Medical Office Applications Final Review – Flashcards

Unlock all answers in this set

Unlock answers
question
The standard setting for the margin in business correspondence is 2 inches. T/F
answer
False
question
The USPS abbreviation PA stands for Philadelphia. T/F
answer
False
question
Tan Kraft envelopes are also called clasp envelopes. T/F
answer
True
question
You need to capitalize all the words in the closing of a business letter. T/F
answer
False
question
Most business letters are written on letterhead paper, which identifies the business. T/F
answer
True
question
The receiver's name is repeated in the dateline. T/F
answer
False
question
Tracing is the action the post office will take when a piece of mail does not reach its destination. T/F
answer
True
question
The USPS abbreviation for Kansas is KA. T/F
answer
False
question
Fourth-class mail is also called parcel post. T/F
answer
True
question
Enc in a business letter means enclosure. T/F
answer
True
question
____ is the process that ensures that a document is accurate,clear and complete; free of grammatical errors; organized logically; and written in an appropriate style.
answer
Editing
question
_____,which can be printed from a computerized mailing list, can greatly speed the process of addressing envelopes for bulk mailings.
answer
Address label
question
The USPS abbreviation for center is ________.
answer
CTR
question
Most correspondence generated in a medical office ,such as letters, postcards, and invoices, is sent by _______-.
answer
First-Class Mail
question
The web address for the U.S. Postal Service web page is ______.
answer
www.USPS.com
question
___________ include information such as the number of enclosures that are included with the letter and the names of other people who will be receiving copies of the letter.
answer
Notations
question
__________ means thoroughly checking a document for errors.
answer
Proofreading
question
The ______, which is placed about three lines below the preprinted letterhead text,gives the day, month and year.
answer
Dateline
question
The ______ omits the salutation and complimentary closing.
answer
Simplified letter style
question
In the ____, or block style, all lines are flush left.
answer
Modified block letter style
question
Business letters written with the modified-block letter style with indented paragraphs are identical to the modified-block style except the paragraphs are ________.
answer
Indented 1/2 inch
question
The ______ similar to full block but it differs in that the dateline, complimentary closing, signature block, and notations are aligned and begin at the center of the page or slightly to the right.
answer
modified-block letter style
question
When writing a business letter, it is proper to include at least _____ in each paragraph.
answer
Two sentences
question
Two different styles of punctuation used in correspondence are ______ and ______.
answer
Open & Mixed
question
The first step in processing mail is ___________ it.
answer
Sorting
question
The USPS uses electronic __________ to help speed mail processing.
answer
Optical character reader
question
The space around the edges of a form or letter that is left blank is called the ________.
answer
margin
question
The ______ of a letter consists of single-spaced lines that are the content of a business letter.
answer
Body
question
______ written on the outside of a letter or package means that the letter or package should not be opened by anyone but the addressee.
answer
Confidential
question
The most common envelope sized used for correspondence is the ________.
answer
No.10 envelope
question
Lancets, tongue depressors, and sutures are examples of general supplies. T/F
answer
False
question
Bulky must be stored separately from other products. T/F
answer
False
question
The average medical practice spends between 4-6 % of its annual gross income on administrative,clinical, and general supplies. T/F
answer
True
question
The best place to store the office holiday decorations is by the furnace. T/F
answer
False
question
A medical assistant should avoid storing boxes or supplies near a water heater, air -conditioning unit, heater or stove. T/F
answer
True
question
Holiday cards are example of general supplies. T/F
answer
False
question
You should order by rush order only as absolutely required. T/F
answer
True
question
The list of supplies the office uses regularly and the quantity in storage constitute the office inventory. T/F
answer
True
question
The FTC requires supply companies to provide merchandise within 30 days to give you an option of cancelling with a full refund. T/F
answer
True
question
Paper administrative supplies should be stored lying flat after being taken out of the original shipping box. T/F
answer
False
question
It is a bad idea to take advantage of phone solicitations to help control costs of supplies. Dishonest solicitors may ask for payment up front and not deliver any goods. T/F
answer
True
question
A purchase order requires an authorizing signature. T/F
answer
True
question
Paper cups are considered as a general supply. T/F
answer
True
question
A purchase requisition is a formal request from a staff member or doctor. T/F
answer
True
question
Most vital items are pieces of equipment that are used indefinitely. T/F
answer
False
question
A disbursement is a payment of funds. T/F
answer
True
question
The unit price of an items is the price per item. T/F
answer
True
question
Unit prices are usually lower at larger quantities. Therefore, it makes sense to buy more items than you need and can store.T/F
answer
False
question
The word supplies refers to expendable items or items that are used up and restocked. T/F
answer
True
question
When ordering by fax, it is always best to use the form provided by the vendor. T/F
answer
True
question
______ are groups of physicians who order supplies together to obtain a quantity discount.
answer
Purchasing group
question
OSHA stands for _____.
