Question 1

Match each example of information to the part of the medical record in which it would be found.
-Copy of a patient's X-ray film

Accepted Answer

A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information 
A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information H

Question 2

Place the steps of filing in the correct order.
-Indexing

Accepted Answer

A) Step 1 
B) Step 2 
C) Step 3 
D) Step 4 
E) Step 5 
A) Step 1 
B) Step 2 
C) Step 3 
D) Step 4 
E) Step 5 B

Question 3

In regards to filing,_____ is done by marking the index identifier on the paper to be filed.

Accepted Answer

A)  indexing 
B)  sorting 
C)  storing 
D)  coding 
A)  indexing 
B)  sorting 
C)  storing 
D)  coding D

Question 4

​Stage 1 of meaningful use focuses on data capture and sharing stage.Match the objectives to the description.Note: Answer may be used more than once.
-​Provide patients with timely electronic access to their health information (including lab results,problem list,medication lists,and allergies)within four business days of the information being available to the EP

Accepted Answer

A) Stage 1-List of Eligible Professional Core Objectives 
B) Stage 1-Eligible Professional Menu Set Objectives 
A) Stage 1-List of Eligible Professional Core Objectives 
B) Stage 1-Eligible Professional Menu Set Objectives

Question 5

A HIPAA Security Rule audit includes a review of all but which of the following categories?

Accepted Answer

A)  drug authorizations 
B)  physical safeguards 
C)  technical safeguards 
D)  administrative safeguards 
A)  drug authorizations 
B)  physical safeguards 
C)  technical safeguards 
D)  administrative safeguards

Question 6

Most filing systems are based directly or indirectly on a(n)_____ arrangement.

Accepted Answer

A)  chronologic 
B)  alphabetical 
C)  geographic 
D)  subject 
A)  chronologic 
B)  alphabetical 
C)  geographic 
D)  subject

Question 7

​In the HPIP (history,physical exam,impression,plan)system of recording medical information,which is considered a subjective finding?

Accepted Answer

A)  ​history 
B)  ​physical exam 
C)  ​impression 
D)  ​plan 
A)  ​history 
B)  ​physical exam 
C)  ​impression 
D)  ​plan

Question 8

​Which of the following is not one of the three components to satisfy meaningful use performance measures?

Accepted Answer

A)  ​the use of a certified EHR technology to track patient demographics 
B)  ​the use of a certified EHR in a meaningful manner 
C)  ​the use of certified EHR technology to submit clinical quality and other measures 
D)  ​the use of certified EHR technology for electronic exchange of health information to improve quality of health care 
A)  ​the use of a certified EHR technology to track patient demographics 
B)  ​the use of a certified EHR in a meaningful manner 
C)  ​the use of certified EHR technology to submit clinical quality and other measures 
D)  ​the use of certified EHR technology for electronic exchange of health information to improve quality of health care

Question 9

​Match the filing steps for medical records to the description.
-​Step Two: requires you to make a decision about the name,subject,or other identifier under which you will file the material

Accepted Answer

A) ​inspecting 
B) indexing 
C) ​coding 
D) ​sorting 
E) ​storing 
A) ​inspecting 
B) indexing 
C) ​coding 
D) ​sorting 
E) ​storing

Question 10

A complete and accurate medical record provides legal protection for:

Accepted Answer

A)  patients 
B)  physicians 
C)  both patients and physicians 
D)  neither patients nor physicians 
A)  patients 
B)  physicians 
C)  both patients and physicians 
D)  neither patients nor physicians

Question 11

Match each example of information to the part of the medical record in which it would be found.
-Patient's insurance policy number

Accepted Answer

A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information 
A) administrative data 
B) financial and insurance information 
C) correspondence 
D) referral 
E) past medical records
F)medications
G)progress notes
H)diagnostic imaging information
I)lab information

Question 12

​Identify equipment and supplies needed in order to store paper medical records.

