Exam 26: The Medical Record,documentation,and Filing

​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 clinical summaries for patients for each office visit

When filing alphabetically,if two names are identical,the address is used to make the filing decision in which order?

What does the I in the HPIP method stand for?

The primary benefit of a(n)_____ filing system is that it distributes files evenly over given spaces.

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

Match each term with its definition. -This should never be used when changing an incorrect entry in handwritten progress notes

When recording progress notes,the specific chief complaint should be:

​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. -​Record and chart changes in the following vital signs: height,weight,blood pressure,BMI,growth charts for children 2-20 years

Lab reports should be filed in _____ in a separate section of the patient chart.

​Identify what would be part of maintaining a patient's medical record.

​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. -​Incorporate clinical lab-test results into EHR as structured data

​HIPAA requires all medical records,signed consent forms,authorization forms,and any other HIPAA-related documents to be retained for _____ years.

​Match the filing steps for medical records to the description. -​Step Three: marking the index identifier on the papers to be filed

Match each example of information to the part of the medical record in which it would be found. -Patient's contact information (address,telephone number,etc. )

Match each term with its definition. -These indicate that a practice is utilizing the electronic record rather than just having a system in place in order to benefit from the federal incentive program

Match each example of information to the part of the medical record in which it would be found. -Chronological record detailing a patient's progression during treatment

The patient chart belongs to the:

When filing alphabetically:

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

​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. -​Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate