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WorksheetsMA Ch 8 Medical Records
Total questions: 16
Worksheet time: 8mins
Which of the following should be included in patient records?
Incident reports involving the patient
Records of family members also seen at the practice
Consent forms, both general and for procedures/surgeries
Notes detailing staff members’ honest opinions about the patient.
Why should an MA who works at a facility with electronic records also understand how to work with paper records?
Because facilities often shift from electronic to paper records if they find the software difficult to work with
Because understanding paper records is a good form of intellectual exercise
Because in some situations paper records may still be used alongside electronic records
Because paper records are better for preventing errors.
Which of the following may be a disadvantage of paper records?
They are difficult to read.
They require a lot of storage space.
They are expensive to maintain.
Patients do not trust them.
A (a) medical record is arranged according to the patient’s treatments or diagnoses.
Personal
Electronic
Source-oriented
Patient portals may be available
In paper form
As smartphone apps
Only for certain patients in a practice
For an additional fee
What must be true of a facility’s backup system for electronic health records?
It must be on paper and stored in a locked area of the facility.
It must be HIPAA-compliant.
It must be accessible to patients.
It must be cloud-based.
In relation to electronic health records, what does a firewall do?
Prevents unauthorized access
Allows patient access.
CMS suggests that paper medical records be kept for a minimum of (a) after the record is closed.
1 year
5 years
10 years
15 years
How are electronic records destroyed?
By hitting a delete button in the EHR software
By dragging that patient’s file to a trash can icon on the screen
By restoring the EHR software to default settings
By magnetic degaussing.
Which of the following is true of PHI and a patient’s insurance company?
The patient must authorize the release of PHI to the insurance company.
Insurance companies do not need access to PHI to process claims.
Insurance companies may receive a patient’s PHI without the patient’s knowledge or permission.
Insurance companies contact the patient directly to request any necessary PHI.
In which of these cases could a patient’s record be considered closed?
The patient has missed her last three scheduled appointments.
The provider sees the patient entering the office of another local doctor.
The medical office receives a returned statement with a note on the envelope saying, “No longer at this address.”
The patient calls the office to say she has moved to another city and signs an authorization to release her records to her new provider.
A new patient brings in paper copies of health records from previous providers. How will these records be added to the patient’s electronic health record at the new office?
A separate paper file will be kept for the old records.
The paper records will be scanned and added to the EHR.
The patient will be told to keep the records at home and bring them in only as they apply to new conditions.
The MA will read the old records and type in anything that seems important, then shred the paper records.
If an MA is allowed to use CPOE to enter tests or prescriptions ordered by the provider, what should she do when given an order?
Enter it carefully and ask the provider to look at it
Enter it carefully and double-check it
Write it on a piece of paper and give it to the receptionist to enter
Enter it carefully and have a second MA review it and press the key to submit.
What does it mean to index scanned material in a patient’s EHR?
To create a list of where each item is located
To describe where a duplicate of each item may be found in a paper file
To add each item to the appropriate section of the patient’s record
To post a message in the patient portal with links to each item.
Which of the following items is likely to be printed from the EHR for a patient who is scheduled for an endoscopy?
Detailed medical instructions for performing an endoscopy
Information about the anatomy and physiology of the digestive system
A list of diagnoses likely to be made after an endoscopy is performed
Patient preparation instructions for the procedure.
One common administrative function that may be built into EHR systems is (A) Creating patient billing statements (B) Creating a list of all office accounts payable and receivable (C) Creating bank account statements for the practice (D) Tracking office supply orders.
Creating patient billing statements
Creating a list of all office accounts payable and receivable
Creating bank account statements for the practice
Tracking office supply orders
