Question 1

When the patient's paper chart is opened flat,which of the following is typically found on the right side?

Accepted Answer

A)   progress notes
B)   medication list
C)   patient data
D)   immunization recordsE) C) and D)
F) None of the above

Question 2

How often should the tickler file be checked?

Accepted Answer

A)   daily
B)   several times a day
C)   weekly
D)   several times a monthE) B) and C)
F) A) and B)

Question 3

​Each filing system has pros and cons.Match the filing system to the "pros" description provided.
-​Useful for setting up callbacks of patients for follow-up visits at specified intervals

Accepted Answer

A)  ​alphabetic
B)  ​numeric
C)  ​geographic
D)  ​subject
E)  ​chronologicF) D) and E)
G) All of the above

Question 4

Match each example of information to the part of the medical record in which it would be found.
-Breakdown of the drugs currently prescribed to a patient

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) C) and H)
K) C) and I)

Question 5

Match each example of information to the part of the medical record in which it would be found.
-Referral form from another physician

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) B) and H)
K) A) and E)

Question 6

​What equipment and supplies are needed to create medical records?

Accepted Answer

A)   ​chart,folder,and tabs
B)   ​patient records and privacy forms
C)   ​computer and EHR program
D)   ​all of the aboveE) None of the above
F) B) and D)

Question 7

Match each term with its definition.
-May offer the advantage of a treatment otherwise unavailable to a patient and additional care that might not have otherwise been provided

Accepted Answer

A)  privacy officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color-coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) D) and G)
M) G) and J)

Question 8

​In the HPIP (history,physical exam,impression,plan) system of recording medical information,which is considered the assessment/diagnosis?

Accepted Answer

A)   ​history
B)   ​physical exam
C)   ​impression
D)   ​planE) All of the above
F) A) and D)

Question 9

​Each filing system has pros and cons.Match the filing system to the "pros" description provided.
-​Helpful in epidemiology or research or for maintaining business records including insurance

Accepted Answer

A)  ​alphabetic
B)  ​numeric
C)  ​geographic
D)  ​subject
E)  ​chronologicF) A) and E)
G) A) and C)

Question 10

​Match the filing steps for medical records to the description.
-​Step One: divide reports into negative/normal and positive/abnormal for provider to read.

Accepted Answer

A)  ​inspecting
B)  indexing
C)  ​coding
D)  ​sorting
E)  ​storingF) A) and B)
G) A) and C)

Question 11

Match each example of information to the part of the medical record in which it would be found.
-Preliminary report of a patient's test results

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) C) and E)
K) All of the above

Question 12

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

Accepted Answer

A)  Step 1
B)  Step 2
C)  Step 3
D)  Step 4
E)  Step 5F) All of the above
G) D) and E)

Question 13

​What act was signed into law as part of the American Recovery and Reinvestment Act that provides HHS with the authority to establish programs to improve health care quality through the promotion of health information technology?

Accepted Answer

A)   ​HITECH
B)   ​HIPAA
C)   ​PPACA
D)   ​ACAE) A) and B)
F) C) and D)

Question 14

When making a correction to the progress note in an electronic medical record,you should:

Accepted Answer

A)   ​delete the entry and start over
B)   ​use the edit feature
C)   ​use the correction tab
D)   ​all of the aboveE) A) and B)
F) A) and C)

Question 15

The ____ is generally the first person to inspect reports.

Accepted Answer

A)   patient
B)   insurance company
C)   medical assistant
D)   providerE) A) and D)
F) C) and D)

Question 16

Match each term with its definition.
-Required before any information in a patient chart can be released

Accepted Answer

A)  privacy officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color-coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) A) and B)
M) G) and K)

Question 17

Match each term with its definition.
-Reprints are very often filed with this

Accepted Answer

A)  privacy officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color-coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) F) and G)
M) A) and I)

Question 18

​Match the filing steps for medical records to the description.
-​Step Five: locate the file drawer or shelf with appropriate caption;find the folder;…

Accepted Answer

A)  ​inspecting
B)  indexing
C)  ​coding
D)  ​sorting
E)  ​storingF) B) and E)
G) C) and D)

Question 19

Match each term with its definition.
-This term once referred only to Roentgen films,but today also includes ultrasounds,angiograms,MRIs,and other types of images

Accepted Answer

A)  privacy officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color-coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) G) and J)
M) D) and G)

Question 20

The primary disadvantage of the _____ filing system is that it requires a degree of familiarity of a certain area.

