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EHR
- Chapter 1
Question | Answer |
---|---|
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 |