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107 terms

Medical office chapter 6

STUDY
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Tickler files should be checked every month.
false, organized and checked frequently
The most popular method of arranging patient records is chronological format.
false, problem-oriented format
Documents in source-oriented medical records are grouped geologically.
false, grouped by the kind of services that were provided
The following is capitalized correctly: City of Pittsburgh.
false, city of Pittsburgh
In an alphabetic system, each name is broken down into units.
true
To indicate that a record has been removed from the file cabinet, use a post-it note.
false, out guide
The classification of inactive for a medical records is determined by the federal government.
false, office policy
A surname is a person's last name.
true
Color coding reduces the risk of misfiling.
true
Documents stored in the medical record are stored in the order in which they were received.
false, stored in reverse chronological order (most frequent first)
Open office hours give flexibility to patients, however, can result in lengthy waiting periods for patients.
true
In instances where there may be confusion about patient names, the proper procedure is to use cross-indexing.
true
A matrix in the appointment book refers to a block out of the times when a patient can be seen.
false, block out of the times when the physician will not be in the office
Most backup records of the business operations are kept outside the office.
true
Insurance data is part of the patient's medical history.
fasle, not
Source-oriented medical records are used primarily by hospitals.
true
In a Worker's Compensation case no bill should be sent to the patient.
true
An open-shelf filing system ensures maximum record security.
false, does not
To stop payment on a check, the payee's bank must be contacted.
false, the bank from which the bank was written be contacted and confirmed in writing
An established patient has received professional services from a particular physician within the past 3 years, or from another physician of the same specialty who belongs to the same group practice, within the past three years.
true
Asking for payment or an explanation within 10 days is appropriate for a collection letter.
true
Using problem-oriented medical records, the documents of a patient would be organized according to the patient's problems.
true
Smith, T.C. would be filed before Smith, Jane.
fasle, after
Using the alphabetic system of filing, 'The Harris Office Supply Company' would be filed under T.
false, H
The Review of Systems (ROS) recognizes over 12 body systems.
true
A 'Global Period' is the time before and after a surgical procedure where a care is rendered without any additional charges.
true
The first unit in alphabetic filing is the patient's first name.
false, last name
The first unit in alphabetic filing is the patient's last name.
true
An established patient typically is one who has been seen in the last three years.
true
Fixed scheduling allots specific time periods to patients.
true
The medical assistant often is required to make appointments for the patient with a specialist or surgeon. This type of appointment is called:
A. A referral
B. A follow-up
C. A second opinion
D. An outpatient visit
A. A referral
POMR stands for:
A. Patient objective medical record
B. Problem-oriented medical record
C. Patient-oriented medical record
D. Problem objective medical record
B. Problem-oriented medical record
The methodology of scheduling patients with similar problems or conditions on certain days is called:
A. Modified wave
B. Clustering
C. Wave
D. Scheduled
B. Clustering
If an unscheduled patient should show up at the office with an apparent emergency condition, that patient is:
A. Sent to the nearest hospital immediately
B. Seen at the next available time, between the scheduled patients.
C. Seen by a physician immediately, ahead of patients who may be waiting
D. Given the first available appointment
C. Seen by a physician immediately, ahead of patients who may be waiting
Which condition may not require a same-day appointment?
A. Vaginal bleeding during pregnancy
B. A sore throat with fever
C. Cold with runny nose
D. Earache with drainage
C. Cold with runny nose
After the mail is opened, it should be:
A. Initialed by the person who opened it
B. Stapled together if there is more than one page
C. Stamped with a date stamp
D. Alphabetized according to sender
C. Stamped with a date stamp
Which letter type is the most time-efficient because it does not use excessive tab indents for the addresses, complimentary close, or signature?
A. Full block
B. Modified block
C. Simplified
D. Open
A. Full block
The most common method of filing is:
A. Numeric
B. Subjective
C. Alphabetic
D. Color
C. Alphabetic
Which of the following names would be filed first?
