Busy. Please wait.

Forgot Password?

Don't have an account?  Sign up 

show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.

By signing up, I agree to StudyStack's Terms of Service and Privacy Policy.

Already a StudyStack user? Log In

Reset Password
Enter the email address associated with your account, and we'll email you a link to reset your password.

Remove ads
Don't know (0)
Know (0)
remaining cards (0)
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Medical Records

MA Review Medical Records

One of the most common methods of medical record documentation is? EMR-POMR-SOAP-ICD-CPT SOAP - The most common methods of documentaion in the medical office is a SOAP = Subjective-Objective-Assessment-Plan
What does Active Medical Record mean? The chart of a patient seen within 2 to 5 years (dependent on practice type)
What is an Audit? Examine medical record files to ensure accuracy, completeness, and sequence of the documents
What is a CHART? Patients Medical Record
A CLOSED MEDICAL RECORD is what? the chart of a patient not expected to return to the practice, such as a patient who is deceased or has moved.
What does CONDITIONING mean? The preparation of the chart for retention; secure all loose documents, and examine the chart for completion and correct filing order of documents.
What is a EHR (Electronic Health Record)? A patients health information maintained in an electronic format, computerized record.
Originally enacted in 1996, this act contains requirements for patient confidentially. What is that ACT HIPPA - Health Insurance Portability and Accountability Act
The chart of a patient not seen at the specific medical office within the past 2 to 5 years. What type of record is this? Inactive Medical Record
The process of assembling, filing, maintaining, retrieving,transferring,protecting, retaining and destroying medical records is called what/ Medical Records Management
Folders that are inserted on file shelf when file is in use; they designate who took it, when, and where it is, is called what? OUTGUIDES
What does POMR stand for and what does it mean? Problem-Oriented Medical Record - The patients problems are numbered and listed on a form (problem list) placed in front of chart
What is REVERSE CHRONOLOGIC ORDER? A format with the MOST RECENT documenation filed on top of the past documentation
What is SOAP documentation? A format for documenting each medical visit using subjective information, obejective information, an assessment, and a plan in that order
What is SOMR? Source-Oriented-Medical Reocrd -
Created by: kimber954