MA 102 week 3 Ch 10 Review

Continuity of care means:

The process of moving an active file to inactive status is called:

Which of the following indirect filing systems is used by a majority of large clinics and hospitals?

HIPAA recommends that physicians keep the records on patients for at least:

The physical health record belongs to the:

By legal definition, if it is not documented, then it did not happen.

filing system in which an alphabetic cross-reference must be consulted to locate specific files is called a _____system

The medical record should be released only with a:

The patient owns the medical record.

Charge capture relates to charges for missed appointments.

Less storage space is needed for EHR systems.

PHI stands for “private health information.”

software of an EHR system can be designed to be compatible with a medical specialty office, such as pediatrics

Which of the following is not needed when describing a patient’s chief complaint?

Which of the following is not a method of organizing a medical record?

A provisional diagnosis is not a final diagnosis and usually is made before test results are received.

Which health information exchanges allows providers to find and/or request information from other providers?

The “R” entry in the SOAPER charting method means:

Which function of an electronic record can store lists of billing codes and current procedural terminology?

Which of the following is not an advantage of a numeric filing system?

HITECH Act stands for Health Information Technology for Economic and Clinical Health Act.

The “E” entry in the SOAPER charting method means:

Subjective information is that which the provider observes during the physical examination of the patient.

The EHR system can allow patients to set their own appointments using the internet.

Files for patients who have died, moved away, or terminated their relationship with the physician are called ____ files

The most frequently used follow-up method is a:

What is the most important reason for telling the physician when a charting error is discovered later?

A correction to a medical record can be made by:

This type of electronic record of health-related information for a patient conforms to nationally recognized standard

Medical facilities should keep records on minors for how long?