A. deLatour, Mary
B. Delmarven, Martha
C. de Long, Donald
D. De La Mare, Winston
D. De La Mare, Winston
In the alphabetic filing system, each name is broken down into:
A. Indexing unit
B. Colors
C. Numbers
D. Digits
A. Indexing unit
If a color-coding system is used in the medical office, the color code should be:
A. Kept confidential to ensure patient confidentiality
B. Known only by the filing clerk
C. Known by everyone in the office
D. Known only by the office manager
C. Known by everyone in the office
The documents in source-oriented medical records are:
A. Grouped by the kind of services that were provided
B. Filed in reverse chronological order without grouping them
C. Organized according to the patient's particular problems
D. Grouped geographically
A. Grouped by the kind of services that were provided
Source-oriented medical records are used primarily by:
A. Health maintance organizations
B. Large clinics
C. Individual doctors in their offices
D. Hospitals
D. Hospitals
All of the following statements regarding documentation in the patient record are true EXCEPT:
A. The record is documented at the time care is provided
B. Each office visit is noted in the record
C. Cancellations and no-shows should be in the patient record
D. Only the doctor is allowed to write in the patient record
D. Only the doctor is allowed to write in the patient record
For documentation using the SOAP format, information in the "O" section would include:
A. The impressions that the patient has about his or her own condition
B. Information that can be observed
C. Impressions that the doctor has about the cause of the patient's symptoms
D. Other information about the patient
B. Information that can be observed
Which of the following is NOT part of the patient's medical history?
A. Present history
B. Review of systems
C. Insurance data
D. Family history
C. Insurance data
Most backup records of the business operations of a practice are kept:
A. In a secured cabinet in the office
B. At the doctor's house
C. Outside the office
D. In a safe deposit box
C. Outside the office
Which of the following names is alphabetized last?
A. St. James, Anne Marie
B. Saint-Marie, Josephine
C. St. Joseph, Joseph
D. St. Elmo, Elmer
B. Saint-Marie, Josephine
Setting up a matrix in the appointment book means that the medical assistant:
A. Blocks out the time when the physician is out of the office and cannot see patients in the office
B. Blocks out the times when patients can be seen
C. Blocks out the times when the medical assistant will not be available
D. All of the above
A. Blocks out the time when the physician is out of the office and cannot see patients in the office
The system that schedules three or four patients every half-hour, who are then seen in the order in which they arrive at the office, is called:
A. Modified wave
B. Clustering
C. Wave
D. Specific schedule
C. Wave
An established patient is defined as one who has:
A. A medical record in the office
B. Been seen in the last three years
C. Made a payment to the office
D. Spoken with a doctor in the office
B. Been seen in the last three years
When an established patient returns to the office after a brief absence, the medical assistant should verify:
A. The patient's marital status
B. The patient's clinical number
C. Address and telephone number
D. All of the above
C. Address and telephone number
The most popular method of arranging patient records in the medical office is the :
A. Source-oriented format
B. Narrative format
C. Problem-oriented format
D. Chronological format
C. Problem-oriented format
A patient's surname is the person's:
A. First name
B. Last name
C. Middle initial
D. Professional title
B. Last name
The chart for each patient who is going to be seen that day in the office should be "pulled" and ready for the doctor. Attached to each chart should be a(n):
A. Laboratory slip
B. X-ray order form
C. Charge slip
D. Clean sheet of paper for the doctor to write on
C. Charge slip
Which of the following names would be filed last?
A. Bower, E. Lawrence
B. Bower, Edgar
C. Bower, Edgar Lawrence
D. Bower, E.
C. Bower, Edgar Lawrence
Tickler files should be:
A. Kept in the file cabinet
B. Checked every month
C. Located in secure areas
D. Organized and checked frequently
D. Organized and checked frequently
An advantage of color coding is:
A. It preserves patient confidentiality
B. It reduces the risk of misfiling
C. It is easier than numeric systems
D. All of the above
B. It reduces the risk of misfiling
The four main components of the problem-oriented medical record are:
A. Database, problem list, test plan, follow-up
B. Demographics, diagnoses, treatment, outcomes
C. Database, problem list, treatment plan, progress note
D. Diagnoses, medications, treatment plan, follow-up
C. Database, problem list, treatment plan, progress note
The appointment book should provide enough space for recording all of the following data EXCEPT:
A. Name of the person making the appointment
B. Name of the patient
C. Purpose of the appointment
D. Length of time designated for the appointment
A. Name of the person making the appointment
Which statement about medical records is correct?