Accepted Answer

A)   geographic
B)   subject
C)   alphabetical
D)   chronologicE) A) and C)
F) C) and D)

Exam 26: The Medical Record,documentation,and Filing

​Match the filing steps for medical records to the description. -​Step One: divide reports into negative/normal and positive/abnormal for provider to read.

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The primary disadvantage of the _____ filing system is that it requires a degree of familiarity of a certain area.

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When making a correction to the progress note in an electronic medical record,you should:

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When the patient's paper chart is opened flat,which of the following is typically found on the right side?

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The ____ is generally the first person to inspect reports.

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Match each term with its definition. -Required before any information in a patient chart can be released

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​What equipment and supplies are needed to create medical records?

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

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Match each example of information to the part of the medical record in which it would be found. -Breakdown of the drugs currently prescribed to a patient

Correct AnswerverifiedShow Answer

Match each term with its definition. -Reprints are very often filed with this

Correct AnswerverifiedShow Answer

​Each filing system has pros and cons.Match the filing system to the "pros" description provided. -​Helpful in epidemiology or research or for maintaining business records including insurance

Correct AnswerverifiedShow Answer

Match each example of information to the part of the medical record in which it would be found. -Referral form from another physician

Correct AnswerverifiedShow Answer

​In the HPIP (history,physical exam,impression,plan) system of recording medical information,which is considered the assessment/diagnosis?

Correct AnswerverifiedShow Answer

​Each filing system has pros and cons.Match the filing system to the "pros" description provided. -​Useful for setting up callbacks of patients for follow-up visits at specified intervals

Correct AnswerverifiedShow Answer

Match each term with its definition. -This term once referred only to Roentgen films,but today also includes ultrasounds,angiograms,MRIs,and other types of images

Correct AnswerverifiedShow Answer

Match each term with its definition. -May offer the advantage of a treatment otherwise unavailable to a patient and additional care that might not have otherwise been provided

Correct AnswerverifiedShow Answer

Match each example of information to the part of the medical record in which it would be found. -Preliminary report of a patient's test results

Correct AnswerverifiedShow Answer

How often should the tickler file be checked?

Correct AnswerverifiedShow Answer

​Match the filing steps for medical records to the description. -​Step Five: locate the file drawer or shelf with appropriate caption;find the folder;…

Correct AnswerverifiedShow Answer

​What act was signed into law as part of the American Recovery and Reinvestment Act that provides HHS with the authority to establish programs to improve health care quality through the promotion of health information technology?

Correct AnswerverifiedShow Answer

Match the filing steps for medical records to the description. -Step One: divide reports into negative/normal and positive/abnormal for provider to read.

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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What equipment and supplies are needed to create medical records?

Correct Answer
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Correct Answer
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Correct Answer
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Each filing system has pros and cons.Match the filing system to the "pros" description provided. -Helpful in epidemiology or research or for maintaining business records including insurance

Correct Answer
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Correct Answer
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In the HPIP (history,physical exam,impression,plan) system of recording medical information,which is considered the assessment/diagnosis?

Correct Answer
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Each filing system has pros and cons.Match the filing system to the "pros" description provided. -Useful for setting up callbacks of patients for follow-up visits at specified intervals

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Match the filing steps for medical records to the description. -Step Five: locate the file drawer or shelf with appropriate caption;find the folder;…

Correct Answer
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What act was signed into law as part of the American Recovery and Reinvestment Act that provides HHS with the authority to establish programs to improve health care quality through the promotion of health information technology?

Correct Answer
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