stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Chap. 10: Health Records Flashcards | StudBud
Explore
/
Chap. 10: Health Records
Chap. 10: Health Records
29 terms
·
StudBud Administration
·
9 plays
Imported from external platform
Flashcards
29 cards
F
Practice quiz
P
Host live
L
Questions
29
Answers
1
A filing system where alphabetic cross-reference must be consulted to locate a specific file is called a ___ system.
shelf filing
indirect filing
direct filing
shingling
2
The medical record should only be released with a:
written release from the pt
verbal order from office manager
Written orders from the provider
verbal order from the provider
3
Charge capture relates to charges for missed appts.
False
True
4
What kind of exchange of health information allows providers to find/request info on a patient from other providers?
consumer mediated exchange
all are correct
direct exchange
query-based exchange
5
Who ultimately decides whether a medical record can be released?
the medical assistant
the physician
the office manager
the patient
6
Which section of the law, commonly known as the Economic Stimulus Package, pertains to healthcare?
HITECH Act
HIPPA
none are correct
ARRA
7
Which statement is not true regarding the reasons for keeping accurate medical records?
effects of various treatments can be tracked/ stats gleaned from them
Accurate records are vital for financial reimbursements
the medical record provides critical info for other caregivers
The pts family may want to examine the records/ correct errors
8
Subjective info is that which the provider observes during the physical exam of the pt.
False
True
9
Color coding is used only for pts records and not for business records.
False
True
10
Less storage space is needed for EHR systems
False
True
11
Which statement isn't accurate about correcting chart errors?
Initial and date the error in the margin
draw two clear lines through the error
do not hide charting errors
insert the correction above or immediately after the error
12
HITECH Act stands for Health Information Technology for Economic and Clinical Health Act
True
False
13
The "E" entry in the SOAPER charting method stands for?
evaluation
entry
education
exclude
14
Which of the following indirect filing systems is used by the majority of large clinics/ hospitals?
color-coded
alphabetic
subject
numeric
15
Continuity of care means:
medical attention that cont. smoothly from one provider to the next
a formal exam of an organization's/person's accounts
an aggregate of activities designed to ensure adequate quality
granted or endowed with a particular authority
16
What kind of software can be used to transcribe and authenticate?
voice registry
voice-activated
voice recognition
voice-controlled
17
The process of moving an active file to inactive status is called:
conditioning
indexing
purging
coding
18
The physical health record belongs to:
the patient
all are correct
insurance company
the physician/provider
19
The pts health record should never leave the office.
True
False
20
The three basic filing methods are alphabetic, numeric, and alphanumeric.
False
True
21
Medical facilities should keep records on minors for how long?
until minor reaches age of majority, statute of limitations
until minor is deceased
indefinitely
for 10 yrs
22
By legal definition, if it is not documented, it did not happen.
True
False
23
What is the HIPPA privacy rule requirement for the retention of health records?
all are correct
Statute of limitation for medical malpractice
HIPPA does not include requirements
records must be kept for 10 yrs
24
What is the most frequently used follow-up method?
transitory file
tickler file
practice management file
none are correct
25
When documents are added to a patients paper record, the most recent info should be place on top.
False
True
26
The EHR allows access to a pts record in an emergency.
True
False
27
Which of the following is not a method of organizing a medical record?
Chronologically
source oriented
Problem oriented
Progressively
28
HIPPA recommends that physicians keep patient records for how long?
3 yr
1 yr
2 yr
HIPPA doesn't recommend a number of yrs
29
The software of a EHR system can be designed to be compatible with a medical specialty office, such as pediatrics.
True
False
