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RMA I Chapters 10-12 2024 Flashcards | StudBud
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RMA I Chapters 10-12 2024
RMA I Chapters 10-12 2024
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1
Who enters the data into a personal health record (PHR)?
patient
medical assistant
practitioner
physician assistant
2
First-class mail must weigh _______ or less.
20 pounds
10 pounds
1 pound
11 ounces
3
The reason a patient's record should not be sent by fax machine is ?
copies from a fax machine are difficult to read
there is no way to tell who will see the document
it takes too long to fax each page
fax machines are unreliable
4
What is the appropriate position for the signature block ?
aligned with the complimentary closing
one-half inch to the right of the body
one line below the complimentary closing
one-half inch to the left of the body
5
The P section of SOAP documentation is ?
data provided by the provider
data provided by the patient
the plan of action
data provided by test results
6
The best way to make sure the licensed practitioner sees a patient’s X-ray report before filing it is?
place the results on the practitioner’s desk
have the practitioner initial the report
ask the patient to give the report to the practitioner
tell the nurse to tell the practitioner the results
7
The correct way to include a list in the body of a letter is to ?
avoid leaving an extra line above and below the list
limit the list to two or three items
eave an extra line between items
double-space within items
8
What color ink is used by some facilities to ensure handwritten records are the original versus a copy?
red
blue
green
black
9
The letter writer's initials are followed by a colon or slash and the typist's initials constitute the?
subject line
identification line
signature block
notations
10
The subject line is used to?
bring the subject of the letter to the reader's attention
contain the writer's name and business
describe the contents of the letter in detail
address the person to whom the letter is being written
11
What letter styles is generally considered too informal for a medical office?
simplified letter style
full-block letter style
professional letter style
modified-block letter style
12
The content of a letter should?
discuss several topics at once
stick to the subject
go back and forth between topics
contain the purpose of the letter at the end
13
Subjective or internal conditions felt by the patient are?
goals
symptoms
signs
responses
14
When should you record exam and test results?
every Monday morning
every other Friday
as soon as they are available
once a month
15
What is an advantage of EHRs?
staff training
need for IT staff
legibility of records
patient concern for privacy
16
The greatest concern of electronic health records is ?
the retraining needed for medical staff
computer network crashes
lack of access to paper medical records
protecting the confidentiality of patient records
17
How many lines should be left above the signature block to allow for the signature?
two
three to four
one
five
18
Audits that are done by medical staff before patient billing is submitted are?
introspective internal audits
prospective internal audits
retrospective internal audits
retrospective external audits
19
How should you fold an invoice that will be placed in a window envelope?
fold the invoice into quarters
fold the invoice in half lengthwise
fold the invoice in half crosswise
use an accordion fold
20
What is not likely to be a required field in your EHR software's form to be completed for each new patient?
patient driver's license
patient address
next of kin
insurance information
21
How often should passwords be changed in the EHR system?
at the end of every day
each time you allow someone else to use it
never
as directed by the healthcare facility policies
22
A medical record received from another health provider should be?
entered into the patient's chart
placed in a file in the medical office
given to the patient to keep
kept in the provider's office for reference
23
Important information about a patient's medical history and present condition is found in?
medical transcription
patient’s health record
medical office record book
problem-oriented medical record system
24
What is not considered a heading component of an interoffice memorandum?
Subject
To
Date
Agenda
25
When is it appropriate to send the original documents in a patient’s health record?
when the record is going to another medical office
when the insurance company specifically requests them
when the patient signs an authorization to release them
when the record is subpoenaed for a court case
26
General guidelines for business letters include?
using long sentences of more than 20 words each
double-spacing the body of the letter
single-spacing between paragraphs
one-inch margins on the left and right of 8 1/2-inch-wide paper
27
Before undertaking e-mail communication with a patient, which of the following
must you do?
Ask the patient which provider she wants to communicate with.
Ask the provider for permission to e-mail the patient.
Have a written consent for e-mail communication on file.
Add the patient's e-mail address to her EHR.
28
The type of documentation that provides an orderly series of steps for dealing with any medical case is ?
focus charting
charting by exception
SOAP
source recording
29
What is the disadvantage of using an electronic scheduler?
You must look at each page to find a patient's forgotten appointment
You can keep a list of patients who want earlier appointments.
If the computer is down, the day's schedule is not accessible.
You can search for appointments by appointment type needed.
30
What types of services does the USPS offer to most foreign countries?
Airmail
Priority Mail
Express Mail
Parcel Post
31
Another name for clasp envelopes is _____?
postage-paid envelopes
payment-return envelopes
padded envelopes
tan kraft envelopes
32
What information is found on the patient registration form?
use of alcohol or drugs
laboratory results from another healthcare provider
name of the person to contact in an emergency
social and occupational history
33
What function of EHR programs allows the staff to make appointments for patients?
electronic scheduler
tickler file
referral management
billing and coding software
34
Which type of electronic record is owned and maintained by the patient?
