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EHR

- Chapter 1

QuestionAnswer
A collection of an individual's healthcare information is termed patient chart, patient record, and EMR (Electronic Medical Record) - all of the options are correct.
Early medical documentation of present-day posttraumatic stress syndrome was first seen in the U.S. Civil War.
Which of the following is NOT found in the patient medical record? Patient Statement
An example of a HIPAA form that is included in the medical record would be a Notice of Privacy Practices acknowledgement.
An individual who is responsible for recording data in the patient record is called a documenter.
Which of the following is NOT a documenter of the patient chart? Patient
When accompanying a patient into the exam room, the MA commonly documents the chief complaint.
Practice management software may be included as part of an interoperable EHR and includes administrative functions like appointment books and billing.
Voice recognition software automatically converts a documenter's spoken word into written words.
The receptionist would commonly document patient no-shows.
Owner of the physical medical record is the one who creates and maintains the record.
In SimChart for the Medical Office, a patient visit with a provider is called an interaction.
Which of the following professional organization is made up of health information management professionals? AHIMA
Which of the following professional organizations has identified the use of computers and electronic equipment in the medical office as one of its key competencies? AAMA
With the implementation of an EHR, it is helpful if employees can be able to perform more than one duty within the EHR cross-trained.
Which of the following is a disadvantage of EHRs? Patient Support
Created by: mckenziejada
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