Week 13- Electronic health and medical records

Question 1

5 basic steps for filing

Answer 1

Conditioning, Releasing, Indexing and Coding, Sorting, Sorting and filing

Question 2

Medicare and Medicaid patient records must be kept for _____ years

Answer 2

10 years

Question 3

How should medical records be discarded?

Answer 3

Shredded by professional company

Question 4

digital charts to be used within a facility

Answer 4

EMR- electronic medical records

Question 5

includes EMR and other info to be used in between facilities

Answer 5

EHR- electronic health records

Question 6

What should be used to make a correction in an EHR/EMR?

Answer 6

Addendum

Question 7

Who can authorize forms?

Answer 7

Patient, minors parent/legal gaurdian, or POA

Question 8

grouping related papers together, removing paper clips & stapling

Answer 8

conditioning

Question 9

making a form to be filed

Answer 9

releasing

Question 10

determining where to place a file in the records

Answer 10

indexing and coding

Question 11

ordering papers in a filing structure

Answer 11

sorting and filing

Question 12

records controlled solely by the patients

Answer 12

PHR (personal health record)

Question 13

history of present illness

Answer 13

chief complaint

Question 14

guidelines imposed by HITECH Act 2009 to improve quality, safety and reduce health disparities

Answer 14

Meaningful Use