A. The record is the property of the patient
B. Incomplete records help a doctor in court
C. Corrections cannot be made to the medical record
D. None of the above
D. None of the above
Corrections in the medical record:
A. Are never-done the records stands as it is
B. Are made by drawing a line through the text to be corrected and then writing the new information above the old
C. Are made by drawing a line through the text to be corrected, writing the new information above the old, and dating the new entry and signing it
D. Can be made only on the computer
C. Are made by drawing a line through the text to be corrected, writing the new information above the old, and dating the new entry and signing it
To indicate that a record has been removed from the file cabinet, the medical assistant uses a(n):
A. Piece of cardboard
B. Out guide
C. Tickler
D. Post-it note
B. Out guide
Fixed scheduling:
A. Sees patients in the order in which they arrive at the office
B. Allots specific time periods to patients
C. Does not allow patients to change appointment times
D. Lets the doctor choose which patients he/she wants to see
B. Allots specific time periods to patients
Documents stored in the medical record are:
A. Stored in the order in which they are received in the office
B. Have the oldest date first
C. Stored in reverse chronological order (most recent first)
D. Stored in random order
C. Stored in reverse chronological order (most recent first)
The second unit in alphabetic filing is the patient's:
A. Last name
B. First name
C. Middle initial
D. Title
B. First name
A person who is not an established patient walks into the doctor's office asking to be seen. The medical assistant should:
A. Give the person an appointment at the earliest possible time
B. Tell the doctor
C. Determine that the patient is not an emergency condition and then offer the person the first available appointment
D. Fit the person in that day
C. Determine that the patient is not an emergency condition and then offer the person the first available appointment
All medical records, including computer data back-up disks, should be:
A. Kept in a file cabinet
B. Kept in the doctor's office
C. Kept off site
D. Kept in a fire-resistant file cabinet
D. Kept in a fire-resistant file cabinet
The first thing to be done when mail arrives at the medical office is:
A. Open it
B. Read it
C. Log it in
D. Date it
D. Date it
Which of the following names is alphabetized first?
A. St. James, Anne Marie
B. Saint-Marie, Josephine
C. St. Joseph, Joseph
D. Saint-Charles, Angela
D. Saint-Charles, Angela
A business envelop is:
A. 6 3/4 inches long
B. 10 inches long
C. Contains windows
D. Any type of envelop that can be mailed
B. 10 inches long
Part of organizing the day means to review what is going to happen that day. This includes all of the following EXCEPT:
A. Paying the bills for the office
B. Reviewing the appointment list
C. Noting which doctors are in the office for appointments
D. Noting which doctors are out of the office for various engagements
A. Paying the bills for the office
When a postage meter is used:
A. The envelope must be sealed before being put through the machine
B. The date must be changed every day
C. The rent on the meter must be paid weekly
D. It must be used for first class mail only
B. The date must be changed every day
A filing system that maintains patient anonymity is:
A. By subject
B. Alphabetic
C. Numeric
D. Cross-indexed
C. Numeric
If a patient's last name has a prefix such as "Van," the prefix is considered:
A. To be of no significance in filing
B. To be part of the last name
C. To be part of the first name
D. To be the middle name
B. To be part of the last name
Proofreading a document involves:
A. Reading the document
B. Checking the document for accuracy
C. Checking for clarity of the message being sent
D. All of the above
D. All of the above
After a hospitalization, copies of which the following records are usually sent to the primary care physician's office?
A. Nurse's notes
B. Discharge summary and operative reports
C. Laboratory reports
D. Insurance records
B. Discharge summary and operative reports
In instances where there may be confusion about patient names, the procedure to use is:
A. Numeric filing
B. Color coding
C. Cross-indexing
D. Geographic data
C. Cross-indexing
The documents in problem-oriented medical records are:
A. Grouped by the kind of services that were provided
B. Filed in reverse chronological order without grouping them
C. Organized according to the patient's particular problems
D. Grouped geographically
C. Organized according to the patient's particular problems
The purpose of the medical record is to:
A. Provide statistical information
B. Provide patients with continuity of care
C. Provide legal documentation of all patient care
D. All of the above
D. All of the above
Which of the following patients should be seen by the doctor as soon as possible?
A. The patient who experiences burning on urination
B. The patient who has chest pain when walking up a flight of stairs
C. The patient who has been stung by a bee and is experiencing difficulty breathing
D. The patient who coughed up small amounts of blood
C. The patient who has been stung by a bee and is experiencing difficulty breathing
Which of the following would be filed first?
