Medical Office Final @ Brightwood – Flashcards
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________ allow(s) for every public facility to be easily accessible to the handicapped, including unrestricted hallways, elevators or ramps, and handicapped restroom facilities. Physicians HIPAA CLIA The American with Disabilities Act (ADA)
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The American with Disabilities Act (ADA)
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Which of the following is NOT something that will help a receptionist make a good first impression? Looking patients in the eye Smiling Touching the patients Speaking clearly
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Touching the patients
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________ refers to items that require a large dollar amount to purchase (generally over $500) and have a relatively long life. State equipment Capital equipment Consumable equipment Expendable equipment
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Capital equipment
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Listening to the ________ information and requests will help determine the type of appointment that is actually needed. patient's nurse's physician's insurance company's
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patient's
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The ________ is often the person in charge of accepting office payments. nurse physician receptionist medical technician
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receptionist
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The appointment book is a(n) ________ document that records the physician's day and time spent in contact with patients. unofficial off the record informal legal
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legal
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A ________ contains physician documentation for each patient visit, as well as ancillary information for the patient. superbill medical evaluation benefits assignment form medical record
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medical record
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Even though drug samples are small and "free," the medical office must secure and organize the samples in a supply cupboard or drawer that is ________. open unlocked closed locked
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locked
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If a patient pays by credit or debit card, the receptionist does all of the following EXCEPT verify that the name on the card is correct. ask the patient if he or she prefers debit or credit. if paying by debit, ask for the patient's PIN number. ask patient to sign electronic signature pad or paper slip.
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if paying by debit, ask for the patient's PIN number
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If there is an emergency at the medical office and the physician is NOT there, the medical assistant should call first________. the physician's cell phone the emergency contact on patient's record 411 911
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911
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The records of patients scheduled for Tuesday should be pulled and collated on ________. Monday Tuesday Wednesday Thursday
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Monday
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It is good practice for a receptionist to check on patients who are waiting in the reception area ________. every few minutes only if the patients are complaining periodically after an hour
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periodically
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Which of the following specific office visit procedures would have the MOST estimated time? Suture removal Cast check Allergy testing Blood pressure check
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Allergy testing
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If a person with a communicable disease visits the office, he or she should be placed in a ________ to minimize spreading the disease. designated area disinfected area hospital area decontaminated area
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designated area
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The receptionist is often responsible for taking care of certain equipment such as ________. copiers computers printers all of the above
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all of the above
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The ________ is responsible for scheduling all patient admissions to the hospital. patient medical assistant insurance company patient's family member
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medical assistant
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A staff member is assigned the responsibility of reordering all supplies when items get to a certain level so that the supply is never totally ________. depleted filled seen leveled
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depleted
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Callers should NOT be left on hold for longer than ________ minute(s). one two three four
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one
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Many vendors will provide a discount on supplies when they are ordered in ________. large quantities wintertime small quantities summertime
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large quantities
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Which of the following should a medical assistant always do? Always protect the patient's modesty. Assist any patient who is unable to remove his or her clothing. Knock before entering an examination room. All of the above
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All of the above
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It is the responsibility of the ________ to queue up or pull records for patients who will be seen the next day. physician medical technician medical assistant nurse
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medical assistant
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Which of the following is NOT a general safety measure? Use handrails when using stairways. Run, never walk, in a medical office. If an emergency situation occurs, move quickly and run. File cabinets should be mounted against the walls to avoid accidental tipping when a heavy top drawer is open. Open doors carefully to avoid injuring someone on the other side.
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Run, never walk, in a medical office. If an emergency situation occurs, move quickly and run.
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***If one wants to maintain principles of proper body mechanics for stooping, the following should be avoided: Stand a minimum of 6-8 inches from the object you are moving. Use the large leg muscles to assist in returning to a standing position. Do not bend from your back. Keep your feet wide apart to create a base of support.
