Chapter 14 Medical Records Managment

18 Questions | By Bstetson45 | Last updated: Mar 19, 2022 | Total Attempts: 524

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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.

Questions and Answers

1.

Why is accurate, up to dat, complete documention in the patient medical records essential in the ambulatory care setting?
2.

List four advantages of EMRs
3.

What does SOAP stand for?
4.

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

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
6.

Medical records are important for many reasons. They provide information for medical care, legal protection, and research papers.
- A.
  
  True
- B.
  
  False
7.

It is acceptable to realse medical information to family members as long as they can show proper picture identification.
- A.
  
  True
- B.
  
  False
8.

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
9.

All medical filing systems use the alphabetic filing system.
- A.
  
  True
- B.
  
  False
10.

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
11.

State statues have ruled that medical records are the property of the
- A.
  
  State medical society
- B.
  
  One who created them
- C.
  
  Patient only
12.

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
13.

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
14.

EMR stands for
- A.
  
  Emergeny room
- B.
  
  A popular color coding systems trade name
- C.
  
  Electronic medical records
- D.
  
  Emergency medical rules
15.

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
16.

The most common method of filing in todays medical office is
- A.
  
  Alphabetically
- B.
  
  Numerically
- C.
  
  By insurance
- D.
  
  By subject
17.

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
18.

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