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MA102
| Question | Answer |
|---|---|
| The responsibility of organizing office supplies lies with the | Medical Assistant |
| Comparison pricing, ordering, and establishing and maintaining relationships with vendors is the responsibility of the | Medical Assistant |
| A disadvantage of rush orders is that the | vendor may charge more for a rush delivery |
| Patient records are used for | patient education, evaluating the quality of treatment, and medical research |
| Patient records are used in medical research | for data regarding patient responses, behavior, side effects, and outcome |
| Which of the following information is found on the patient registration form? | name of the person to contact in an emergency |
| A patient's illness and reason for this visit to the physician are found in the | patient's medical history |
| The first document found in a patient record is the | patient registration form |
| The best way to make sure the physician sees a patient x-ray report before filing it is to | have the physician initial the report |
| The first health-care professional that a new patient talks with when visiting a medical office is the | medical assistant |
| A physician tries unsuccessfully to call a patient. The medical assistant should | record and date the call in the patient record |
| "The patient got out of bed and walked 20 feet without shortness of breath" is an example of | clarity |
| Documenting a patient's walk down a hall as "fine" violates which "C" of charting? | clarity |
| Objective or external factors that can be seen or felt by the doctor or measured by an instrument are called | signs |
| Subjective or internal conditions felt by the patient are | symptoms |
| The type of documentation that provides an orderly series of steps for dealing with any medical case is | SOAP |
| The S section of SOAP documentation is | data that comes directly from the patient |
| The O section of SOAP documentation is | data that comes from examination results and from the physician |
| The A section of SOAP documentation includes | the diagnosis or impression of a patient's problem |
| The P section of SOAP documentation is | the plan of action, which includes treatment, patient education, and follow-up |
| The last step the medical transcriptionist will perform is | proofreading |
| Which of the following is necessary to release a patient's record to the patient's insurance company? | patient's written consent |
| The right to sign a release-of-records form for a child when the parents are divorced belongs to | either the mother or the father |
| The appropriate way to delete information on a medical record is to | draw a line through the original information so it is still legible |
| Recording information in the medical record is called | documentation |
| A marker made of stiff material and used as a placeholder when someone takes a file out of the filing system is called a(n) | out guide |
| The filing system used when the patients' names are kept confidential is | numeric |
| Which of the following are used when there is a need to distinguish files within a filing system? | color coding |
| Medical practices use ____ files to avoid losing track of important dates. | tickler |
| When setting up an office tickler file, you should | place the folders with the current month on top in a prominent place |
| If a file is misplaced, what can be done to reconstruct it? | contact insurance companies, laboratories, and other providers for copies of original documents that have been lost |
| Who decides to keep patient files inactive or closed in an office? | the physician |
| 33. According to the American Medical Association, doctors should keep patient records for ____ after a patient's final contact. | 10 years |
| Which of the following indicates that files have been taken out of the system? | out guide |
| When labeling medical records, which of the following sequences should you use? | last name, first name, middle name, title |
| The use of ICD-9 codes is mandated by | HIPAA |
| A health-care provider who practices under false qualifications/credentials is guilty of | fraud |
| An act of deception used to take advantage of another person or entity is called | fraud |
| Having a medical practice compliance plan in place | shows a "good-faith" effort to be compliant with coding regulations |
| To avoid the risk of fraud by discovering and correcting compliance problems, medical offices usually have a(n) | compliance plan |
| What does the ICD-9-CM convention NEC indicate? | not elsewhere classifiable |
| When looking up an ICD-9-CM code, you see the notation NOS. What should you do? | ask the physician to select a more specific code |
| The ICD code for a home visit for evaluation and management of an established patient is found in which of the following series of codes? | V01-V83 |
| There is a question concerning a claim for a procedure submitted last year. Where will you look to double-check the codes in question? | last year's CPT |
| The Alphabetic Index is organized by | the condition |
| When unbundling is done intentionally to receive more payment than is correct, the claim is likely to be considered | fraudulent |
| A patient's diagnosis as established by the physician | describes the primary condition for which the patient is receiving treatment |
| A file that features doors that flip up and pullout drawers is called a | horizontal file cabinet |
| Which filing system is best used by one person at a time? | filing cabinets |