answer
Occupational Safety and Health Administration
question
The best way to deal with telephone solicitation is ______.
answer
Tell the caller no
question
The oldest products should be stored on the ______ of the shelf.
answer
Front
question
Ordering online requires the use of ______ and _____.
answer
Computer and internet
question
New calendars and appointment books are examples of ________ supplies.
answer
periodical
question
Another name for an invoice is a _______.
answer
Bill
question
If you make cash disbursement, you should always obtain a _____________.
answer
Receipt
question
The rules of good housekeeping and ________ apply to storage areas for clinical supplies.
answer
Asepsis
question
______ must be stored out of site and in a locked cabinet.
answer
Narcotics
question
It is not necessary to document in the medical record when a patient in noncompliant. T/F
answer
False
question
Patient records may be used to evaluate the quality of treatment a facility or doctor's office provides. T/F
answer
True
question
Informed consent forms state that a patient has agreed to treatment. T/F
answer
False
question
All written correspondence from the patient, a doctor's office, a laboratory, or an a independent heath-care agency should e kept in the patient's chart. T/F
answer
True
question
When creating the patient medical record, the first document to be placed in the chart is the registration form. T/F
answer
True
question
Transcription is the transforming of written notes into accurate spoken form. T/F
answer
False
question
Problem-oriented medical records are a way to overcome the disadvantages of conventional medical charting. T/F
answer
True
question
Objective data comes form the physician and from exams and test results. T/F
answer
True
question
Objective data comes from the physician and from exams and test results. T/F
answer
True
question
Electronic health records can be easily used in teleconferences. T/F
answer
True
question
When you are in doubt regarding who is authorized to sign a release of records form for a minor,
answer
you must always ask your superior
question
When children reach this age, most states consider them adults with the right to privacy regarding all of their medical information
answer
18
question
Test results received from sources outside the practice are best organized in sections within what part of the medical chart?
answer
Laboratory and other test results
question
Which of the following elements of SOAP charting describes the data that comes directly from the patient?
answer
S
question
Which of the following elements of SOAP charting describes the course of treatment to be followed?
answer
P
question
What does the abbreviation PT mean?
answer
Physical therapy
question
The six C's of charting include
answer
Client's words, clarity, completeness, conciseness, chronological order and confidentiality
question
Conventional records are
answer
also called source-oriented records
question
The P in SOAP documentation stands for
answer
Plan
question
As a general rule if information is not documented,
answer
no one can prove that an event or procedure took place.
question
The S is SOAP documentation stands for
answer
Subjective
question
Original documentation
answer
Legally belongs to the physician and belongs in the patients medical chart
question
Completeness in charting means
answer
not leaving out information
question
The first form used in initiating a patient record is the
answer
patient registration form
question
The term non compliant means that the patient
answer
Does not follow medical advice and direction
question
If a physician who is dictating speaks with an accent and you find it difficult to understand the dictation, you should
answer
Ask the physician to speak more slowly than normal
question
The patient's past medical history, family medical history and social and occupational history are included in a part of the chart called the ______.
answer
Patient medical history
question
It is important to date and _____ every entry you put in the patient chart so that is it easy to tell which items the medical assistant enters and which items other people enter.
answer
inital
question
When filling out patient charts, it is important to record patient's ______,not your interpretation of them.
answer
Exact words
question
To make chart data more concise, medical workers use standard medical abbreviations, such as "patient got _______" instead of patient got out of bed."
answer
OOB
question
All information in a patient's chart is ___________, to protect the patient's privacy.
answer
Confidential
question
In a conventional, or source-oriented, record, all the patient's problems and treatments are recorded on the same form in _______ order.
answer
chronological
question
In problem-oriented medical record keeping, each ________ is listed separately, making it easier for the physician to track a patient's progress.
answer
Problem
question
When documenting problems, you must careful to distinguish between signs, which are external factors that can be seen and measured,and symptoms, which are ________ that can felt only by the patient.
answer
Subjective/internal conditions
question
Because the _____ of information in a patient's chart is important, check all information carefully before entering it.
answer
Accuracy
question
The doctor's transcribed notes for the patient's chart should be initialed by the ________.
answer
Physician
question
_______ provides physicians with easy access to patient information no matter where they are.
answer
EHR
question
___________ charting describes a patient's condition by the use of four letters. The letters describe what the patient says, what the medical personnel see, an evaluation of the problem and a directive for care.