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Stand a minimum of 6-8 inches from the object you are moving.****
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A fire safety plan like RACE saves lives. Which of the following is NOT one of the components of RACE? Rescue Alert Confine Exit
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Exit
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In the event of a biological attack, the medical assistant should not _____. go home immediately remove and bag contaminated clothing wash with soap and water listen to the radio for instructions
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Go home immediately
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Any issue that could affect the health or safety of an employee either upon immediate exposure or in the long term can be categorized as the following: workplace poison workplace hazard workplace chemical workplace contamination
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workplace hazard
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Which of the following is NOT one of the four major types of medical waste? Solid Gaseous Chemical Radioactive
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Gaseous
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What information is not necessary to include in most incident reports? Names of all persons involved Names of all known relatives Date and time of the incident Names of all witnesses
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Name of all known relatives
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How often should fire drills be held with all employees present? monthly weekly yearly daily
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yearly
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What guideline does not directly align with the best practices for handling fire in a medical office? Remain calm and quickly assist in removing patients from the building. Call 911 or the local fire department immediately. Activate the established mechanism for signaling fire in the office. Use the elevator, never the stairs.
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Use the elevator, never the stairs
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If there is a situation where infectious material has been spilled, a simple kit can be assembled with all of the following EXCEPT: plain clay kitty litter a small dust pan a length of rope a biohazard bag
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a length of rope
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Which of the following should be the first step in the CPR sequence for an adult patient? Check for a carotid pulse Begin chest compressions Open the airway Tap the patient's shoulder
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Tap the patient's shoulder
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As a medical assistant, you have a legal responsibility to act within your scope of ________. interest specialty practice education
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practice
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OSHA requires that each medical office have a written Exposure Control Plan to assist in minimizing employee exposure to infectious materials. When must this plan be reviewed by all office staff? every one year weekly monthly every two years
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every one year
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The guidelines for housekeeping procedures from OSHA recommend all but the following approach? Never pick up broken glass with your hands. Properly bag contaminated clothing and laundry in leak-proof labeled bags. Replace sharp containers when completely full. Perform hand hygiene both before and after using gloves.
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Replace sharp containers when completely full
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The basic components of a quality assurance program include all of the following EXCEPT: Establish a base pay for new hires. Establish a QA Committee Review all clinical and administrative services and procedures. Limit the number of issues.
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Establish a base pay for new hires
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When an event occurs that is out of the ordinary and results in problem in the medical setting, the following documentation must be completed to help prevent a recurrence. medical report incident report official report accident report
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incident report
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Which the following items of information would not be required in an Exposure Control Plan, which is designed to assist in minimizing employee exposure to infectious materials? pre-exposure exposure determination method of compliance post-exposure
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pre-exposure
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Each office should have an _____ who is trained and aware of all of the required controls for the use and storage of hazardous materials OSHA certified technician OSHA compliance officer OSHA official inspector OSHA registered officer
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OSHA compliance officer
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Which of the following would be an issue that is outside the purview of a Quality Assurance committee in a physician's office? net patient profitability disallowed insurance claims errors in dispensing medications errors in labeling of laboratory specimens
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net patient profitability
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Which of the following is NOT a personal protective equipment (PPE) recommendation issued by the U.S. Centers for Disease Control (CDC)? gloves respirator mask eye/face shield
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respirator
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Laws that protect health care professionals who volunteer in an emergency situation are known as ________. HIPAA Hippocratic laws good Samaritan laws advance directives
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good Samaritan laws
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Medical assistants will likely encounter the greatest number of emergency situations while ________. near the doctor's office in the office setting in the hospital on the telephone
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on the telephone
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_____ applies scientific information and data regarding human body mechanics to the design of objects and overall environments for human use. Ergonomics Anthropometry Ecology Body mechanics
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Ergonomics
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If an employee refuses the hepatitis B vaccine, he or she _____ must sign a waiver. cannot refuse the vaccine. must have a note from the doctor. must have a note from the doctor.