A. Jones, Jane
B. Jones, Louise
C. Jones, Kristine
D. Jones, E.W.
D. Jones, E.W.
In the alphabetic system, each name is broken down into:
A. Numbers
B. Units
C. Colors
D. Digits
B. Units
The classification of "inactive" for a medical record is determined by:
A. The patient
B. The state
C. The federal government
D. Office policy
D. Office policy
Open office hours:
A. Give patients more flexibility
B. Require careful scheduling
C. Can result in lengthy waits for some patients
D. A and C
D. A and C
Using the alphabetic system filing, " The Harris Office Supply Company" would be filed under:
A. T
B. H
C. O
D. S
B. H
Manual scheduling of appointments utilizes:
A. Spiral-bound appointment books
B. Computer appointment scheduling applications
C. Ink
D. A typewriter
A. Spiral-bound appointment books
Which of the following is INCORRECTLY capitalized?
A. Streptococci
B. Algebra II
C. Ivory soap
D. Mars
A. Streptococci
OCR is an abbreviation that is associated with:
A. Operating room procedures
B. Orthopedic surgery
C. Computers and the U.S. Postal Service
D. Telephones
C. Computers and the U.S. Postal Service
If the blank checks from the medical office are stolen, the medical assistant might:
A. Notify the bank
B. Notify the police
C. Ascertain the number of the first and last check in the batch
D. All of the above
D. All of the above
To stop payment on a check, it is necessary to:
A. Go in person to the bank on which the check is written
B. Write to the nearest federal reserve bank
C. Call the payee's bank
D. Call the bank on which the check is written and then confirm in writing
D. Call the bank on which the check is written and then confirm in writing
Which of the following statements is appropriate for a collection letter?
A. Unless we receive your check within 10 days...
B. I am disappointed that you have not paid your account
C. I feel sure you must have overlooked the last statement
D. Please send us your check or an explanation within 10 days
D. Please send us your check or an explanation within 10 days
Which of the following is NOT an advantage of the open-shelf filing system?
A. Creation of a quiet working environment
B. Lower equipment costs
C. Fast retrieval of records
D. Maximum record security
D. Maximum record security
Maintaining medical records accomplishes which of the following objectives?
A. Serves as a defense against malpractice suits
B. Affords continuity of medical care
C. Justifies payment for services rendered
D. All of the above
D. All of the above
Moving through the information in a document, either horizontally or vertically, is known as:
A. Scrolling
B. Editing
C. Booting
D. Filing
A. Scrolling
A list of computer program functions that provides a way to move from one part of the program to another is a:
A. Computer application
B. Menu
C. Transaction
D. File maintance
B. Menu
What is computer "prompt?"
A. A hurry-up command
B. A date reminder
C. A request for input
D. A transition to another program
C. A request for input
What is a default value?
A. Error message
B. Help screen
C. Failure of program
D. The usual response of the program
D. The usual response of the program
How much postage is required for a first class letter that weighs 2 ounces if the first once cost 32 cents and the rate for additional ounces is 23 cents?
A. 50 cents
B. 55 cents
C. 64 cents
D. 32 cents
B. 55 cents
A letter printed on 8 1/2" x 11" stationary may be folded twice to fit into a large envelope sometimes called No.:
A. 6 1/4
B. 6 3/4
C. 7 3/4
D. 10
D. 10
Which one of the following is INCORRECTLY capitalized?
A. Minute Maid
B. Bab-O
C. the East side
D. City of Pittsburgh
D. City of Pittsburgh
The home position of the fingers on the 10-key calculator keyboard on computers and calculators is:
A. 1,2,3 keys
B. 7,8,9 keys
C. 4,5,6 keys
D. 2,5,8 keys
C. 4,5,6 keys
If you have questions or a complaint about medical supplies that have been received, which of the following information should be on hand before contacting the supplier?
A. Invoice number
B. Date ordered
C. Person who placed order
D. All of the above
D. All of the above
In a Worker's Compensation case, the medical assistant should:
A. Bill the patient for the deductible
B. File a bill with the insurance carrier every 2 weeks
C. Send no bill to the patient
D. Bill the patient for the unpaid portion
C. Send no bill to the patient
An individual or corporation that makes payment on an obligation or debt but is not a party to the contract that created the obligation or debt is known as a:
A. First-party payer
B. Second-party payer
C. Third-party payer
D. Fourth-party payer
C. Third-party payer
How is the numeric keypad activated on the IBM PC?
A. Press the number lock key
B. Press enter
C. Go to arithmetic- logic unit
D. Activate the function keys
A. Press the number lock key
The information displayed at any one time on the computer monitor is known as a:
A. Screen
B. Menu
C. Prompt
D. Record
A. Screen