EMR
MRI
PHR
EHR
35
Envelopes that have a transparent window are used for?
appointment reminder cards
large, bulky documents
invoices and statements
general correspondence
36
What envelopes are most easily read by an OCR system?
a computer-printed envelope using the default font
a computer-printed envelope using a script font
an envelope that is addressed by hand
an envelope that measures 3 inches by 4 inches
37
United Parcel Service (UPS) delivers ?
all mail within the local area the same day
only items that weigh 11 ounces or less
packages and provides overnight letter express service
letters and packages by ship to foreign countries
38
How many identifiers are required to correctly identify a patient's EHR?
at least 2
at least 4
1
at least 3
39
The first document found in a patient's financial record is?
patient registration form
doctor's diagnosis and treatment plan
doctor's diagnosis and treatment plan
patient medical history
40
The steps in processing mail involve sorting, recording, annotating, and?
tracing
distributing
certifying
filing
41
The complimentary closing is?
placed one line below the attention line
placed one line below the last line of the body
positioned at the writer's discretion
placed two lines below the last line of the body
42
What is the O section of SOAP documentation?
the diagnosis or impression of a patient's problem
data that comes from the patient
the plan of action, including follow-up
data that comes from examination results and from the provider
43
The body of the letter should?
be single-spaced between paragraphs
begin two lines below the subject line
avoid setting a list apart from the rest of the letter
be double-spaced
44
What does the abbreviation SX stand for?
social history
size
symptoms
45
Which organization has defined the terms electronic medical record and electronic health record?
HIPAA
HITECH
ARRA
NAHIT
46
A basic rule for using a plural in medical terms is that with terms ending in?
a, is to keep the a and add e
is, is to keep the is and add es
um, is to add an a
us, is to add an i
47
The first step in processing incoming mail is to ___ it?
record
file
sort
open
48
What is considered a mechanical error?
indenting
punctuation
monetary figures
line spacing
49
In the CHEDDAR format of documentation, the C section includes?
a list of current medications.
presenting problems.
a list of current medications
consults.
50
What is Priority Mail is used for?
any item that weighs between 11 oz and 70 lbs
most medical office correspondence
mailing books and catalogs
guaranteed next-day delivery
51
A guideline for releasing medical information is ?
fax all confidential materials
send the original documents
call the recipient to confirm that all materials were received
release all the patient's records, including those from other facilities
52
The best place to interview a patient is ?
in the hallway leading to the exam rooms
in a private room
at the reception desk
The best place to interview a patient is
53
The practice’s name and address that are printed at the top of formal business stationery is?
the identification line
full-block style
a signature block
letterhead
54
One of the most important duties of a medical assistant is to?
point out to the patient how test results have changed
fill out and maintain accurate and thorough patient records
review patient charts to monitor the care provided
tell the provider what is wrong with the patient
55
When do most states consider children to be adults with the right to privacy?
age 18
age 25
age 21
age 16
56
Regular mail service includes first-class, Parcel Post, Priority, and _____ mail.
registered
Express
return receipt
certified
57
A patient’s illness and the reason for a visit to the medical office are found in?
records from other healthcare providers
informed consent form
patient medical history
patient test results
58
The S section of SOAP documentation is?
the diagnosis or impression of a patient's problem
the plan of action
data that comes directly from the patient
the diagnosis or impression of a patient's problem
59
What is good practice for managing e-mail?
Open unidentifiable e-mails to see who sent them.
Check your office e-mail regularly and empty any unwanted messages.
Delete all e-mail responses that contain PHI.
Keep all messages indefinitely.
60
What is a correct example of a part of the inside address of a business letter?
233 West Newhouse St.
Plainview, N.J.
233 W. Newhouse St.
Ms. Paula Jordan
61
Recording information in the medical record is called?
filing
description
transcription
documentation
62
A patient's personal health record is owned by?
medical practice
federal government
patient
state government
63
Editing involves checking a document for factual accuracy, logical flow, conciseness, and?
spelling
format errors
clarity and tone
grammar
64
What does the A in SOAP documentation stand for?
Action
Adjusted
Assessment
Alternative
65
What is mandated in Stage 2 of the "meaningful use" of EHRs for Medicare or Medicaid patients?
accessing comprehensive patient data
sending and receiving clinical information electronically
enrolling patients in PHR
improving population health
66
What is the correct dateline for a business letter?
Aug. 20 2015
August 20, 2015
8/20/2015
Aug. 20, 2015
67
The A section of SOAP documentation includes?
the plan of action
the diagnosis of impression of a patient's problem
data from the patient
a description of treatment options
68
What is a characteristic of open punctuation ?
no punctuation after the copy notation
a colon after the salutation
a period after the enclosure notation
a comma after the complimentary closing
69
What is a true statement about a patient's personal health record (PHR)?
PHRs may be stored and maintained on secure Internet sites.
PHR data are entered by healthcare professionals or their staff.
PHR files contain treatment information related to only one provider.
PHR files are legal documents and are regulated by federal laws.
70
The body of the letter should?
begin two lines below the subject line
avoid setting a list apart from the rest of the letter
be single-spaced between paragraphs
be double-spaced