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must sign a waiver
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Portable fire extinguishers should be attached to walls in areas that are no more than _____ feet away from any employee area. 5 25 75 125
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75
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It is a violation of the _____ to throw patient information into the trash. Patients' Common Courtesy Rules Trash and Paper Act environmental waste rules HIPAA privacy rule
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HIPAA privacy rule
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A person in ________ will unconsciously avoid an unwanted feeling or situation. pain love denial sublimation
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denial
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Letters sent out by a medical assistant are a direct ________ on the physician and on the medical office as a whole. influence authority exclusion reflection
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reflection
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With all telephone calls, the first thing you will need to find out is the patient's _____, in case you become disconnected. complaint billing address name and telephone number credit card number
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name and telephone number
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________ can be answered with a yes or a no. Logical questions Strategic questions Close-ended questions Open-ended questions
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Close-ended questions
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________ is a directive technique in which the medical assistant requests more information in order to better understand what the patient has stated. Feedback Reflecting Restating Clarification
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Clarification
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________ is the willingness or ability to understand what the patient is feeling because you have experienced the same feelings. Nonverbal communication Verbal communication Empathy Sympathy
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Empathy
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________ is feeling sorry for the patient. Entropy Sympathy Empathy Pity
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Pity
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Which of the following is NOT useful when putting together a patient information booklet? Use large print for elderly readers' benefit. Write the booklet with the typical reader in mind. Provide a list of regular office hours. Include long paragraphs of information.
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Include long paragraphs of information
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A good ________ can reduce the number of questions by telephone from patients, enhance the office's image, and reduce the number of patients who fail to follow instructions. answering machine patient information booklet marketing campaign answering service
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patient information booklet
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If a patient becomes angry or starts speaking in a loud voice, the medical assistant should ________. call the police immediately keep his or her voice loud help calm the patient call the physician immediately
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help calm the patient
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Which of the following activities would be beyond the scope of a medical assistant when helping a physician prepare for a speaking engagement? Assisting with research Creating handouts Deciding what materials the physician should present Creating a computer presentation
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Deciding what materials the physician should present
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________ are used to ask the patient for further information to more fully discuss a subject. Leading questions Probing questions Close-ended questions Open-ended questions
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Probing questions
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When you have a difficult patient on the telephone line, the best approach is to be _____ while remaining in control of the situation. kind talkative casual pitying
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kind
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A practice ________ is a good marketing tool and can be created using simple software or by hiring a firm. newspaper reporter website public relations team
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website
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________ communication is the language of gesture and actions, including body language. Nonverbal Verbal Empathic Sympathetic
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Nonverbal
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________ is a classification of people based on a group they are part of. Stereotyping Bias Ethnocentric Ethnicity
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Ethnicity
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A person employs ________ when he or she thinks imaginatively, solves problems, visualizes situations, learn new information, and thinks logically. conflict resolution risk management sound judgment critical thinking
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critical thinking
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NOT explaining an unfamiliar medical term to a patient may be considered ________. negligence laziness dissociation defensive behavior
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negligence
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HIPAA designates as ________ any facts that, if revealed, could potentially be used to identify an individual. confidential disclosure (CD) protected health information (PHI) privacy protected information (PPI) private patient material (PPM)
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Protected Health Information (PHI)
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Which of the following is NOT an acceptable guideline for proofreading documents? Small omissions are acceptable since they are not noticed by the reader. Check for missing and/or repeated words. Check for grammar, spelling, and punctuation. Proofread at least twice.
