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Medical Office P II
Final Exam
| Question | Answer |
|---|---|
| The A section of SOAP documentation includes | the diagnosis of impression of a patient’s problem |
| The first document found in a patient's financial record is the | patient registration form |
| Which of the following organizations reviews patient health records to monitor whether the care provided and the fee charged met accepted standards? | The Joint commission |
| When is it appropriate to send the original documents in a patient’s health record? | When the record is subpoenaed for a court case |
| Recording information in the medical record is called | Documentation |
| A guideline for releasing medical information is to | Call the recipient to confirm that all material were received |
| When should you record exam and test results? | As soon as they available |
| The S section of SOAP documentation is | Data that comes directly from the patient |
| "The patient got out of bed and walked 20 feet without reporting or displaying signs of shortness of breath" is an example of __________ in documentation | Clarity |
| One of the most important duties of a medical assistant is to | Fill out and maintain accurate and thorough patient records |
| Subjective or internal conditions felt by the patient are | Symptoms |
| The most appropriate way to terminate an initial interview with the patient is | “is there anything else you would like the doctor to know?” |
| In the CHEDDAR format of documentation, the C section includes | Presenting problems |
| In addition to being essential documents for patient care management, patient records are used for | Providing patient education |
| When information such as the result of a laboratory test is entered into a patient's EHR, the information is available for viewing | Immediately |
| How many identifiers are required to correctly identify a patient's EHR? | At least 2 |
| The access codes that allow users to enter patient records in an EHR system insert a(n) __________ in the medical record, so that office administration can tell who is accessing each medical record. | Date and time stamp |
| Which organization has defined the terms electronic medical record and electronic health record? | NAHIT |
| Which stage of "meaningful use" of EHRs for Medicare and Medicaid patients includes documenting the percentage of visits, diagnoses, prescriptions, immunizations, and other pertinent health information electronically? | Stage 1 |
| Which of the following is an advantage of EHRs? | Legibility of records |
| Which of the following is mandated in Stage 2 of "meaningful use" of EHRs for Medicare or Medicaid patients? | Sending and receiving clinical information electronically |
| Which of the following is a true statement about a patient's personal health record (PHR)? | PHRs may be stored and maintained on secure Internet sites. |
| Like the rest of the office staff, Barry is still learning how to use the new EHR system installed in the medical office. He is with a patient and is attempting to document the patient's chief complaint in the EHR system, but he cannot get the system to a | Document the patient's chief complaint on paper and enter it later into the EHR system. |
| How often should passwords be changed in the EHR system? | as directed by the healthcare facility policies |
| Which of the following is not an advantage of the integration of ancillary programs for labs and other diagnostic and therapeutic services with an EHR system? | Patients do not have to wait as long for lab or diagnostic appointments. |
| Which of the following is a disadvantage of using an electronic scheduler? | If the computer is down, the day's schedule is not accessible. |
| What percentage of the U.S. gross national product is accounted for by healthcare costs? | 17.8% |
| Many offices and EHR systems today allow patients to access and interact with certain parts of their EHR by providing a patient __________ to the system. | Portal |
| In order to find out which patients are not paying their office claims and statements promptly, you could ask the EHR report generator to create a(n) __________ report. | aging |
| Which type of electronic record is owned and maintained by the patient? | PHR |
| Who enters the data into a personal health record (PHR)? | patient |
| The goal of the presidential executive order signed in August 2006 was to give most Americans access to electronic health records by the year | 2014 |
| Payment by credit card for a medical practice | provides prompt payment from the credit card company |
| A superbill | includes the charges and procedure codes for each service rendered on that day |
| Which of the following is true regarding a statement? | It is paperwork sent to patients to inform them of payment or balance due. |
| A person who is in town on vacation goes to a medical provider with symptoms of food poisoning. The type of account to set up for this patient is a(n) | Single-entry account |
| An initial letter of inquiry is generally sent when an account is __________ days past due. | 60 days |
