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Day 3 Chapter 43 Intro to Medical Records Flashcards | StudBud
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Day 3 Chapter 43 Intro to Medical Records
Day 3 Chapter 43 Intro to Medical Records
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Answers
1
Shelf filing units for medical records are more common than file cabinets. They include...
Shelves with pull-down fronts,which allows each shelf to be locked.
They contain horizontal shelves with adjustable metal shelf dividers.
The records are accessed from the side.
Open shelves must be in a file room that can be locked.
All of the Above
They require file folders with side tabs.
2
When there are questions about the care provided, medical records are
not
considered legal documents.
False
True
3
Chart dividers are used to identify each section of the medical record by subject. Some common categories include:
Lab reports
Hospital reports
None of the Above
History and physical exams
All of the Above
Immunizations/medications
4
Under mounting sheets and other supplies, the first item is mounted at the bottom.
True
False
5
The EHR does
not
have the flexibility to be adapted to the needs of the medical office using it.
True
False
6
Medical records needed for a patient's appointment is usually pulled on the same day of the scheduled appointment.
False
True
7
The purpose of a filing system is to organize records so that each person’s record can be efficiently located.
False
True
8
The original medical record may be released under certain circumstances.
False
True
9
In a filing system, the first unit is ...
The middle name or middle initial
The given name (first name)
None of the Above
The surname (last name)
10
Business names are indexed in the order of the name in the business (excluding “a,” “an,” and “the”)
False
True
11
A direct system of filing which allows the patient’s name to be used to locate the medical record is called....
All of the Above
Numeric filing
Alphabetic filing
Systematic filing
None of the Above
12
If a patient has more than one name, the record
cannot
be cross-indexed.
False
True
13
All of the following statements are true about filing records
EXCEPT
:
A sorter can be used to arrange the records for efficient filing.
Records that should be filed are usually collected in various locations.
As you file records, items can be added in the outguide pocket.
The MA should ensure that the record is in good condition before filing it.
14
If two names are exactly the same, you should index them first under their name and then under their location.
False
True
15
Each time a record is taken from storage, what is placed exactly in the space where the record is removed?
Yellow construction paper
An outguide
An empty folder
Another record
16
With an Electronic Health Record (EHR), data are entered directly into electronic system.
True
False
17
A Numeric Filing System is defined as...
It's an indirect method of filing because numbers must be identified.
It is easier to handle several patients who have the same surname.
It is easier to preserve confidentiality.
All of the Above
None of the Above
18
Filing systems for documents may be arranged according to subjects based on...
None of the Above
Preprinted forms
All of the Above
Service agreements
Purchase orders
Invoices
19
For legal protection, it is
not
important to keep complete medical records.
False
True
20
EHRs allow users to search alphabetically using a patient’s name and numerically using a patient’s date of birth.
False
True
21
When you prepare a paper-based medical record for a new patient, you should consider the following:
The filing system
The format used to organize the record
None of the Above
The type of storage equipment
All of the Above
22
Terminal Digital Filing Systems are commonly used in large medical offices and hospitals.
True
False
23
During a court case, a representative in the Medical Records Office must accompany the medical record.
False
True
24
Based on Rule 7 for Companies and Businesses, all of the following statements are true
EXCEPT:
You should disregard articles, such as, “a,” “an,” and “the.”
Punctuations, such as, commas and hyphens should be disregarded.
The names of companies are indexed in the same order as they are written.
You should not index acronyms as one word.
25
A "tickler file" is a reminder system.
False
True
26
Based on Rule 5: Titles and Seniority Terms, you should disregard titles unless a complete name is not given.
False
True
27
If the last name has a prefix, the prefix is considered a part of the last name. Which statement is
not
true.
The prefix will begin the second indexing unit.
Common prefixes include Mc, Mac, Van, de, De, Des, or D’.
The prefix will begin the first indexing unit.
Mc and Mac are usually filed in regular order.
28
Medical Records Management is the process of creating, handling, and storing records.
False
True
29
Staff training to maintain the integrity of health records includes
all
of the following
EXCEPT
:
Close the EHR or lock the screen before stepping away from the computer.
All of the Above
Never share your password with other staff.
There should be a policy about the consequences of privacy violations.
None of the Above
New hires do not require training.
30
Which statement is
not
true?
EHRs are always password protected.
New employees are granted certain access levels based on their job.
Access levels should be managed by a specific individual in the department.
Access levels should not be managed by a system administrator.
31
Hyphenated names are indexed as one unit.
True
False
32
Each time a record is taken from storage, an outguide should not
be placed exactly where the record is removed.
True
False
33
Vertical file cabinets are more common than lateral file cabinets.
False
True
34
A medical record that uses numbers or dates may be filed chronologically based on a tickler file.
True
False
35
A current year label on file folders simplifies the removal of inactive files.
False
True
36
When reports and correspondence is filed, follow-ups should be completed before filing the report.
False
True
37
In consecutive filing systems, numbers are arranged and filed from highest to lowest.
False
True
38
Record Management Organizations recommend that abbreviated names be filed as written
.
This is defined as...
An Indexing System
An Abbreviated System
ARMA International
None of the Above
39
Medical records document all aspects of the patient’s care which includes:
All of the Above
The records are used to review the quality of care provided.
It documents the patient’s progress.
The care a patient received.
None of the Above
The records are used to obtain statistics.
40
Who does the physical medical record belong to?
The group who produced it.
The institution who produced it.
All of the Above
The person who produced it.
None of the Above
41
The requirements that fall under Storing Paper Medical Records includes...
The humidity should be between 48% - 52% to prevent deterioration.
None of the Above
The records should be protected from dust, insects, rodents, etc.
All of the Above
The storage area should be well-lighted and climate controlled.
Records should be secure when the office is closed.
42
The EHR should be backed up regularly and securely.
False
True
43
Access to the information in the medical record is controlled by the patient or their representative.
True
False
44
The sorter
cannot
be used to help to place documents or files in order.
False
True
45
Based on Rule 6: The Names of Married Women, a woman’s medical record is
not
filed under her own name.
False
True