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Small omissions are acceptable since they are not noticed by the reader
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All of the following are the basic units of the communication process EXCEPT channel reception message receiver
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Reception
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________ involves paying attention to the speaker completely, concentrating on the verbal message, observing for nonverbal cues, and offering a response. Active listening Passive listening Close-ended questions Open-ended questions
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Active listening
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________, any response to a communication, is critically important when working with patients since you must determine if they really understand what they have heard. Feedback Reflecting Restating Clarification
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Feedback
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Start every callback to the patient by identifying yourself, and then ask to speak to the patient. You should NOT indicate _____ you are calling until you have the patient on the telephone line. where when who why
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why
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If you make an error on a medical record, be sure to erase or totally obliterate the original error. True False
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False
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To be absolutely safe, all medical records should be retained ________. until the patient dies for one year for two years forever
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forever
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Medical records are confidential and can never be released without a patient's consent. True False
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False
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Each patient's medical record will contain essentially ________ categories of material, but all information is unique to each patient. the same similar different meaningless
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the same
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Computer _____ begins with regular maintenance of the computer system such as firewalls, antivirus programs, defragmentation, deleting temporary Internet files, cookies, and the Internet history. learning usage networking security
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security
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Which of the following is NOT a rule of alphabetic filing? Disregard apostrophes. Married women are indexed using their legal names. Numeric characters are indexed before alpha characters. Hyphenated names are treated as two units.
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Hyphenated names are treated as two units
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Converting a paper-based system to an EHR typically occurs rapidly. is managed entirely by the software vendor. happens over a period of time. is impossible without a scanner.
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happens over a period of time
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For ergonmics, you should adjust the seat height so that the your knees are equal to, or slightly lower than, your hips, and that feet have the following relationship to the floor. flat on touching tip toeing on off
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flat on
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Which of the following is NOT correct about the acronym SOAP charting? S = Subjective O = Objective A = Administration P = Plan
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A - Administration
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What is the relationship between much of the information contained in an EMR and the contents of the a paper medical record? the information is different the information is mostly the same the information in the EMR is more current the information in the EMR is more accurate
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The information is mostly the same
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A(n) _____ is a computer application that contains records or files. database server program operating system
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database
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A tickler file is used to remind the medical assistant of an event or action that will take place at a future date. True False
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True
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A medical assistant who mistakenly viewed a family member's record should: close the record and hope no one noticed. ask the family member to phone his or her supervisor. inform his or her supervisor of the mistake. resign from his or her position.
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inform his or her supervisor of the mistake
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Errors in the patient's EMR should be corrected _____. on a weekly basis as soon as they are discovered during the annual audit only when noticed by the physician
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as soon as they are discovered
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Which of the following statements is TRUE? An office that has converted to an EMR must accommodate other health care facilities that have not yet done so. It does not make sense for a medical office to convert to an EMR if they will be the only facility in a region using one. The front office staff has the responsibility of training physicians in how to use the EMR. The majority of health care facilities will likely choose not to convert to the EMR.
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An office that has converted to an EMR must accommodate other health care facilities that have not yet done so.
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How is an error within an EMR corrected? By pressing the Delete key By using the rules associated with the particular EMR By informing the physician who will then correct it By creating a new entry with the correct information
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By using the rules associated with the particular EMR
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Due to the large number of files processed in a busy office and the confusion over surnames, ________ of files is recommended. alphabetizing sorting cross-referencing labeling
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cross-referencing
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To prevent poor blood circulation, it is advisable to take short one- to two-minute stretch breaks every _____. 20-30 minutes 2-3 minutes 12-13 minutes 2-3 hours
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20-30 minutes
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The proper presence of computer monitors in a medical office can be defined as follows: be easily viewable by patients. not have screen savers unless they display patient information. be protected from view by a screen or other means. always be set to their highest resolution.
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be protected from view by a screen or other means
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Backups in a medical office setting are normally performed _____. weekly daily monthly hourly
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daily
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As with any office policy, a medical record destruction policy should follow a(n) ________ procedure. written verbal extermination systematic
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written
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In what activity is it recommended that one avoid resting on the wrist? resting breaking stretching typing
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typing
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In order to ensure added security and HIPPA compliance, many medical office change the following: computers software employees passwords
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passwords
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The presence of bad handwriting in the medical office has been linked to the following outcome. poor people skills. medical errors. laziness. higher patient copayments.
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medical errors
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Electronic medical records allow information to be shared in all of the following situations EXCEPT: physician to physician patient to patient hospital to hospital physician to hospital
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patient to patient
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During an interview, what should you have brought with you?
