MEA 120 CH 1 & 2 – Flashcards
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A physical collection of an individual's healthcare information is termed
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Patient chart/record EHR/EMR
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Early medical documentation of present day posttraumatic stress syndrome was first seen in
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The Civil War
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Which is NOT found in the patient medical record?
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College transcripts
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A legal document that may include a "do not resuscitate order" would be called
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Living Will
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An individual who is responsible for recording data in the patient record is called a
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Documenter
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Which is NOT a documenter of the patient chart?
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Patient
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Patient information
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May be documented by the medical assistant into the patient chart
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When accompanying a patient into the exam room, the MA commonly documents
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The reason for visit
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Practice Management Software
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May be included as part of an interoperable EHR Includes administrative functions like appointment books and billing
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Voice recognition software
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Automatically converts a documenter's spoken word into written words
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The receptionist would commonly document
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Patient appointment times
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Ownership of the physical medical record
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Belongs to the one who creates and maintains the record
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In SimChart for the Medical Office, a patient visit with a provider is called an
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Encounter
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core functions of a well-designed EHR
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Health information management Results management Patient support Reporting and population health
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The doctor asks the medical assistant to print a handout on hypertension for a patient to take home. This is an example of which EHR core function?
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Patient support
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The doctor prescribes the patient an antibiotic for a URI. It is sent directly to the patient's pharmacy. The pharmacist notices the patient is allergic to this medication and informs the doctor. This is an example of which core function?
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Orders management
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Geraldine has been referred to a cardiologist for a MVP. The EHR allows the specialist to gain access to Geraldine's relevant heart history with her permission. This is an example of which core function?
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Electronic communication and connectivity
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The patient statement for outstanding balance is printed from the EHR after the patient visit. This is an example of which core function?
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Administrative processes
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Incidence of the swine flu can be monitored with the help of which core EHR function?
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Reporting and population health
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Which of the following sets standards for what each software system should be able to accomplish?
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CCHIT/ Certification Commission for Healthcare Information Technology
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_________allows practitioners to tailor the care of an individual patient by making sure it adheres to published guidelines for the patient's specific diagnoses.
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CDS/ Clinical decision support
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A fixed amount of money a patient is contracted to pay out of pocket at each visit is called
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Copayment
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Practice Management software does all of the following except:
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Documenting patient visits results
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An established patient:
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Should have his/her insurance card to be copied at each visit
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Which of the following would be documented using computerized provider order entry (CPOE)?
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E-prescribing
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A form used to gather data about the patient, including basic demographic information, payer information, and emergency contact is called:
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Patient information form
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The ___________ is a statement for the daily business transactions. It includes the list of checks and balances for the office for a specific date of service.
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Day sheet
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A standard electronic format that facilitates the claims processing for doctors and suppliers:
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HIPAA 5010
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Which of the following would most likely affect EHR user satisfaction?
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Improved patient quality of care
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Skills for using the EHRs include:
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Knowledge of medical terminology
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The Coding Edge is published by:
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AAPC/ The American Academy of Professional Coders
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Which of the following is not a factor in adopting the EHR?
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Physician schedule
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Maintaining patient records is optional for healthcare providers.
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F
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The contents of the patient health record are standardized from office to office.
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F
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The medical assistant is a frequent documenter of the patient record.
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T
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Information that is documented in the electronic patient chart may be handwritten.
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F
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The patient is the owner of the health record in its storage media.
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F patient owns information only
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A medical office may charge for the copying of medical records. Because the information belongs to the patient, the copies may not be withheld for any reason.
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F
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Data entry into the EHR using voice recognition, electronic sentence building, and structured data entry is electronic transcription.
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T
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CCHIT supports the adoption of electronic health records by physician's offices.
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T
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An established patient is one who has been seen by a member of the healthcare team within the last 4 years.
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F
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The implementation of an electronic health record increases patient satisfaction for the medical office.
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T
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Introducing the electronic health record into the doctor's office will result in little to no employee resistance.
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F
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Power outages, viruses, backup procedures, and computer freezes and crashes pose other safety and security concerns for medical offices using EHRs.
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T
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What is an element of the user interface on which the user can click to execute a command, such as confirm, cancel, or exit?
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Button
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What would the record of a patient who has not been seen by the provider in 3 or more years be considered?
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Closed record
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What is a preselected value or setting that will be used unless the user specifies a substitute by overriding the preselected choice?
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Default
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A mobile device:
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is used to send/receive emails
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Front Office, Clinical Care, and Billing and Coding are known as:
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modules
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What is a computer with a flat, slate like touch screen that relies on a stylus (a pen-shaped pointer device) or fingertip, rather than a mouse, for data entry?
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Tablet computer
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What is a security feature that allows you to leave for a few minutes without exposing patients' information to the risk of unauthorized access?
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Screen Saver
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What is the landing page for SimChart for the Medical Office known as?
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Assignment screen
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What is a group of current patients in the electronic health records called?
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Patient registry Master patient index
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The amount of time records must be kept in storage by a medical office:
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retention
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What measures should healthcare personnel take in monitoring security on a mobile device?
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Use password Keep out of reach from others Do not leave unattended Log out when not in use
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When the user enters the Electronic Health Record , the landing page is:
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Calendar view
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Which of the following is NOT an example of Student Resources in SimChart for the Medical Office?
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Assignment Answer Key
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In SimChart for the Medical Office, when the user selects the Clinical Care module, they will be prompted to:
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Perform a patient search
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How is entering a new patient in SimChart for the Medical Office performed?
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Searching the patient demographics
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The actions completed in the Playground:
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Are not linked to the Assignment grid
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Medical assistants who are comfortable with technology are in great demand, often commanding higher salaries and landing positions in the most desirable practices.
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T
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You need only enter one patient account for access in all three modules, Front Office, Clinical Care, and Billing Modules.
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T
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In order to submit an assignment for grading, the user must complete the Electronic Health Record case study and take the quiz.
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T
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Blue "Add" buttons are used throughout the SimChart for the Medical Office system to make changes to patient accounts.
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F
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SimChart for the Medical Office is a Web-based system that allows the user to access anywhere the Internet is available.
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T