Accepted Answer

A)  ​shelves and file cabinets 
B)  ​OUTguides 
C)  ​barcodes and scanners 
D)  ​all of the above 
A)  ​shelves and file cabinets 
B)  ​OUTguides 
C)  ​barcodes and scanners 
D)  ​all of the above

Question 13

​Stage 1 of meaningful use focuses on data capture and sharing stage.Match the objectives to the description.Note: Answer may be used more than once.
-​Send patient reminders per patient preference for preventive/follow-up care

Accepted Answer

A) Stage 1-List of Eligible Professional Core Objectives 
B) Stage 1-Eligible Professional Menu Set Objectives 
A) Stage 1-List of Eligible Professional Core Objectives 
B) Stage 1-Eligible Professional Menu Set Objectives

Question 14

Match each term with its definition.
-Chronologic file used as a follow-up method for a particular date

Accepted Answer

A) privacy officer 
B) imaging 
C) correction fluid 
D) tickler file 
E) physician's order
F)color-coding system
G)clinical trials
H)CHEDDAR
I)cross-index
J)meaningful use performance measures
K)dictated reports 
A) privacy officer 
B) imaging 
C) correction fluid 
D) tickler file 
E) physician's order
F)color-coding system
G)clinical trials
H)CHEDDAR
I)cross-index
J)meaningful use performance measures
K)dictated reports

Question 15

​Each filing system has pros and cons.Match the filing system to the "pros" description provided.
-​Easily understood and followed

Accepted Answer

A) ​alphabetic 
B) ​numeric 
C) ​geographic 
D) ​subject 
E) ​chronologic 
A) ​alphabetic 
B) ​numeric 
C) ​geographic 
D) ​subject 
E) ​chronologic

Question 16

Place the steps of filing in the correct order.
-Storing

Accepted Answer

A) Step 1 
B) Step 2 
C) Step 3 
D) Step 4 
E) Step 5 
A) Step 1 
B) Step 2 
C) Step 3 
D) Step 4 
E) Step 5

Question 17

What does the P in SOAP stand for?

Accepted Answer

A)  physician,provider,or medical practice 
B)  patient 
C)  plans for further studies,treatment,or management 
D)  preventive care 
A)  physician,provider,or medical practice 
B)  patient 
C)  plans for further studies,treatment,or management 
D)  preventive care

Question 18

Which filing system provides the most patient privacy?

Accepted Answer

A)  alphabetical 
B)  subject 
C)  numerical 
D)  geographic 
A)  alphabetical 
B)  subject 
C)  numerical 
D)  geographic

Question 19

Match each term with its definition.
-May be used to expedite both filing and finding of folders

Accepted Answer

A) privacy officer 
B) imaging 
C) correction fluid 
D) tickler file 
E) physician's order
F)color-coding system
G)clinical trials
H)CHEDDAR
I)cross-index
J)meaningful use performance measures
K)dictated reports 
A) privacy officer 
B) imaging 
C) correction fluid 
D) tickler file 
E) physician's order
F)color-coding system
G)clinical trials
H)CHEDDAR
I)cross-index
J)meaningful use performance measures
K)dictated reports

Question 20

​Stage 1 of meaningful use focuses on data capture and sharing stage.Match the objectives to the description.Note: Answer may be used more than once.
-​Implement drug formulary checks

Accepted Answer

A) Stage 1-List of Eligible Professional Core Objectives 
B) Stage 1-Eligible Professional Menu Set Objectives 
A) Stage 1-List of Eligible Professional Core Objectives 
B) Stage 1-Eligible Professional Menu Set Objectives

Exam 26: The Medical Record,documentation,and Filing

Match each example of information to the part of the medical record in which it would be found. -Copy of a patient's X-ray film

Place the steps of filing in the correct order. -Indexing

In regards to filing,_____ is done by marking the index identifier on the paper to be filed.

A HIPAA Security Rule audit includes a review of all but which of the following categories?

