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AMCA study guide
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1
Which of the following is not information containing in a medical record?
financial information
personal info
employment details
medical information
2
Data may be only structured which means its standard templates, bard codes, and numeric codes
True
False
3
Extension is to _____ the angle of a joint
decrease
break
fracture
increase
4
When pt. fails to keep appt. it does not have to be noted.
True
False
5
pt is covered under employer plan and a government sponsored plan which is primary?
employer plan
government sponsored plan
6
A Retrospective audit is conducted by the medical office staff or a hired consultant
True
False
7
Vital signs and lab results is also a type of objective data
False
True
8
the EHR specialist's duties before the patient has even entered the office
False
True
9
Full ROM is free moving joints, which are surrounded by joint capsules
True
False
10
what is the appt book/ log considered?
legal document that should follow HIPAA's regulations
legal document that should follow OSHA's regulations
A personal diary
11
EMR, EHR, PHR are all a type of medical record.
False
True
12
which suffix means process of crushing
-tripsy
-scopy
-ectomy
-graphy
13
UB-04 form is what?
a set percentages
submits costs from therapist offices
None of these
submit hospital claims
14
the combining form is the what?
word root plus vowel usually Z
word root plus vowel usually O
word root plus vowel usually A
suffix plus the prefix
15
Health Information Exchange (HIE) allows providers to what?
share information through unorganized systems
be covered by HIPAA
share information through organized networks
16
The person who owns the insurance policy is known as
Beneficiary, Claimant
HMO
member, subscriber, insured, or policy holder
the insurance owner
17
Adduction is to move away from the midline
False
True
18
Carcin/o means
cancer
skin
cell
urinary tract infection
19
Type of Visit Code are codes that identify what?
help the user ina specific context
the length of time records is stored.
the length of time records
common types of pt visits like duration and special instructions
20
There is 15 standard transactions for Electronic Data Interchange (EDI) transmissions.
True
False
21
Which of the following is not a patient right in the hospital
Complain
The right to demand for a specific doctor in the hospital
Make wishes known
Privacy and confidentiality
22
When new patients come in the office, you have to orient them to the facility-showing them restroom, offer refreshments
False
True
23
Status code is a code that identify common types of pt visits, their typical duration, & identify special instructions
True
False
24
practice management systems can be used to schedule, establish and maintain H.R. ensure care, & improve pt communication
True
False
25
Arthr/o means
electric
life
joint
heart
26
UMLS is what?
a set of common definitions for medical terms
a clinical vocab. designed to encompass all terms
a dictionary of some sort
a thesaurus database of medical terms
27
A flow chart is a visual aid used to keep patients on their medications and do what they are supposed to do.
True
False
28
On the superbill, what information can you find on the document?
patients favorite super heros!
patients medical information, social hx and family hx, along with fees
fees, notes of services or procedures, diagnoses assigned to pt.
patients love life
29
Understanding a patient's feelings is not important.
True
False
30
the suffix -oma means
tumor
pertaining to
pain
disease
31
Medications, activity modification, therapeutic exercises, referral and follow-up is an example of what data?
assessment
plan
subjective
objective
32
Decision Support Software translates what a person is _____ and types those words into text.
texting
saying
doing
33
what provides coverage for employees for job-related illnesses or injuries?
Dependents
CHAMPVA
UCR
Workers Compensation
34
patients are scheduled for the first half of each hour, and each pt is seen in the order they arrive is called
wave scheduling
time-specific scheduling
block scheduling
open scheduling
35
Spinal fracture (less likely due to no recent trauma) is an example of what kind of data
objective
plan
assessment
subjective
36
The Beneficiary covers deductibles, premiums, co-insurance and non-covered services 80%
False
True
37
When scheduling a new pt. is it essential for the EHR specialist to collect the following information:
insurance, copayment, address, reason for referring physician
full name, address, phone #, reason for visit insurance, name of refer. doc
address, reason for visit, and why they switched doctors
first name, address, phone #
38
a suffix is the word ending and the prefix is the word beginning
False
True
39
LOINC is terms and codes used for electronic exchange and clinical information
True
False
40
Ur/o means cell
True
False
41
The law requires pt to provide their insurance before they are examined or treated by HCP.
True
False
42
HIPAA National Identifiers are a unique set of numbers that are used in electronic transactions.
True
False
43
Pts. who fail to arrive to their appt are considered
a failure at life
closed pt
no show
active pt
44
the prefix End/o means
before
above
within
in front of
45
The prefix Ante- means
slow
against
below normal
Before, in front of
46
word roots or base words are what?
the word ending
word beginning
the foundation
the combining vowel
47
The EHR Specialist must ensure that each part of the pt's medical record is __, and ___.
simple and brief
accurate and up to date
secure and confidential
inaccurate, and out of whack
48
ICD-10 has 3 volumes, Vol. I is the tabular list, Vol. 2 is the Instruction module and Vol. 3 is the Eponym
False
True
49
When established patients come in the office, you have to make sure what is updated?
address, telephone number, thats about it.
address, telephone #, insurance, finances
Relationship status, whats been going on in their life
diagnosis, surgeries, address, current vital signs
50
the prefix -epi means excessive
True
False
51
the policyholder contributes to his/her policy by paying a set amount of money is called what
UCR
Fee Schedule
CHAMPVA
Premium
52
expressed consent is when a pt give consent using body language to indicate that they agree to receive care
True
False
53
Having good phone etiquette, you need to make sure you
identify yourself, answer kindly, speak clear, ask permission before hold
speak loud, don't tell them who you are you dont want them knowing name
identify yourself to the caller, answer with Yo, mumble, & put them on hold
talk to them like you do your best friend.
