Medical Assisting: Unit 4: Chapter 14: Medical Records Management – Flashcards
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One purpose of medical records in the ambulatory care setting is
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provide a base for managing patient care.
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True or false? Patients can be allowed access to their medical records.
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True
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True or False? Patients can ask to have notes or information added to their medical records.
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True
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True or False? Patients have no right to ask for information to be removed from their records.
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False
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Required from the patient before giving copies of records to someone else or another facility
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Authorization to Release Information
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If a correction needs to be made to a chart it should be done by
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drawing a red line through and write "corr" or "correction" above the area corrected and initials and date that correction.
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Used to separate file folders
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guides
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used to display the information required to select the correct name or number designation for a file.
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Identification Labels
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used to help in tracking charts; kept in place of a patient chart when removing the chart from the filing storage
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out guides
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The first name is referred to what unit of the index?
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Unit 2
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The last name of a person is referred to what unit of the index?
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Unit 1
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If filing the file "Wendy Sue Chalmers" Sue is referred to as what unit?
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Unit 3
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True or False? When filing a name that has a Jr. or Sr. at the end, this is used only when two names are identical.
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True
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True or False? Jr. or Sr. or M.D. at the end of a name would be considered Unit 4
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True
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True or False? Edward Lee Kletka IV would be filed before Edward Lee Kletka Jr.
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True
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one of the simplest filing methods.
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Alphabetic Filing
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A method of filing that preserves patient confidentiality
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Numeric Filing
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A type of numeric filing where charts are placed in exact chronological order according to assigned number
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Straight Numeric
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A type of filing where charts are placed according to the last two digits or last four digits (usually features a hyphen between sets of numbers)
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Terminal Digit
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A filing system that is more common with research, insurance company grouping, or types of services used
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Subject Filing
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A technique used to make retrieval of files more efficient; can be used in all three types of filing systems
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Color Coding
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Three types of color coding include
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Tab-Alpha, Alpha-Z, Customized
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Three types of color coding include
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Tab-Alpha, Alpha-Z, Customized
