Module 3 Week 1 Flashcards

(50 cards)

1
Q

The patient chart belongs to:

A

Medical practice

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2
Q

Straighten and tidy the forms before filing

A

Identify what would be part of maintaining a patient’s medical record:

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3
Q

You don’t look well.

A

a subjective statement?

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4
Q

HIPAA requires all medical records and related documents to be retained for how many
years?

A

Six years

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5
Q

In the history, physical, impression, plan (HPIP) system, which is considered the
assessment/diagnosis?

A

Impression

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6
Q

What equipment and supplies are needed to create medical records?

A

All correct

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7
Q

When a patient’s paper chart is opened flat, what is typically found on the right side?

A

Progress Notes

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8
Q

A complete and accurate medical record provides legal protection for

A

Both patients and physicians

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9
Q

When filing alphabetically, if two names are identical, which order is used for the address?

A

State, city, street

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10
Q

When recording progress notes, the specific chief complaint should be:

A

Written using the patient’s own words

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11
Q

In HPIP, which is considered a subjective finding?

A

History

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12
Q

In regards to filing, ____ is done by marking the index identifier on the paper to be filed:

A

Coding

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12
Q

What act was signed into law as part of the American Recovery and Reinvestment Act to
promote health information technology?

A

Health Information Technology for Economic and Clinical Health (HITECH)

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13
Q

When filing records in a new file cabinet, it is recommended that you:

A

Place files in the bottom drawers first

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13
Q

A HIPAA Security Rule audit includes a review of all but which category?

A

Drug authorizations

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14
Q

Most filing systems are based directly or indirectly on what arrangement?

A

Alphabetical

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15
Q

In HPIP, which is considered an objective finding?

A

Physical exam

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16
Q

The patient’s heart rate is elevated at 120 beats per minute

A

objective statement?

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17
Q

Identify equipment and supplies needed in order to store paper medical records:

A

All of the responses are correct

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18
Q

What does the P in SOAP stand for?

A

Plans for further studies, treatment, or management

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19
Q

When making a correction to the progress note in an electronic medical record, you
should:

A

Use the edit feature

20
Q

What does the I in the HPIP method stand for?

21
Q

It distributes files evenly over the given spaces

A

The primary benefit of a numeric filing system is:

22
Q

What does the ‘P’ stand for in POMR?

23
The ____ is generally the first person to inspect reports:
Medical assistant
24
Phone menus are designed to:
Increase efficiency
25
A phone screening manual is sometimes called a(n) ____ manual.
Triage
26
If a person claiming to be a patient’s attorney calls to request information from the patient’s medical record, you should:
Verify that the attorney is authorized to receive it and offer to call them back
27
Before you transfer a patient’s call to another department or office:
All the responses are correct
28
Include your own name or initials
When documenting a telephone call, you should:
29
When a patient asks to speak directly with the provider, never respond by saying:
The doctor is busy
30
Which of the following is NOT considered a concern when using mobile devices in healthcare?
Convenience and connectivity
31
You do NOT need to include which of the following when transmitting a prescription refill request to a pharmacy?
Date when the prescription was first filled
32
If a caller is requesting information, you should ask if you can call them back if it will take longer than ____ to retrieve it.
1 minute
33
When responding to a nonemergency phone call and the person needs additional information, the appropriate response is:
All the responses are correct
34
Use at least three identifiers of the patient
When scheduling appointments, you must do all but which of the following?
35
Which calling feature allows several people in various locations to converse at the same time?
Conference calling
36
When a patient calls with a medical question, you should:
Document the patient’s information and relay it to the doctor for review
37
When booking a same-day or urgent visit, you should:
Both a and b (book same-day & fill morning appts first)
38
It is most appropriate to use an answering machine:
During the office lunch break
39
When conducting phone calls, on average, how long does it take a person to pick up on tone/attitude?
10 seconds
40
When it comes to your personal mobile device at work, best practice is:
Put the phone away during office hours
41
Electronic prescription refill requests are commonly referred to as:
E-prescribing
42
If a caller makes threats, you should:
Document the information about the caller and the threat and end the call
43
When obtaining a telephone message from a recording device or answering service, you should NOT:
Prioritize messages according to the order in which they were received
44
Which of the following is the most appropriate question to ask when scheduling an appointment?
What is the reason for the visit?
45
When answering a telephone call, you should NOT:
Remain expressionless
46
If you are speaking to a patient face-to-face at the office and the phone rings, you should:
Say, 'excuse me for a moment, please,' and answer the call
47
If requesting a prescription, include name/phone number of pharmacy, drug name, dosage, last refill date (phone message element)?
Yes
48
A detailed and accurate message indicating nature of the call (phone message element)?
Yes