| Which of the following governs the methods that can be used to collect unpaid debts? | Fair Debt collection Practices Act |
| Which of the following prevents creditors from discriminating against applicants on the basis of age, sex, race, religion, marital status, or income? | Equal Credit Opportunity Act |
| An accounts receivable policy | ensures that the practice will have sufficient income to cover expected expenses |
| Which of the following would not be necessary when receiving cash payments for healthcare services? | Ask patients for identification |
| Which of the following summarizes the federal income and FICA taxes withheld from employees' paychecks? | Employer's Quarterly Federal Tax Return |
| The tax in which one-half is paid by the employer and the other half is withheld from the employee’s paycheck is | FICA |
| A pay schedule | Shows how often an employee is paid |
| An example of a required deduction from an employee's paycheck is | FICA tax |
| Form W-2 serves which of the following purposes? | It shows the employee's total taxable income for the previous year. |
| Every three months, a more complete accounting of federal taxes is required on the | Employer's Quarterly Federal Tax Return |
| An example of a voluntary deduction from an employee's paycheck is | health insurance premium payments |
| Which of the following pertains to a payroll register? | it summarizes information about all employees and their earnings |
| Which of the following statements applies to an electronic funds transfer system (EFTS)? | The employee does not have to worry about losing the paycheck. |
| Which of the following is a key communication tool for the medical office, which covers both administrative and clinical procedures? | Policies and procedure manual |
| A key written communication tool in the medical office is the | policy and procedures manual |
| An employee payroll information sheet should include | the employee's Social Security number |
| A standard personal or business check that the bank verifies and then sets aside the funds to guarantee payment is which type of check? | CERTIFIED |
| The first document found in a patient's financial record is the | Patient registration form |
| Which of the following terms is used to demonstrate how each rank or level in an organization is accountable to those directly superior and how the authority passes from one level to the next? | Chain of command |
| Dr. Girardi tries to call a patient to explain test results, but the patient does not answer the phone, and Dr. Girardi does not leave a message because he prefers to discuss the results with the patient. As the medical assistant, it is your job to | Record and date the call in the patient record |
| A clinical procedures manual would be most likely to include | Reagents, standards, and controls used |
| Which type of checks are preprinted in $10, $20, $50, and $100 denominations? | Traveler’s |
| What are business checks with stubs attached called? | Voucher checks |
| Which of the following information is found on the patient registration form? | Daily log and disbursements journal |
| A person named as a dependent is __________ | a person who is financially dependent on the employee |
| A medical provider or practice manager may periodically review which of the following reports to ensure accuracy of the books? | Trial balance |
| Which of the following pertains to a payroll register? | it summarizes information about all employees and their earnings |
| Which type of check is usually used for payroll in the medical office? | LIMITED |
| The greatest concern of electronic health records is | Protecting the confidentiality of the patient records |
| Which of the following shows how much revenue is available to cover expenses, to invest, or to take as profit? | cash flow statement |
| A special bank check that allows the depositor to withdraw funds from his or her account only is called a __________ check | Counter |
| Which type of check is purchased from a bank, written on the bank's own checking account, and signed by a bank official? | Cashier’s |
| A summary of the reason a patient entered the hospital, the care the patient received in the hospital, and the outcome of the hospitalization is found in the | Hospital discharge summary |
| Where in the résumé should you place a listing of recognitions that indicate excellence? | Awards and honors |
| Which agency offers the RMA exam? | AMT |
| Expectations of the educational institution include | Reinforcing patient confidentiality |
| When working in healthcare, it is important to be | Assertive and confident |
| Which of the following is an expectation of the applied training site? | supervising students to provide safe practice and meaningful learning experience |
| Which of the following steps is not required when applying for a national certification exam? | Obtain permission from your accredited school |
| Cover letters should contain which type of information? | qualifications related to the company’s needs |
Created by:
ilncox