
    According to state statutes, medical records are considered the property of the one who created them. This means that the healthcare provider or facility that generated the medical records has ownership over them. This is important because it allows the healthcare provider to control access to the records and ensure their confidentiality. It also means that patients may need to request access to their own medical records and may have limited control over them.

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  • 15. 

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

  • 16. 

    List four advantages of EMRs

  • 17. 

    What does SOAP stand for?

  • 18. 

    What are the 5 c's of accurate medical records

Quiz Review Timeline (Updated): Mar 19, 2023 +

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  • Current Version
  • Mar 19, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 15, 2012
    Quiz Created by
    Bstetson45
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