What is the purpose of having a patient sign an informed consent?

patient understands the treatment and the possible outcomes

How are patient records used in medical research?

for data regarding patient responses and side effects

The role an MA plays in patient education is explaining

management of the pt's condition outlined by the provider

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Chapter 11

15 termsStudBud Administration20 plays

Medical Records and Documentation

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Questions 15

Answers

1
Audits done by medical staff before patient billing are called
prospective internal audits
retrospective external audits
retrospective internal audits
prospective external audits
2
What is the first document found in a patient's financial record?
patient's medical history
providers diagnosis and treatment plan
patient registration form
signed inform consent
3
In CHEDDAR documenting the "C" section includes
presenting problems
current medications
contributing information
consults
4
In POMR, what includes record of pt history, initial interview, and any tests?
educational, diagnostic, and treatment plan
database
problem list
progress notes
5
Type of documentation that provides an orderly series of steps
focus charting
SOAP
charting by exception
source recording
6
__ is information that is entered in the chart at time of visit, not days, weeks, months later.
sequencing
due course
convenient
transcription
7
Where can you find pt's illness and initial reason for visit to the medical office?
informed consent form
registration form
test results
patient medical history
8
Who has the right to sign a release of records form for a child of divorced parents?
mother
father
provider
either mother or father
9
What color should handwritten documents be in?
purple
pink
blue
green
10
Where can you find information regarding pt's medical history and present condition?
medical transcription
problem oriented medical record system
patient's health record
appointment book
11
What is the purpose of having a patient sign an informed consent?
patient understands the treatment and the possible outcomes
provider may terminate
provider does not have to document every visit
patient has legal resource against the provider
12
How are patient records used in medical research?
for experimental treatment not yet approved
for data regarding patient responses and side effects
find out average amount being paid for health insurance
as means to get research money
13
The role an MA plays in patient education is explaining
management of the pt's condition outlined by the provider
appropriate treatment
test results
outcome of a disease
14
Example of a patient symptom
high blood pressure
pain
rash
fever
15
When do most states consider children to be adults?
age 18
age 25
when the child gets a job
age 21

Chapter 11 Flashcards | StudBud