Question 1

Which of the following is not a method of organizing a medical record?

Accepted Answer

A)   Source-oriented
B)   Problem-oriented
C)   Progressively
D)   ChronologicallyE) None of the above
F) All of the above

Question 2

The type of medical record organization that has observations and data categorized in sections such as; provider, laboratory, radiology, hospital, and consultations.

Accepted Answer

A)   Source-oriented
B)   Problem-oriented
C)   Alphabetic
D)   Reverse-chronologicE) All of the above
F) C) and D)

Question 3

Which of the following is not objective information?

Accepted Answer

A)   Progress notes
B)   Family history
C)   Diagnosis
D)   Physical examination and findingsE) A) and B)
F) A) and C)

Question 4

A correction to a medical record can be made by

Accepted Answer

A)   drawing a line through the entry and writing the correct information.
B)   whiting out the entry and writing over it.
C)   rewriting the entire page of progress notes with the error corrected.
D)   All of the aboveE) B) and C)
F) C) and D)

Question 5

The physical medical record belongs to the

Accepted Answer

A)   patient.
B)   physician or provider.
C)   insurance company.
D)   All of the aboveE) All of the above
F) A) and D) B

Question 6

The advantages of using the color-coding filing system are the following:

Accepted Answer

A)   A misfiled record is easily spotted even from a distance.
B)   The use of color visually restricts the area of search for a specific record.
C)   You can use either the alphabetic or numeric color-coding system.
D)   All of the aboveE) C) and D)
F) A) and C)

Question 7

How would you properly index the name "Amanda M. Stiles-Duncan" for filing?

Accepted Answer

A)   Stilesduncan, Amanda M.
B)   Stiles Duncan, Amanda M.
C)   Duncanstiles, Amanda M.
D)   Duncan, Amanda M. StilesE) None of the above
F) A) and B)

Question 8

To be granted or endowed with a particular authority or right is to be __________.

Accepted Answer

A)   vested
B)   involved
C)   endowed
D)   None of the aboveE) All of the above
F) A) and C)

Question 9

Continuity of care means

Accepted Answer

A)   a collection of activities designed to ensure adequate quality, especially in manufactured products or in the service industries.
B)   a formal examination of an organization's or individual's accounts.
C)   medical attention that continues smoothly from one provider to another so that the patient receives the most benefit.
D)   granted or endowed with a particular authority.E) B) and C)
F) A) and D)

Question 10

Who is the legal owner of the information stored in a patient's record?

Accepted Answer

A)   The patient
B)   The physician or agency where services were provided
C)   The patient's insurance company
D)   Both the patient and the physicianE) A) and D)
F) C) and D) B

Question 11

Charge capture relates to charges for missed appointments.

Accepted Answer

A) True 
 B)False

Question 12

The software of an EHR system can be designed to be compatible with a medical specialty office, such as pediatrics or oncology.

Accepted Answer

A) True 
 B)False

Question 13

In a paper record, which of the following is never an acceptable method of correction to a handwritten entry?

Accepted Answer

A)   Draw a line through the error.
B)   Erase or use a correction fluid.
C)   Insert the correction above the error.
D)   Write initials or signature below the correction and date.
E)   All of the above are acceptable.F) D) and E)
G) C) and D)

Question 14

How are corrections made to the electronic health record?

Accepted Answer

A)   Corrections can be noted by hand and entered, as long as they are initialed.
B)   A new entry or addendum must be added close to the original entry with the correct information and then initialed.
C)   The incorrect entry is deleted and the new one is written in.
D)   The error is brought to the attention of the office manager for instructions on how to correct it.E) A) and B)
F) B) and C)

Question 15

A rule that controls how something is done, is called

Accepted Answer

A)   interoperables.
B)   parameters.
C)   informatics.
D)   gages.E) B) and C)
F) A) and B)

Question 16

Which of the following indirect filing systems is used by a majority of large clinics and hospitals?

Accepted Answer

A)   Alphabetic filing
B)   Numeric filing
C)   Subject filing
D)   Color-coded filingE) B) and D)
F) A) and C)

Question 17

Which EHR system backup is probably the least trouble and requires the least amount of hardware?

Accepted Answer

A)   Online backup system
B)   External hard drives
C)   Full server backup
D)   Thumb drive backupE) B) and D)
F) A) and C)

Question 18

__________ of an entry in a medical record is never acceptable.

Accepted Answer

A)   Correction
B)   Obliteration
C)   Addendum
D)   All of the aboveE) None of the above
F) C) and D) B

Question 19

When a patient is transferred from one facility to another, __________ of care ensures that no lapses in treatment occur and that transitions are smooth.

Accepted Answer

Continuity of care is designed...

Question 20

The EHR system should be backed up __________.

Accepted Answer

A)   hourly
B)   daily
C)   weekly
D)   monthlyE) A) and B)
F) C) and D)

Exam 19: The Health Record

Which of the following is not a method of organizing a medical record?

Correct AnswerverifiedShow Answer

The type of medical record organization that has observations and data categorized in sections such as; provider, laboratory, radiology, hospital, and consultations.

Correct AnswerverifiedShow Answer

Which of the following is not objective information?

Correct AnswerverifiedShow Answer

A correction to a medical record can be made by

Correct AnswerverifiedShow Answer

The physical medical record belongs to the

Correct AnswerverifiedB

The advantages of using the color-coding filing system are the following:

Correct AnswerverifiedShow Answer

How would you properly index the name "Amanda M. Stiles-Duncan" for filing?

Correct AnswerverifiedShow Answer

To be granted or endowed with a particular authority or right is to be __________.

Correct AnswerverifiedShow Answer

Continuity of care means

Correct AnswerverifiedShow Answer

Who is the legal owner of the information stored in a patient's record?

Correct AnswerverifiedB

Charge capture relates to charges for missed appointments.

Correct AnswerverifiedShow Answer

The software of an EHR system can be designed to be compatible with a medical specialty office, such as pediatrics or oncology.

Correct AnswerverifiedShow Answer

In a paper record, which of the following is never an acceptable method of correction to a handwritten entry?

Correct AnswerverifiedShow Answer

How are corrections made to the electronic health record?

Correct AnswerverifiedShow Answer

A rule that controls how something is done, is called

Correct AnswerverifiedShow Answer

Which of the following indirect filing systems is used by a majority of large clinics and hospitals?

Correct AnswerverifiedShow Answer

Which EHR system backup is probably the least trouble and requires the least amount of hardware?

Correct AnswerverifiedShow Answer

__________ of an entry in a medical record is never acceptable.

Correct AnswerverifiedB

When a patient is transferred from one facility to another, __________ of care ensures that no lapses in treatment occur and that transitions are smooth.

Correct AnswerverifiedContinuity of care is designed...View AnswerShow Answer

The EHR system should be backed up __________.

Correct AnswerverifiedShow Answer

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B

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B

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B

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Continuity of care is designed...
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