Question: alphanumeric

Answer: A filing system that uses a combination of letters and numbers is said to be __________.

Question: FALSE

Answer: The computer-based record has no disadvantages, whereas the paper-based record has numerous disadvantages.

Question: TRUE

Answer: Reverse chronologic order is where the most recent item is on the top and older items are filed farther back.

Question: TRUE

Answer: In Subtitle D of the HITECH Act, the privacy and security concerns related to the electronic submission of health information are addressed.

Question: Tickler

Answer: A(n) __________ file is a follow-up system used to help the medical assistant remember when a certain task needs to be done.

Question: TRUE

Answer: Main terms appear in bold.

Question: medical

Answer: The type of record created by an entity that is a single organization involved in the patient's care is an electronic __________ record.

Question: reluctance

Answer: Perhaps the most difficult obstacle to overcome is the __________ of employees in physicians' offices who dislike change.

Question: TRUE

Answer: When documents are added to a patient's chart, the most recent information should be placed on top.

Question: errors

Answer: Most experts agree that the EHR system will help reduce medical __________.

Question: TRUE

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

Question: accurate and complete

Answer: Medical records offer protection to the physician during legal proceedings if they are what?

Question: NOS

Answer: The abbreviation that is the equivalent of "unspecified" is __________.

Question: Chief Complaint

Answer: The concise account of the patient's symptoms in his or her own words is the __________.

Question: FALSE

Answer: A standard, nationwide rule must be followed in establishing a records retention schedule.

Question: retention

Answer: A(n) __________ schedule is a plan for keeping and purging medical records.

Question: health

Answer: The type of record that is created from more than one healthcare organization and can be managed and consulted by licensed clinicians and staff from those organizations who are involved in the patient's care is an electronic __________ record.

Question: capacity

Answer: Additional training on the EHR system is needed to run it at full __________.

Question: TRUE

Answer: The patient's medical record should never leave the office.

Question: TRUE

Answer: Because some physicians' handwriting is illegible, the electronic health record helps guarantee that the documents will be readable even several years after their creation.

Question: False,The charge capture functions can store lists of ICD and CPT codes, as well as the charges associated with procedures and supplies.

Answer: Charge capture relates to charges for missed appointments.

Question: alphabetic, numeric, and alphanumeric

Answer: What are the three basic filing methods?

Question: daily

Answer: The EHR system should be backed up __________.

Question: TRUE

Answer: The EHR allows access to patient information in an emergency.

Question: HIV

Answer: The medical assistant should never code a patient as having __________ unless it is clearly documented as confirmed in the medical record

Question: False, The EMR is an electronic record of health-related information about an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within a single healthcare organization.

Answer: The EMR relates to more than one healthcare organization.

Question: confidentiality

Answer: EHR systems must protect the patient's right to __________.

Question: continutiy

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

Question: False, Objective information is observed during the physical examination.

Answer: Subjective information is that which the physician observes during the physical examination of the patient.

Question: Subjective

Answer: __________ information is provided by the patient.

Question: TRUE

Answer: By legal definition, if it isn't charted, then it didn't happen.

Question: Manifestations

Answer: The signs and symptoms of a disease are its __________.

Question: FALSE

Answer: The coder should always refer to the Tabular Index first.

Question: TRUE

Answer: Numeric filing provides extra confidentiality to medical records.

Question: indirect

Answer: A filing system in which an intermediary source of reference, such as a card file, must be consulted to locate specific files, is called a(n) __________ system.

Question: FALSE

Answer: Very little statistical information can be gleaned from an EHR system.

Question: FALSE

Answer: Color coding is used only for patients' records and not for business records.

Question: direct

Answer: A filing system in which materials can be located without consulting an intermediary source of reference is said to be a(n) __________ system.

Question: in situ

Answer: Carcinoma __________ is defined as the absence of invasion of surrounding tissues.

Question: FALSE

Answer: The patient owns the medical record.

Question: TRUE

Answer: Both the physician and staff members must receive training in the use of the EHR system.

Question: Objective

Answer: __________ information is observed by the physician.

Question: Etiology

Answer: refers to the underlying cause or origin of a disease.

Question: Obliteration

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

Question: TRUE

Answer: Less storage space is needed for EHR systems.

Question: TRUE

Answer: An electronic health record system conceivably could hold all the patients seen over the life of a physician's practice.

Question: FALSE

Answer: Files still must be purged annually when an EHR system is used.

Question: TRUE

Answer: The EHR system can allow patients to set their own appointments using the Internet.

Question: Health Information Technology for Economic and Clinical Health Act.

Answer: HITECH Act stands for?

Question: TRUE

Answer: Information contained in an electronic health record usually can be accessed from several different physical places.