54
what does the suffix -emia mean
condition
excision
blood
pain
55
Enter/o means stomach
False
True
56
HITECH Act promotes the adoption and interoperability of health info technology.
False
True
57
Using email is a quick and easy way to communicate. Which of the following are good tips when using email to communicate
use your manners
Use personal name, do not write in UPPERCASE letters
All of these is correct
personal email is NOT acceptable
use subject line, always check who you are sending it to before sending
it can be used as legal document, do not threaten or intimidate someone
58
which suffix means a visual examination
-scopy
-tomy
-tripsy
-ectomy
59
Legally, a standard of care requires a HCP to use the same skill to treat a pt, as another HCP would with same training
False
True
60
Supination is to turn the palm or foot downward
True
False
61
If pt. is retired and covered by spouse's plan that is working, even tho the retired pt has Medicare which is primary?
Medicare
Spouse plan
62
Scheduling pts around the same block of time is called
Time-specific scheduling
cluster scheduling
wave scheduling
open scheduling
63
National Identifiers are used for what?
HCP's
Health Plans
Patients
Employers
64
Results management, Decision Support, Patient Support, are some of the core functions of the institute of medicine
False
True
65
Medicare is insurance for low-income people and Medicaid provides insurance for persons over 65 years of age
False
True
66
The E/M Codes are Place of Service, Type of Service and Patient status
True
False
67
the suffixes -algia and -dynia mean the same thing
False
True
68
Medical records include information such as
occupation, financial information
gender, marital status,
name and birth
69
MPI- Master Patient Index is where pts are listed/entered how many times?
its where all the pts live
each visit
twice, and allows documentation for each visit
once, and allows documentation for each visit
70
The correct procedure for assigning accurate dx codes has 6 steps
True
False
71
What does Interoperability mean?
the process of upgrading systems to ensure better security and performance
the ability to share info. through a single database
a document the physician has to fill out
72
Meaningful use is the utilization of certified EHR technology to improve quality, efficiency, pt safety in H.C. system
True
False
73
an appropriate voicemail would sound like this. "This is C calling from D office to tell you your WBC count is elevated.
True
False
74
Which of the following is not a type of Fracture
Compression
complicated
Progeria
Salter-Harris
75
The abbreviation RADT refers to
registration, admissions, discharged and transfer
Radiant Ashley did time
registration, admissions, discharged, and trasmitted
Registration, admissions, discontinued, Time out
76
If pt is scheduled to have a blood test done, it's best to schedule them in the mid-afternoon
False
True
77
What type of audit is private payers or government agencies that review selected records of a practice for compliance
Retrospective
external
none
internal
78
SNOMED-CT is what?
a thesaurus database of medical terms
terms and codes used for electronic exchange of lab results and observation
a clinical vocab. designed to encompass all terms used in medicine
diagnosis codes
79
Many healthcare offices require their staff to be cross trained in a variety of areas.
False
True
80
Basic skills are required to use the EHR effectively. These include
Organizational skills
interpersonal skills
knowing medical terminology & physiology
computer skills
all of these
None of these
81
A ____ pt has not received care from any of the HCP's of the same specialty in ___ years.
established, 5 years
established, 3 years
new, 3 years
new, 5 years
82
CHAMPVA is insurance for active duty and retired vets. TRICARE is for ins. for vets with service-related abilities
False
True
83
HIPAA holds accountability over health coverage portability, long-term care, medical savings accounts and more
False
True
84
An established patient has received care from one of the HCP's of the same specialty within the previous ______.
2 years
360 days
2 months
3 years
85
Information based on observation made by physician is known as subjective data.
False
True
86
Good record keeping also adds to providing good pt care
True
False
87
The levels of E/M service is based on doc. in pt medical record. Hx, examination and ___
medical decision-making complexity
Outpatient
Consultation
medical decision tool
88
A physician will spend more time with an established pt. than a new pt.
True
False
89
Thromb/o means
flesh
clotting
head
teeth
90
A covered entity is an organization that has to follow HIPAA regulations. There are 3 types of covered entities
clearinghouse, HCP's & health plans
PHR, EMR, ERGHS
Order management, decision support, patient support,q
clearinghouse, health info and data elements
91
Which of the following is the monetary amount pts must pay to HCP before benefits begin to pay?
Premium
UCR
Dependents
Deductible
92
HMO, PPO, CPO, and PLS are 4 basic types of managed care
True
False
93
A superbill is a preprinted slip it is used to track fees for each patient.
True
False
94
Which of the following is NOT a job of the EHR specialists?
taking phone messages
Scheduling appointments,
Patient check in & out
diagnosing patients
95
"I have had sharp lower back pain for the past 3 days." What kind of data is this?
assessment
objective
subjective
plan
96
What is a copayment?
A fixed amount of money you pay for service
The percentage of a medical bill you must pay after deductible is met
A monthly fee you pay to keep your insurance active
The total amount of your medical bill that insurance won't cover
97
Progress notes are
daily chart notes which are used to record certain demographics
daily notes are used to record any info that p/t various stages of conditio
None of these
daily chart notes which are used to record info such as anthropometric sign
98
There is ___ factors of E/M (Evaluation & Management) codes
3
1500
6
4
99
If a pt is covered under a group plan and a individual plan which one is primary?
group plan
individual plan
100
Ambulatory care refers to
treatment without admission to hospital
treatment wherever
treatment with a admission to hospital
treatment within a doctor's office