Most filing systems are based directly or indirectly on a(n)_____ arrangement.

​In the HPIP (history,physical exam,impression,plan)system of recording medical information,which is considered a subjective finding?

​Which of the following is not one of the three components to satisfy meaningful use performance measures?

​Match the filing steps for medical records to the description. -​Step Two: requires you to make a decision about the name,subject,or other identifier under which you will file the material

A complete and accurate medical record provides legal protection for:

Match each example of information to the part of the medical record in which it would be found. -Patient's insurance policy number

​Identify equipment and supplies needed in order to store paper medical records.

​Stage 1 of meaningful use focuses on data capture and sharing stage.Match the objectives to the description.Note: Answer may be used more than once. -​Send patient reminders per patient preference for preventive/follow-up care

Match each term with its definition. -Chronologic file used as a follow-up method for a particular date

​Each filing system has pros and cons.Match the filing system to the "pros" description provided. -​Easily understood and followed

Place the steps of filing in the correct order. -Storing

What does the P in SOAP stand for?

Which filing system provides the most patient privacy?

Match each term with its definition. -May be used to expedite both filing and finding of folders

​Stage 1 of meaningful use focuses on data capture and sharing stage.Match the objectives to the description.Note: Answer may be used more than once. -​Implement drug formulary checks

The Medical Assistant

The Health Care Team and the Medical Environment,past and Present

Legal Issues

Ethical Issues

Verbal and Nonverbal Communications

Applying Communication Skills

Introduction to Medical Terminology

Understanding and Building Medical Terms of Body Systems

Anatomic Descriptors and Fundamental Body Structure

The Nervous System

The Senses

The Integumentary System

The Skeletal System

The Muscular System

The Respiratory System

The Circulatory System

The Immune System

The Digestive System

The Urinary System

The Endocrine System

The Reproductive System

Telephone Communications

Written Communications

The Office Environment, computers, and Equipment

Scheduling Appointments and Receiving Patients

Health Insurance

A Icd-10 Update: Procedural and Diagnostic Coding

Procedural and Diagnostic Coding

Patient Accounts

Preparing Insurance Claims and Posting Insurance Payments

Patient Billing,posting Patient Payments,and Collecting Fees

Banking Procedures

Accounts Payable and Accounting Procedures

Infection Control and Medical Asepsis

The Medical History and Patient Screening

Body Measurements and Vital Signs

Preparing for Examinations

The Physical Exam

Specialty Exams and Other Procedures

Obgyn Examinations

Pediatric Examinations

The Physicians Office Laboratory

Specimen Collection and Processing

Blood Specimen Collection

Diagnostic Testing

Cardiology Procedures

Radiology Procedures

Preparing for Surgery

Assisting With Minor Surgery

Pharmacology Fundamentals

Measurement Systems,basic Mathematics,and Dosage Calculations

Administering Oral and Non-Injectable Medications

Administering Injections and Immunizations

Emergencies in the Medical Office and the Community

First Aid for Accidents and Injuries

Rehabilitation

Nutrition,exercise,and Healthy Living

Practicum and the Job Search

Managing the Office

Filters

In the HPIP (history,physical exam,impression,plan)system of recording medical information,which is considered a subjective finding?

Which of the following is not one of the three components to satisfy meaningful use performance measures?

Match the filing steps for medical records to the description. -Step Two: requires you to make a decision about the name,subject,or other identifier under which you will file the material

Identify equipment and supplies needed in order to store paper medical records.

Stage 1 of meaningful use focuses on data capture and sharing stage.Match the objectives to the description.Note: Answer may be used more than once. -Send patient reminders per patient preference for preventive/follow-up care

Each filing system has pros and cons.Match the filing system to the "pros" description provided. -Easily understood and followed

Stage 1 of meaningful use focuses on data capture and sharing stage.Match the objectives to the description.Note: Answer may be used more than once. -Implement drug formulary checks