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Which of the following is not an advantage of EHRs?


A) They facilitate coordination of care among providers.
B) They completely eliminate the necessity for paper records.
C) They can assign CPT and ICD codes at the time of the visit.
D) They make chart notes immediately available when a referral is needed.

E) A) and B)
F) None of the above

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Match each example of information to the part of the medical record in which it would be found. -Referral form from another physician


A) administrative data
B) financial and insurance information
C) correspondence
D) referral
E) past medical records
F) medications
G) progress notes
H) diagnostic imaging information
I) lab information

J) C) and F)
K) B) and G)

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Match each example of information to the part of the medical record in which it would be found. -Patient's contact information (address, telephone number, etc.)


A) administrative data
B) financial and insurance information
C) correspondence
D) referral
E) past medical records
F) medications
G) progress notes
H) diagnostic imaging information
I) lab information

J) A) and I)
K) A) and C)

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Which of the following are simply a collection of medical records compiled and maintained by an individual?


A) electronic medical records (EMRs)
B) personal electronic records (PERs)
C) electronic health records (EHRs)
D) personal health records (PHRs)

E) A) and C)
F) None of the above

Correct Answer

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When filing alphabetically, if two names are identical, the address is used to make the filing decision in which order?


A) street, city, state
B) state, street, city
C) city, state, street
D) state, city, street

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

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When using the POMR method of record keeping, which of the following types of information appear on the same page?


A) medication lists and preventive care lists
B) the chief complaint and list chronic problems
C) education information provided to the patient, and the review of systems
D) the patient profile and list of chronic problems

E) None of the above
F) B) and C)

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Most filing systems are based directly or indirectly on a(n) _____ arrangement.


A) chronologic
B) alphabetical
C) geographic
D) subject

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

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Match each example of information to the part of the medical record in which it would be found. -Request-of-information letter from a patient's insurance company


A) administrative data
B) financial and insurance information
C) correspondence
D) referral
E) past medical records
F) medications
G) progress notes
H) diagnostic imaging information
I) lab information

J) D) and H)
K) F) and G)

Correct Answer

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Match each term with its definition. -Indexing


A) Privacy Officer
B) imaging
C) correction fluid
D) tickler file
E) physician's order
F) color coding system
G) clinical trials
H) CHEDDAR
I) cross-index
J) meaningful use performance measures
K) dictated reports

L) C) and E)
M) D) and E)

Correct Answer

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A HIPAA Security Rule audit includes a review of all but which of the following categories?


A) drug authorizations
B) organizational requirements
C) documentation
D) administrative safeguards

E) B) and D)
F) None of the above

Correct Answer

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