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Tough Patient Medical Record
Patient history
Patient Medical record
Filing and Mixed
Mixed
100

Which of the following rights does the Patient's Bill of Rights guarantee?

A. Demand choice of medication
B. Request hospitalization
C. Refuse medical treatment
D. Deny payment for unsatisfactory care

C. Refuse medical treatment

100

" Are you still taking your medication?" is  a/n

A. close ended question

B. open ended question

C. Direct statement

D. indirect statement

A. close ended question

100

Which of the following actions is the BEST way to avoid abandonment when a physician ends a professional relationship with a patient? 

A. Request an attorney contact the patient to terminate the relationship.
B. Send a certified letter with provider recommendations.
C. Call the patient directly and inform them of the termination.
D. Select a new provider and transfer records to the provider.

B. Send a certified letter with provider recommendations.

100

File the following records in alphabetical order.
1. Jamie Renee Carrera
2. J. Larson, Jr.
3. Rev. Mary Catherine Simon
4. Dr. Arlene Janet Hawkins

4,3,2,1

 1. Hawkins 

 2. Carrera 

3.  Larson 

4.  Simon (Rev)

100
The term used to describe the legal length of time regarding storage of medical and business records is:
What is statute of limitations
200
Giving instructions to patient or helping them clarify information is an example of
What is patient education
200

database, problem list, plans, and progress notes are part of 

A. POMR B. SOMR

What is POMR

200

Which of the following administrative items should be compiled for a new patient's visit before the patient arrives?

A. Claim form
B. Day sheet
C. Prior Authorization
D. Registration forms

D. Registration forms

200

Arrange the following records in the correct alphabetical order for filing:

  1. Robert M. Jones
  2. Ms. Susan B. Anthony
  3. Robert Jones III
  4. S. Anthony

 1. S. Anthony 

2. Susan B. Anthony 

3. Robert Jones III 

4. Robert M. Jones

200
The federal government policy that sets standards for electronic transmission of medical information is included in the act adopted in 1996 called
What is HIPAA
300
Notes on the POMR are charted using the SOAP method. “SOAP” stands for
What is What is subjective, objective, assessment, plan
300

What is way that a provider discovers the reason for the patient's office visit?

What is Chief Complaint

300
What is the section of the chart in which you would find a biopsy study?
What is Lab Reports
300
What is a file that is used to hold the place of a chart that is pulled
What is Out Guide
300
If a patient is not expected to return to the practice because they moved away, the patient's record would be classified as: a. active b. inactive c. closed d.open
What is closed
400
The process of removing active files to inactive status is called
What is purging
400

The medical assistant is entering the patient's chief complaint into the medical record. Which of the following is a correct chief complaint entry in the medical record?

A. "The patient states 'I have tingling sensation in both my feet .'"
B. "The patient seems to be in pain from her congested sinuses."
C. "Chronic fatigue syndrome"
D. "The patient shows signs of an allergy related headache."

A. "The patient states 'I have tingling sensation in both my feet .'"

400
What is the section of Medical Records ,that a Lipid Panel and Chem 21 report be filed in?
What is Lab section
400
The _________ rule , gives individuals a fundamental new right to be informed of the privacy practices of their health plans.
What is HIPAA Privacy Rule
400
The process for gathering all chart items together and preparing them for filing by removing loose pieces of tape or paper clips and replacing them with staples is: a.inspecting b.indexing c. conditioning
What is conditioning
500

What is a notice of how a patient's medical information will be used should be given to every patient and a form explaining that the patient received the information should be signed and filed in the chart?

A. Notice Of Privacy Policies (NPP or NOPP)

B. Registration form

C.E.O.B

D. POMR

 

What is A. Notice Of Privacy Policies (NPP or NOPP)

500

What is a follow-up note for a previous office visit in the patient medical record called ?

A. Flowsheet B. POMR  C. Progress note D.HIPAA


What is  B.Progress Note

500

Which of the following is NOT going to be found in a flow sheet? 

A. Blood Pressure B. Total Cholesterol C. HbA1c D. Drug Allergies

What is  B. drug allergies

500

The method of scheduling patients with similar appointments on a specific day or block of time is called

A. Stream scheduling
B. Cluster scheduling
C. Wave scheduling
D. Modified wave scheduling

B. Cluster scheduling

500
The date base component of POMR includes what information? a. drug allergies b. patient's present illness c.prescriptions d.referrals
What is patient's present illness