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A list of questions prepared to ask the employer
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How often are passwords changed?
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60-90 days
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How many ICD-10 codes are there?
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70,000+
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What is the purpose of an EHR system?
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Gives the doctor more time with patients
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The telephone book provided to you by your local telephone company
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telephone directory
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Offices these days are more _________ based.
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Technological
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What are the different ways of submitting an electronic claim form?
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Clearinghouse Billing service Directly to the carrier
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What does AAMA stand for?
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American Association of Medical Assistants
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What document did the AAMA develop?
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Code of Ethics
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Electronic protections to prevent unauthorized access over networks and to encrypt all e-PHI
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Technical safeguards
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What are the different variations of scheduling? (5)
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Open Hours Double Booking Wave Specified Time Grouping Procedures
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Is the spellcheck in Word always correct?
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No, they don't recognize medical terms
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When you back up files - what is that?*
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?
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Identify internal controls to help providers be aware of an follow the requirements of federal, state, and private health plans
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Compliance program
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Unauthorized taking of funds that involves breach of trust
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Embezzlement
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Who is responsible for copiers, printers, etc.?
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Receptionist
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What is the definition of editing a document?
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You cannot change the content
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Which one of the CPT codes provides a list of codes in which they're using moderate sedation?*
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?
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What are the steps in making a referral in the EHR?*
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?
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The signature line is how many lines below the complimentary close?
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4
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Back in the day who trained MAs?
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Doctors
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If you pay by check it is a _____ proof of payment.
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Permanent
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What is the most common form of property insurance the MA will encounter?
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automobile insurance
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When you are blocking out a schedule manually, you want to always use ______.
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Pencil
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What are the different types of transaction accounts?*
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?
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Requirement to obtain prior approval for surgery and other procedures from the insurance carrier in order to receive reimursement
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Preauthorization
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Checks that are drawn up by a bank against funds that are deposited to its account in another bank
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Bank drafts
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What is the most common way of making a long distance call?
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Direct Distance Dialing (DDD)
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Who is in charge of accepting office payment?
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Receptionist
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What are the advantages of an electronic claim?
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Lower administrative costs Fewer claims are rejected Processing is faster with fewer errors Errors can be corrected faster Payment is faster
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Only _____ person should be responsible for deposition bank $
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One
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Who must sign off on a prescription?
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Physician
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What are the different styles of business letter writing?
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Block style Modified block style Modified block style with indented paragraphs Simplified style
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What is a fee-based reimbursement?*
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?
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Mandates the approved code sets for all covered entities, such as a medical office, that handle claims related to health care services. What organization am I talking about?
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HIPAA
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What is a collect call?
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calling a patient to request payment
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The act of assigning numbers to the procedures and services that physicians provide to patients
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Procedure coding
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Version 5010 is a set of standards in the healthcare field for what?
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Electronic transactions
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What is an ABA number on a check and where on the check is it located?
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Identifies the area where the bank issuing the check is located, as well as to identify the individual bank Located on upper right corner of a printed check
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Each Category II Code consists of what?
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four numbers followed by the letter F
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What is a memo and what is it used for?
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Written communications sent to people within the office or organization Used to inform personnel about meetings, general changes that affect employees, special projects, or news items
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What are the components of the resource-based relative value scale (RBRVS)?
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National relative value unit (RVU) Geographic adjustment factor (GAF) National uniform conversion factor (CF)
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Medical coding is the process of assigning what?
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Codes to diagnoses and procedures
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What category codes describe widely used services and procedures approved by the FDA?
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Category I
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In an ICD-10 CM manual, terms listed under an alphabetically listed Main Term in the Index to Diseases and Injuries
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Subterm
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In an ICD-10 manual, numerical list of diseases and injuries, reasons for encounters, and external causes
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Tabular List
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CPT, Fourth Edition (CPT-4) is a listing of five-character ________ codes and descriptions used to report outpatient medical services and procedures.
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Alphanumeric
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Which Category codes are optional codes used to collect and track data for performance measurement?
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Category II
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