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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.

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A storage method that connects to the back of the main computer and can be unplugged and taken out of the facility is an external __________.

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The system is not capable of telling whether a certain procedure matches a specific diagnosis code.

A) True
B) False

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How are corrections made to the electronic health record?


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 D)

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A correction to a medical record can be made by


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 above

E) B) and D)
F) B) and C)

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


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

E) All of the above
F) None of the above

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The three basic filing methods are alphabetic, numeric, and alphanumeric.

A) True
B) False

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

A) True
B) False

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

A) True
B) False

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The EHR system's __________ component allows the physician's staff to communicate with and send claims electronically to insurance companies.

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A computer that functions as a(n) __________ at the medical facility is another form of EHR system backup.

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The process of moving an active file to inactive status is called


A) purging.
B) indexing.
C) coding.
D) conditioning.

E) A) and B)
F) A) and C)

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What is the most important reason for telling the physician when a charting error is discovered later?


A) To protect the patient's health and well-being
B) To protect the medical assistant's job
C) To make sure the medical assistant is not accused of making the error
D) To keep the patient from discovering the error

E) B) and C)
F) B) and D)

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

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Outguides are heavy guides used to replace a folder that has been removed temporarily.

A) True
B) False

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The EHR billing system can perform online insurance __________ and can capture demographic data.

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Physicians performing consultations still must request paper records on a patient, even if both the referring physician and the consulting physician are using an EHR system.

A) True
B) False

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__________ information is provided by the patient.

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The __________ diagnosis is temporary and is made before test results have been received.

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The most frequently used follow-up method is a


A) tickler file.
B) transitory file.
C) practice management file.
D) None of the above

E) A) and B)
F) All of the above

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