answer
SOAP
question
_____ in medical records are not uncommon but must be changed immediately.
answer
Mistakes
question
______ means to leave out.
answer
Omit
question
__ is the age at which most states consider an individual to be an adult.
answer
18
question
To maintain patient ______, never discuss a patients records, forward them to another office, fax them or show them to anyone but the physician unless you have the patient's written permission to do so.
answer
Confidentiality
question
A ___________ contains a record of the patient's history,information from the initial review with the patient, all findings and results from physical exams, and any tests,x-rays and other procedures.
answer
Database
question
In the _________, patient information is arranged according to who supplied the data-the patient, the doctor, a specialist, or someone else.
answer
Source-approach oriented
question
________ means in the order of the date in which it occurred.
answer
Chronological
question
______ means to be brief and to the point.
answer
Concise
question
Errors in medical records are not uncommon but must be changed immediately. T/F
answer
True
question
Its not important to date and inital every entry you put in the patient chart so that is is easy to tell which itmes the medical assistant enter and which items other people enter. T/F
answer
False
question
SOAP charting describes a patient's condition by the use of four lettters. The letters decribe what the patient says, what the medical personnel see, an evaulation of the probel, and a directive for care. T/F
answer
True
question
The patient's past medical history,family medical history, and socil and occupational history are not included in a part of the chart called the patient medical history. T/F
answer
False
question
Computerized medical records provide physicians with easy access to patient information no matter where they are. T/F
answer
True
question
When filling out patient charts, it is important to record patient's exact words,not your interpretation of them. T/F
answer
True
question
The doctor's transcribed notes for the patient's chart should be initialed by the medical assistant. T/F
answer
False
question
The abbreviation of out of bed is oob. T/F
answer
False
question
Because the accuracy of information in a patient's chart is important,check all information carefully before entering it. T/F
answer
True
question
________ means to be brief and to the point.
answer
Concise
question
____means to leave out.
answer
Omit
question
_____ means in the order of the date in which it occured.
answer
Chronological order
question
_______ are also called source-oriented records.
answer
Conventional records
question
Completeness in charting means ___________.
answer
Not leaving out information
question
S stands for __.
answer
subjective
question
The term __ means the patient does not follow medical advice and direction.
answer
Noncompliant
question
It describes the course of treatment to be followed.
answer
Plan
question
The abbreviation of Physical Theraphy.
answer
PT
question
File cabinets are an option when space is limited. T/F
answer
False
question
If you are unsure whether to cross-reference a file, the best policy is to not put the file away. T/F
answer
True
question
Labelling allows you to go directly to the appropriate place when retrieving a file. T/F
answer
True
question
Indexing is another term for naming a file. T/F
answer
True
question
A medical assistant may need to take original patient medical records home to keep them updated. T/F
answer
False
question
Closed files are files that are used infrequently. T/F
answer
False
question
Files that are used frequently are caled active files. T/F
answer
True
question
Medical records must be kept in storage forever.T/F
answer
False
question
After a deadline has passed, retrieve files from storage and review each file before it is destroyed. T/F
answer
True
question
Alphabetic filing system are the most common. T/F
answer
True
question
If storage space is limited,there are a number of paperless options for storing files. T/F
answer
True
question
No matter where yo ustore files, you must consider the issue of safety as well as security. T/F
answer
True
question
The rules of indexing stat that all hyphenated names are always considered to be two names. T/F
answer
False
question
HIPAA law requires taht every covered entity have appropriate safeguards to ensure the protection of patient's confidential health information. T/F
answer
True
question
Physicians must keep all immunization records on file in the office for 2 years. T/F
answer
False
question
In terminal digital filing, numbers are read from right to left. T/F
answer
True
question
Horizontal file cabinets are also called lateral file cabinets. T/F
answer
True
question
A records management system refers to the way patient records are created,filed, and maintained. T/F
answer
True
question
Commercial records centers manage stored documents for medical practices. T/F
answer
true
question
The final step in the filing process is to store the files in the appropriate filing equipment. T/F
answer
True
question
A numeric filing system
answer
may include numbers that indicate where in the filing system a file can be found.
question
To make the best use of a colorfiling system you must
answer
first identify the classifications that are important in your ofice.
question
Filing guidelines
answer
help you file more efficiently
question
the proper order for the steps of filing
answer
inspect,index,code,sort,and store
question
The most basic filing supply i the
answer
file folder
question
The medical records for patients who have died should be placed in which type of file?
answer
Closed
question
A new patient is
answer
a patient who has never been seen in the practice before or has not been seen by a physican in teh same specialtly in the practice in 3 years.
question
The first step in locatinga misplaced file is to
answer
determine the last time you knewthe file's location
question
The filing systems used when the patient's names are kept confidential is
answer
supplemental
question
If youare unsure whether to cross-refernce a file, the best policy is
answer
To do it.
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New